Before you fill out this form, would you like to speak to a counselor for help in solving abehavior problem with your pet? Have you considered a belly band for housebreaking problems? (If you don’t know what this is, it’s OK – we will explain it to you!) Together, we may be able to find a way to help you keep your dog. Call Karen at (954) 298-5945 or email her at email@example.com
Please provide the following information concerning a small breed dog that you need to give-up to a
Rescue Volunteer, or that needs to be rescued by a Rescue Volunteer. For efficiency purposes,
please complete as much of the information as you can and be as accurate as you can.