SRT Intake Form (SRT USE ONLY)

Miniature Schnauzer

The SRT Intake Form is used only by SRT volunteers and only when the Directors of SRT have agreed to bring a dog into our rescue organization.  Please complete the form with as much detail as is available.  The form will automatically be sent to the SRT Directors.

SRT INTAKE

This form is only used by SRT volunteers at the direction of a SRT Director.

  • Person Completing The Form

    Please complete all information in this section.
  • Please provide a valid email address. Please double check the spelling!

  • Animal Intake Information

    Please complete all information in this section to the best of your availability based on what you know of the dog to-date.
  • Please 'other', please specify.
  • Please specify the age. If you don't know, please use an approximation (e.g. 2-4 years). Specifics are better!
    0 of 20 max characters
  • Please specify the weight. If you don't know, please use an approximation (e.g. 10-15 pounds). Specifics are better!
    0 of 20 max characters
  • Provide microchip number if animal is chipped
    0 of 50 max characters
  • Provide the date that the animal was picked up (from shelter, from surrenderer, etc.
    MM slash DD slash YYYY
  • Provide name of shelter where animal was picked up or the name of the owner or stray surrenderer.
    0 of 100 max characters
  • Provide indicate where the animal has been dropped off (Almost Home, Foster, etc)
    0 of 100 max characters
  • Please provide a listing of vaccinations received.
    0 of 150 max characters
  • Has the animal been spayed / neutered?
  • Does the animal appear to be house trained?
  • Does the animal appear to be crate trained?
  • Does the animal appear to be leash trained?
  • Describe the animal's behavior with children if you have observed such.
    0 of 150 max characters
  • Describe the animal's behavior with / around other dogs if you have observed such.
    0 of 150 max characters
  • Describe the animal's behavior at the groomer if you have observed such.
    0 of 150 max characters
  • Describe the animal's behavior at the veterinarian if you have observed such.
    0 of 150 max characters
  • Describe the animal's personality - playful? shy? timid? alpha? submissive? unique / cute characteristics? etc?
    0 of 150 max characters
  • 0 of 150 max characters
  • Please attach a photograph (full body please) of the dog. Upload additional photographs in subsequent section.
    Drop files here or
    Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 512 MB.
    • Please attach an additional photograph or file record if you desire.
      Drop files here or
      Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 512 MB.
      • Please attach an additional photograph or file record if you desire.
        Drop files here or
        Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 512 MB.