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Surrender Form
This form is for individuals or rescue groups who wish to notify JCCARE of a Japanese Chin dog in need.
Please complete the following form. Fill in all contact information and be as specific as possible. We cannot help if we have incomplete information. Upon submission, a JCCARE rescue representative will contact you.
If you prefer, you may call Theresa Leatherwood at 210-240-8788 with the following information.
The information submitted on this form will remain confidential.
Japanese Chin's Name
Age
Sex
Male
Female
Color
Size
Health
Temperment
Background
Special Considerations
The dog's current location
Your Name
Your E-Mail
Your Phone Number
Today's Date
...
Additional Information or Instructions for JCCARE
Please upload a picture you have of your Chin
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