As owner/agent, I relinquish all rights, transfer ownership and make available for adoption through Columbia River Pembroke Welsh Corgi Club the Pembroke Welsh Corgi described above. I certify I am the owner, free and clear of any other interests or co-owners.For, and in consideration of, said placement effort, I relieve CRPWCC of all liability for any act in connection herewith.
How does the dog react to being left alone in the house?
How does the dog react to being left alone in the car?
How does the dog react to being left alone in the kennel run?
How does the dog react to being left alone in a fenced yard?
Does the dog know any tricks or have any favorite pastimes?
Does the dog have any obedience, agility, rally or other training?
Does the dog have any familiar response words?
The dog is(check if yes):
Do you have a current rabies certificate?
Do you have a pedigree?
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Additional comments or information
How does the dog react to cats?
How does the dog react to men?
Does the dog (check if yes):
Walk on a leash?
Come when called?
What is your veterinarian's name, city and telephone number?
What preventive medications is the dog on?
Other, please list below
Reason for release:
Do you have the registration papers?
AKC Registration Number:
If yes, what is the chip or tatoo number?
What is the dog's sex, age and weight?
Pembroke's Registered Name:
Code of Ethics
Officers & Board of Directors
How To Select A Pembroke
Care & Health of Your Corgi
Rescue Mission Statement
How does the dog react to women?
How does the dog react to children?
How does the dog react to strangers?
How does the dog react to other dogs?
Any supplements or medications? Please list.
Do you have current health/shot records
What brand of food? Dry or canned?
What identifying marks does the dog have?
What color is the dog?
Red & white
Is the dog neutered or spayed?
Does dog have a microchip or tatoo?
Pembroke's Call Name
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