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Lagotto Surrender Form

Best Method to Contact
Phone
Text Message
Are you the legal owner of this dog?
Yes
No
Have you contacted your breeder?
Yes
No
Sex
Male
Female
Spay/neuter
Spayed
Neutered
Is the dog current on vaccinations?
Yes
No
Has the dog ever had adverse reactions to vaccines?
No
Yes

Include medications, allergies, injuries, or neurological concerns

How would you describe your dog's personality?

How does your dog respond to the following

Check box if there are issues

Has your dog ever:
Is your dog

Obedience scent work, hunting, sport, etc.

If yes, please explain

Environment History

Describe the dog's current living environment:

Has the dog lived primarily
Indoors
Outdoors
Legal & Ethical Agreement By submitting this form you acknowledge :
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