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Owner Surrender/Shelter or Rescue Transfer Form

Please note- Once you start if you leave this page, your information will not be saved and you will have to start over!

Pick ONE
Multi-line address
Spayed/Neutered?
Spayed
Neutered
Not fixed
Is the dog on any medications?
Yes
No
Is your dog microchipped?
Yes
No
Please list all training that dog has (select all the apply):
Would the dog do best as an only dog or with another dog
Has your dog been around Cats?
Yes
No
Can the dog go to a home with cats?
Yes
No
Doesn't matter
Has never been around a cat, so don't know
Has the dog been around kids? (please select all that apply)
Do you understand that by filling out this form, does not guarantee the rescue will take in your dog or has an immediate placement option for your dog?
Yes
No

By signing below, you acknowledge IF arrangements are made and the dog is moved out of your care with the assistance of Paws to Peaks Rescue to their new foster or forever home, you are signing over ownership of this dog to Paws to Peaks Rescue.

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Once you hit submit, the form will clear and it will take you back to the top of the page!

Contact

Founder/President:

Gina Deem

Po Box 261

Clancy, MT 59634

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Tel: 406-600-2959

pawstopeaksrescue@gmail.com

Thanks for submitting!

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Your donations will make a significant difference in providing the treatment when dogs need care urgently! Thank for your support!
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(Please note the website deducts a 2.9% fee from your total donation. If you would like to help offset this fee please consider covering this fee within your donation!) You can donate via Venmo without fees if you prefer.

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**Please note that PayPal does charge a 2.9% fee, please consider adding this into your final donation so we can continue to offer this method of payment

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