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Adopt
Intake Form
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FAQ
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INTAKE FORM
Texas Chihuahua Rescue (TXCR)
Intake Form
TXCR is based in Pleasanton, Texas. You will be required to transport the dog to our rescue.
First name
*
Last name
*
Email
*
Phone Number
*
Multi-line address
Country/Region
*
Address
*
City
*
Zip / Postal code
*
Dog Name
*
ACP Age
*
Breed
*
Weight
*
Type of Surrender
*
Owner Surrender
Found Stray
If owner surrender, reason for surrendering your dog.
Does the dog have any health issues?
*
Does the dog have any behavioral issues?
*
Has the dog been heart-worm tested in the last 6 months?
*
Yes
No
Other
Does the dog have bite history?
*
Yes
No
Other
How long has the dog been in your care?
*
Friendly with people?
*
Yes
No
Other
Friendly with children?
*
Yes
No
Other
Friendly with other dogs?
*
Yes
No
Other
Friendly with cats?
*
Yes
No
Other
Please upload a photo of the dog.
*
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