Request for Respite Care

Pet Owner Info
First Name *
Last Name *
Address - include apt # if applicable *
City *
State *
Zip code *
Home Phone *
Cell Phone *
Email Address *
About Your Pet(s)
Is your dog spayed/neutered? *
If not, will you allow Helping Hounds to assist you with altering your dog? *
It is not in line with our mission to use the resources of our organization to enable accidental or backyard breeding of dogs and do require they be altered or the family agrees to allow Helping Hounds to spay/neuter them while in our care. If you are unwilling to spay/neuter your dog we are not able to offer Respite Care.
For all pets needing respite care, please list their name, age, and breed. *
Veterinarian(s) used *
Vet's phone number(s) *
Why is respite care needed? *
How long will respite care be needed? *
Please include a photo of the dog. *
Are you working with any organization or social worker? *
Organization/Social Worker Info
Name of organization/social worker
Organization or social worker's phone number
Email of organization or social worker

Pet Owner Info