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91 Ready Ave N.W. Fort Walton Beach, FL 32548
911 Ruff Hours of Operation: 10am - 7pm, 7 Days-a-week
E-Forms
Lost Dog Form
Found Dog Form
Turn-in Dog Form
RUFF DOG TURN-IN e-Form
OWNER'S INFORMATION
DID YOU GET THE DOG FROM RUFF?
Yes
No
Why are you putting your pet up for adoption?
Owner's First Name:
Owner's Last Name:
Owner's Age:
Email Address:
Home Address:
City:
State:
Zip Code:
Home Phone:
Cell Phone:
PET INFORMATION
Pet's Name:
(Please do not put Mutt or Mixed.)
Do you know the dog's Birth Date?
Yes
No
Dog's Birth Date
Approx. Age
Where did you originally get the dog?
What is the dog's gender?
Male
Female
Is the dog spayed or neutered?
Yes
No
Unknown
Is the dog housebroken?
Yes
No
Dog's Weight (lbs):
Dog Breed:
Dog Color(s):
Any special markings?
Yes
No
What is/are the special markings?
Any known fears?
Yes
No
What is/are the known fears?
Basic obedience training?
Yes
No
Leash trained?
Yes
No
Any special likes?
Yes
No
What is/are the special likes?
Any special tricks or commands?
Yes
No
What is/are the special tricks or commands?
Any bad habits?
Yes
No
What is/are the bad habits?
Does the dog have favorite games or toys?
Yes
No
What is/are the dog's favorite games or toys?
Check the term(s) that best describes your pet
Friendly
Destructive
Timid
Shy
Obedient
Playful
Aloof
Finicky
Demanding
Unruly
Loves Everyone
Submissive
Lazy
High Energy
Temperamental
Digs
PET DISLIKES:
Dislikes Children?
Yes
No
Dislikes Men?
Yes
No
Dislikes Women?
Yes
No
Does your pet get along with other dogs?
Yes
No
Where has your pet spent most of its time?
Indoors
Outdoors
Has your pet been confined (kennel, chained, fence etc)?
Yes
No
What brand of dog food does your dog eat?
What type of food is it?
Wet
Dry
Is your pet current on all vaccines?
Yes
No
Is your pet current on heartworm preventative treatment?
Yes
No
When was the last heartworm preventative treatment?
Where did you purchase heartworm preventative treatments?
Is your pet current on flea preventative treatment?
Yes
No
When was the last flea preventative treatment?
Where did you purchase flea preventative treatments?
Any other health problems or anxiety problems we need to know about?
Yes
No
What is/are the problem(s) or anxiety(s)?
What is the name/number of your veterinarian so that we may request the animal's health records?
Is there a Microchip?
Yes
No
Please check the box to athorize release of veterinarian records?
This form will not submit without this athorization?
Click
here
, If you would like to make a donation at this time.
Items we need you to bring in when you bring in the dog
Proof of Rabies Certificate
Proof of other shots
Signature microchip form turn over sheet (If microchipped)
Click
here
, to link to the Signature microchip turn over sheet.
Image Uploader (to Server)
If you currently have a photo that you can upload, please add it below. If not, in order to help the dog, we would appreciate a digital photo emailed to
janice@911ruff.org
as soon as one is available.
Image: