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All About Yorkies

If you need to surrender a yorkie or yorkie mix, please fill out the below information. If you do not know, please approximate to the best of your knowledge. Please be honest! This information will allow us to place your dog in the best foster home possible. Someone in your area will get back with you as soon as possible to answer any questions you may have about the process and make arrangements. We understand this is a hard decision to make and try to make it as easy as possible on all parties.

All fields are required. Please mark with an n/a if the field is not applicable.

First Name: * Last Name:
Address 1: *    
Address 2:    
City: * State: *
Zip: * E-Mail: *
Home Phone: * Alt. Phone:
Dog's Name: * Dog's Age: *

Dog's Gender:

* Dog's Weight: *

Is your dog spayed/neutered?

Please list any medical issues that your dog has: *

Please list the name and phone number of a veterinarian where we can obtain medical records for your dog: *

Has your dog ever had obedience training?

Does your dog get along with other dogs?

Does your dog get along with cats?

Does your dog get along with children?

Has your dog ever bitten a person and broken the skin?

Why are you surrendering your yorkie? *

Are there any other important things we should know about your dog? *