Name of Organization: (as you would like it to appear online)

Dog Breed(s), if breed specific - or All Breeds

Address - (Only include the details you would like shown with your listing.)

Province | State | Country

Phone No.

Cell No.

Website Address

Social Media Links (Facebook, Twitter, etc.)

Email Address

Brief Description: (You can include a brief description - ie: goal, mission, etc. - which will be shown with your listing.)

Section 2 - For Office Use Only

1. Are the rescued dogs examined by a veterinarian, brought up-to-date on vaccinations, and assessed for temperament? If not, why?

2. Are the rescued dogs spayed/neutered before being placed in their adoptive homes? If not, why? and if not, does the adoption contract specify that, unless for medical reasons, the dog must be spayed/neutered?

3. Do you have a detailed adoption application whereby prospective new owners are verified through references and other means to ensure that the dog will be going to a permanent and loving home?

4. Are you willing to take back any animal that is placed if the placement does not work out for whatever reason?

5. Do you, will you, or have you ever used any of the rescued dogs for breeding purposes?

6. Do you, will you, or have you ever sold rescued dogs to brokers and/or retailers?

7. Have you ever been subjected to disciplinary action, fines, etc., by any dog club, criminal or civil court?

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