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Surrender Form
Surrender a Greyhound
Name *
Email address *
Contact number? *
Name of Greyhound? *
Gender? *
Reason for surrender? *
Age of Greyhound? *
Desexed and up to date on vaccinations? *
Yes to Desex
No to Desex
Yes to Vaccinations - C5
Yes to Vaccinations - C7
No to Vaccinations
Date of Most Recent Flea/Tick Preventative Treatment: ( (Please provide the exact date, if known.) *
Brand name given? *
Date of Most Recent wormer Preventative Treatment: (Please provide the exact date, if known.) *
Brand name given? *
Where did you adopt your greyhound from? *
Any known health issues? *
Any injuries sustained while racing? *
Yes
No
Any other commemts
Photo
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