Owner Surrnder

First Name *
Last Name *
Phone Number *
Dogs Name *
Dogs age *
Dog's sex * Male| Female	NoYes
Is the dog fixed? *
Dog's weight *
Dog's breed *
What color is the dog *
Last Vet visit *
What is the name of the last Vet seen *
Vet's Address *
Vet's Phone Number *
Is the Dog Microchipped? *
Is the Dog current on vaccines? *
Heart worm tested in last year? *
Received heartworm preventiative this year? *NOT flea prevention* *
When was the last flea treatment given and what brand or type (Oral, topical, bath, flea collar) *
Has dog ever had puppies? *
Any current medical problems? *
Brand of current dog food? *
How much food and how often? *
Where did you get the dog? *
How long have you had the dog? *
How many owners has this dog had? *
Is the dog house broken? *
Can the Dog jump fence? *
Is the Dog crate trained? *
Is the Dog a digger? *
Is the Dog a barker? *
Is the Dog leash trained? *
Is the Dog obedience trained? *
Is the Dog aggressive with any other Dogs? *
Has the Dog ever shown any aggression to any person or dog? *
Please describe how your Dog interacts with other dogs. *
Is your dog good with other dogs? *
Does the Dog know any commands? *
Is the other Dogs in your home? *
Is there any cats in your home? *
Do you have any kids in your home? if so what ages? *
Where does the Dog go when you are not home? *
How many hours on average does the Dog stay home alone? *
Where does the Dog sleep at night? *
What type of home and yard do you have? If you have a yard, is it fully fenced? *
Is the Dog inside or outside? *
Is your Dog destructive when left alone? *
Is your Dog afraid of anything? *
is the Dog good with cats? *
Is the dog good with kids? If so, what ages? *
Is the Dog good with other dogs? *
Please provide additional information we should know about your Dog? *
*	Email 4 clear photos and any vet records to milasmutts@gmail.com
Please list your full address for the owner surrender contract *