Surrender Form

Keep Your Pet During Tough Financial Times!

"*" indicates required fields

All questions with an asterisk must be completed for the surrender form to go through.
First and last name*
(Without your city AND state we can't process this request).
Is this dog a Bichon or Bichon Mix?*

Is your dog male or female?*
Has this dog been spayed or neutered?*
Best time to reach you?*
Your relationship to the dog?*
Has this dog ever bitten?*
Does this Bichon get along with other dogs?*
Is it necessary for this dog to be placed as an only dog?*
Does this dog get along with cats?*
We need your veterinarian's name and phone number. Without that information your request won't be processed. We need to be able to determine legal ownership of the dog.
We need your veterinarian's name and phone number. Without that information your request won't be processed. We need to be able to determine legal ownership of the dog.
I give permission for SPR to contact my veterinarian and to get a copy of my dog's vet records.*