Help

This page is dedicated to help dog owners especially corgi owners that are having problems with their corgi and feel that they have nothing else they can do. We are here to try to help you with your corgi. If you feel you need to surrender your dog please fill out the following application and we will be in touch with you and see if we have a place for your corgi. Please understand that we want to help and we will do our best but it may take time.
Surrender or Help Survey

Are you wanting help or to surrender you dog

Name of Dog: 
Breed:

Gender:                          

Age:

Spayed or Neutered:  

Weight:

Name of Veterinarian:                                        

Phone:

Hospital/Clinic:

City/Town:                                       

State:                                 

Zip:

Color(s)/Markings of dog:

Scars,tattoos, or injuries:

Dog Microchipped? If so, provide number  get along with

Does the dog get along with other dogs?

Does the dog get along with cats?

Does the dog get along with small children?
Medical Information: **(OWNER TO PROVIDE ALL MEDICAL RECORDS W/ DOG.)
On heartworm preventative:                                 
  If yes, type?

Date of last rabies vaccine:                                     
Due next?:     

Date of last DHLPP:

Date of last Bordetella:

Type and brand(s) of dog food:

Amount/how often fed:

Behavioral Issues:                

If Yes please fill out the problems






Your name and phone number or e-mail (when surrendering this space will be your electronic signature)
Help Surrender
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