Name
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
Email
*
Dog's Name
*
Dog's Age
*
Dog's Weight
*
Dog's Gender
*
Male
Female
Where did you originally get your dog?
*
If the dog is from Lucky 7, please use return form.
How long have you had the dog?
*
Does the dog have any health concerns?
*
Please provide a detailed history below. If there are no concerns, please write "none".
Please list any and all medications for the dog.
*
Check all the vaccines the dog has received.
*
List the date last given for each vaccine.
*
Has your dog been altered?
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Yes - Spayed
Yes - Neutered
No
Veterinary Office/Veterinarian Name
*
Vet's Contact Information
*
I understand that I will need to call my vet's office to have the records released to Lucky 7 Dog Rescue.
*
What food does the dog eat? Please include the brand.
*
How much and how often does your dog eat?
*
Check all that apply to the dog:
*
Does the dog dig in the yard?
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Yes - All the time
Sometimes
Never
How does the dog react to riding in the car?
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Select all the apply.
Does the dog damage/destroy any of the following items?
*
Select all that apply.
How does the dog react to petting?
*
Select all that apply
Is there anything else that we should know about the dog's pet preferences?
*
How does the dog react to grooming such as baths and brushing?
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Please be specific. Feel free to use the guidelines above.
Check any areas the dog does not like being touched/is sensitive.
*
Check all that apply.
How does the dog react to the food bowl being touched while eating?
*
Select all that apply.
How does the dog react to a toy being taken away?
*
Which commands does the dog know?
*
Select all that apply.
Include any other command/obedience training you would like to share below.
Is the dog used to being in a crate?
*
Yes - is comfortable with minimal or no crying
Somewhat - cries/whines but then settles
No - cries and whines for extended periods of time without settling
Unknown
Is your dog potty trained?
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Yes - Fully without accidents
Mostly - occasional accidents
No - frequent accidents
How would you describe the dog's activity level?
*
Low - Couch Potato
Medium - A walk/play time does wonders
High - Needs exercise regularly
How would you describe the dog's vocal level?
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Low - rarely barks
Medium - occasionally barks at specific things
High - barks at everything
Infants
1
2
3
4
5
0
Toddlers
*
1
2
3
4
5
0
Men
*
1
2
3
4
5
Women
*
1
2
3
4
5
Strangers
*
1
2
3
4
5
0
Cats
*
1
2
3
4
5
0
Puppies
*
1
2
3
4
5
0
Big Dogs
*
1
2
3
4
5
0
Small Dogs
*
1
2
3
4
5
0
If any are under 5, please describe the interaction here.
Describe any other quirks/preferences for the dog's relationships.
*
What does your dog enjoy?
*
Select all that apply
What is your favorite thing about the dog? What fun/quircky thing can we share with potential fosters/adopters?
*
Has the dog ever been declared dangerous or potentially dangerous?
*
If yes, please include the following information:
City
County
Date
Details
Check all that apply regarding your dog's bite history.
*
Again, please be as truthful and objective as possible.
If you checked yes to a bite, please rate/check the worst bite:
If the dog has been involved in a biting incident, please provide any relevant details here.
Details can include age of children involved, breed of dog involved, etc. Please provide as much detail as possible. It is extremely important you be as truthful and objective as possible.
What, if any, circumstances would allow you to keep the dog?
*
Please explain your reason for the surrender request.
*
Understand that we cannot guarantee that Lucky 7 will be able to take your dog into the rescue. We are an entirely volunteer and foster based rescue with limited resources.
*
You will send recent photos to canineclassifieds@lucky7dogrescue.com.
*
I will check my Spam Folder in my email for correspondence from Lucky 7 team.
By electronically signing, you agree that all information is accurate to the best of your knowledge, and you understand that once the dog is in the care of Lucky 7 Dog Rescue they can no longer be returned under any circumstances.
*
