Intake Form (English)

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Intake Form - English* Please provide complete and accurate information about your dog. Incomplete information may result in your form being rejected. **Remember we do not have a shelter or sufficient capacity to take a dog you rescued and find a foster home for it. You must be responsible to foster the dog while we are searching for a permanent home. We will get in touch with you as soon as we have a opening in our program. While you wait for us to contact you, please click here to read this page for important information about our program. All fields with an are required.
Your contact information:
First name: *
Last name: *
Address: *
Colonia (if La Paz): *
City: *
State: *
email: *
Telephone:
Cell: *
Basic information about the dog:
Where is the dog fostered? *
If the dog is fostered someplace other than your home, you are responsible for insuring it is fed, watered, taken to the vet, socialized and prepared for adoption. Our volunteers will also need access to the location in order to do a home-check.
If fostered elsewhere, please include location: * If the dog is not fostered with you, then please describe where it is fostered.
Name of the dog: * Name of the dog
Gender: *
Coat Type * Please select the coat type that best describes the dog.
Size: * Please select the approximate height of the dog
Weight (kgs) - (You must enter a numeric value >0 if you want this dog on the food program:) * Approximate weight in kilograms
Dog breed: *
Do you want your dog included in the food program? *
Birth date (approx. is ok): * Be sure to include your date as: dd/mm/yyyy
Unique physical markings (if any):
Behavior!
Good with cats? *
Good with other dogs? *
Good with children? *
Is the dog housebroken? *
Crate trained? *
Leash trained? *
Any car sickness? *
Describe the dog's personality.
Energy level? Destructive with property? Behavior when left alone? Response to strangers? Aggression towards people, other animals, food, etc.? * Personality of the dog
History of the dog
When did you receive this dog? * Be sure to include month day and year. Remember dates in Mexico are dd/mm/yyyy
Where was it found? Physical condition when rescued? Medical treatments received? * Describe where it was found and its condition; how long you have had it.
Describe, in your opinion, the ideal Adoptive Home for your dog: *
Health
Spayed/ neutered? *
Spay/neuter date: Be sure to include date as dd/mm/yyyy
Veterinarian/Clinic
Our program offers a clinic only 2x a week - so if your dog is in need of urgent care, get it to a vet right away.
Final steps
Add a photo of your rescued dog:
IMPORTANT! We are a team of volunteers who operate strictly on donations, and we do all that we can do to help dogs. By submitting this Intake form you are asking for a dog to be accepted into our Adoption program. We have a limited number of dogs that can be in the program at one time. The process of getting them adopted takes time and depends a lot on how prepared the dogs are for adoption. We could bring in more dogs if we had more volunteers. If you want to get your dog into the program and adopted sooner, please consider volunteering. We have openings right now for volunteers. Go to our volunteer page and fill out an application here:
*	I have read the Rescue Guidelines
Rescue Guidelines and the Ten Best Practices for Rescuing are excellent resources to get you started.

Intake Form (English)

Intake Form - English*

Your contact information:

Basic information about the dog:

Behavior!

Describe the dog's personality.

History of the dog

Health

Final steps