choose one male female

choose one yes no

Do you have a vet that spays/neuters at you facility?

List any fee charged to rescues for a spay/neuter by a vet at your facility:

If there is no vet that spays/neuters for your facility, and there a local vet in your area that spays/neuters at a reduced cost for dogs going into rescue, please list their fee:

If the dog has not been tested, can he/she be tested at your facility or by a local vet? (Note: we cannot accept dogs that have not been tested and found to be hw negative)

If there is a fee associated with a hw test? List it here:

What shots can be provided free of charge prior to transfer?

If some shots can be provided at a cost, please list these shots and their associated fees:

Is this dog pictured on Petfinder? If so, give us the Petfinder url for your organization:

Please provide us with any other information you think is pertinent:

Note: After submitting this form, you should be taken to a page that states "Your Shelter Transfer Form was submitted." If you are not taken to this page, your browser may not support this online form. Contact us if this is the case at