Siberian Husky Rescue/Referral of California

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Add-A-Dog form

Please enter as much information as possible in this form:

"*" indicates required fields

Tag ID:
* Breed of dog:
* Name of dog: * Sex of dog:
Age of dog: Years, Months Approximate Weight of dog:
* Coat color of dog: * Eye color of dog:
Dog is Woolly coated
Dog has Piebald/Pinto markings
Dog has Parti Eyes
Tattoo text (if available): Microchip:     Yes
* What is this dog's zipcode:        * What is the current status:
Check all that apply:
Dog is Spayed/Neutered Dog is a mix Dog is Housetrained Dog is Cratetrained
Dog is Leadtrained Dog has Obedience Training Dog is good with Children Dog is good with Small Children
Dog is good with Large Dogs Dog is good with Small Dogs Dog is good with Cats Dog requires very tall fence
Dog has Rabies Vaccination Dog has DHLPP Vaccination Dog on Heartworm preventative Dog is in a Shelter
Dog has Papers

Picture 1:   
Picture 2:   
Web Page (if available):

* Description

Owner/Contact Information

* First Name:
* Last Name:
* E-Mail:
* Phone: Alternate Phone:
* State: Zip:    

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