Aussie Rescue San Diego

Placement

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Placement Form
Please fill out this form to submit information about yourself and your dog. This information will help us get a better understanding about your dog for possible placement help. All fields marked with an * are required. We will respond to you within 24 hours, if not please email us at info@aussierescuesandiego.org 
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* Required
Name *
Your answer
Street *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Best number to reach you *
Your answer
Your Email *
Your answer
Name of dog needing placement assistance *
Your answer
Breed? *
Your answer
 Age? *
Your answer
Weight? *
Your answer
Spayed/Neutered? *
What is the reason you need to re-home your pet? *
Your answer
What is the time frame for finding your pet a new home? *
Your answer
Where did you get your dog? *
Your answer
Please describe your dogs personality *
Your answer
Date of Last Visit to Veterinarian? *
Your answer
Current Veterinarian *
Your answer
Current on Vaccines? *
Mircochip number
Your answer
Any health issues or previous injuries? *
Your answer
Please list any medications
Your answer
Please describe how your dog is with strangers *
Your answer
How is your dog with new unknown dogs? *
Your answer
Has your dog ever bitten or tried to bite anyone? If yes please explain. *
Your answer
Please email a picture of your dog to info@aussierescuesandiego.org 
Your answer
I certify that all of the above information is accurate I understand that by filling out this application. (Please write full name, pet name, and date to confirm) *
Your answer
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