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Placement Submission Request Form

Animals name
ID#
Name of pets owner
Home address (we will not accept PO Boxes)
City
State
Zip Code
Telephone number
E-mail Address: *
Date pet aquired
Date of birth/age
Sex *Male
Female
Percentage, F-Gen if applicable
Body color
Eye color
Eye shape
Weight
Is this pet altered: *
Microchipped? *
If Microchipped, what company?
Breed/Species?
Containment Required?
Housebroken?Yes
No
Can be left alone indoors?Yes
No
Chews on furniture?Yes
No
Crate trained:Yes
No
Kept at night?
Kept during the day?
Rides well in cars?Yes
No
Leash broke?Yes
No
Afraid of people?Yes
No
Afraid of noises?Yes
No
Behaves around other dogs:Dominant
Aggressive
Tolerant
Reserved
Cautious
Playful
Dont Know
Behaves around cats:Aggressive
Chases
Tolerant
Playful
Dont Know
Behaves around small children:Tries to dominate
Aggressive
Tolerant
Reserved
Cautious
Playful
Dont Know
Bite History?
Climber or Jumper?Yes
No
Both, climbs and jumps
Digger?Yes
No
Dont know
Other problems you have had - explain in detail:
Training completed:
Commands obeyed:Sit
Down
Lay
Roll over
Heal
Other
If you chose other in commands obeyed, please explain:
Surgery(s) Explain in detail:
Injury(s) Explain in detail:
UTD on shots?Rabies
5-way booster
7-way booster
Dont know
Other medical condition(s) Explain in detail:
Reason for surrender. Explain in detail:
Has this pet been previously rescued? If Yes, Give details.
Time frame:
Is this URGENT? *Yes
No
Photo(s) Submitted?Yes
No
Attach a File:
Contact Name *
Contact E-Mail *
Contact Phone Number *
Best time to call

Verification Code:
Enter Verification Code: *

* Required
 

 


 

    Indigo Mountain provides information and photos of the animals needing forever homes for rescuers throughout the country. Indigo Mountain does NOT facilitate these adoptions unless we are listed as the contact on a specific animal.  A link to the rescuer's email is provided on every adoptable page.  Please use that link to contact the rescuer directly.

    Terms and Conditions

    We do not endorse any rescue organization or individual listing an animal for placement.

    We do not guarantee the health or behavior of any animal posted on this website. All information is supplied by the contact person or their agent and each is responsible for the content of their submission.

    We reserve the right to refuse anyone. No breeders will be allowed to list their animals for sale of for adoption. 

    All Rights Reserved (c) 2007


 

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