P.O. Box 72040 Newport, Kentucky 41072 (859)391-1234 SAAP@fuse.net
P.O. Box 72040 Newport, Kentucky 41072 (859)391-1234
Dog's name? if any
Breed
Age
Why do you have to surrender?
Where did you get the dog? County found if stray
How long have you had the dog?
Is the dog current on shots, heartworm or spayed/neutered? If yes can you provide proof?
Are you willing or able to foster until a home or alternate foster can be found?
Is the dog good with other dogs, cats, and kids?
Any behavior or medical problems?
Other Information or comments: Your Information: Name: Address: Street City State Zip
Name:
