BBBR Animal Care Facility Intake Form -Boise Bully Breed Re

INCOMPLETE FORMS WILL NOT BE CONSIDERED.

If the dog is accepted to rescue you will be notified.

Due to insurance stipulations the rescue is unable to accept ANY bite cases and dogs that do not get along with other dogs.

**PHOTOS AND VIDEO REQUIRED

DOG FRIENDLY: Dog on Dog interaction on leash or in group play (VIDEO)
HUMAN FRIENDLY : Dog interaction with human (VIDEO)

** IF FILES WONT ATTACH TO FORM -PLEASE NOTE IT ON INTAKE

Please email directly to: admin@wetyellowdog.net
Copies of health records/transfer paperwork MUST be attached or e-mailed to admin@wetyellowdog.net prior to acceptance

Required vaccines prior to transport

Rabies, Bordetella and DHPP.
BBBR MAY request HW testing for adult dogs and parvo testing for litters

The transferring shelter shall assume liability of the dog during transportation. The rescue will take possession of the dog upon the dog's arrival to the animal care facility.

Shelter adoption and transfer fees will not be paid by BBBR
The rescue does not accept dogs from private owners

Shelter Name

Shelter Physical Address, Email, Phone Number

100

Shelter point of contact name, email address and phone number

IS the shelter point of contact the person submitting this intake?

If you are NOT the shelter point of contact, you MUST state your association with this dog and its circumstances

If you are a shelter volunteer please list -Your full name, email address and shelter employee who authorized this submission on the shelters behalf

Shelter Intake date

Todays Date

Dog's name

Dog's shelter ID #

This dog is a

Stray

Owner Surrender

Cruelty case/confiscate

If an owner surrender, please state the reason given:

If owner surrender, please attach PDF copy of form filled out by owner upon surrender. You can redact personal information OR you can copy/paste owner surrender Q&A -email admin@wetyellowdog.net. Additional info is very helpful for consideration

Do we have permission to post this dog on social media and the BBBR website?

IF YOU CHOSE YES TO THE ABOVE QUESTION- (permission for us to post/network on website and social media) WHAT CONTACT INFORMATION WOULD YOU LIKE US TO POST?

Shelter name, email and phone number ONLY

Personal contact information ONLY

Both Shelter and Personal

N/A We do not want this dog posted

IF YOU CHOSE YES/PERMISSION FOR US TO POST/NETWORK ON SOCIALS, WEBSITE AND PETFINDER PLEASE CONFIRM YOU UNDERSTAND THE FOLLOWING-

All dogs submitted are posted to different platforms to help network and save lives

All dogs will be posted for no longer than 4 mos. unless we are notified in advance to extend

We agree to notify BBBR if said dog is no longer available due to adoption, eu, or tagged by rescue

N/A DOG IS NOT TO BE POSTED

Is the dog at risk for euthanasia?

Yes

No

Do we have permission to post euthanasia risk and or date(s) on social media and the BBBR website?

Due out date

If you have denied BBBR permission to publicly post euthanasia risk and dates, please check all.

We (the shelter) understand this decreases the sense of urgency for at risk dogs

We (the shelter) understand this decreases social media shares/networking which can save a dogs life

We (the shelter) understand the public may perceive urgent dogs as SAFE and not at risk of death

THIS DOG IS -

Rescue ONLY (not available to the general public)

Available to general public for adoption AND OR rescue

IF this dog is RESCUE ONLY please briefly explain why-

Dog's breed

Male or Female

Male

Female

Dog's age

Dog's coat coloring

Health condition of the dog

Dog's weight

Vaccinations received and date administered:

Indicate if the dog has been spayed or neutered

Yes

No

Spay / Neuter completion date:

Is the dog microchipped?

Wormed or other treatments and date administered:

Dog's Personality Traits

Please indicate if this dog has had a formal assessment or evaluation: * Formal Assessments MUST be submitted with the required photos

Yes

No

Please indicate if this dog has injured or bitten a human.

Yes

No

Please indicate if this dog has injured or bitten another animal

Yes

No

If yes, provide additional details regarding what occurred during the incident(s). Describe the relationship the injured party had to the dog? Were any animals were involved? Outcome of the incident? Was medical attn sought? Extent of the injury.

Please indicate which behavioral characteristics this dog has (check all that apply):

If other..

Does this dog have any known separation anxiety or kennel escaping behaviors? If yes, please explain in detail

Does this dog leash (lead) climb, bite or tug? If yes, please explain in detail how often and to what extreme.

Does this dog resource guard food, toys, or other objects with humans or other animals?

Do you believe this dog could live in a home with other dogs? If no, why not? If yes, what other dogs demeanors would best suit this dog?

Do you believe this dog could live in a home with children? If so, what age range would you recommend?

Do you believe this dog could live in a home with small pets? (i.e. chickens, parrots, cats, etc.) If no, why not?

Has this dog ever been on a animal control hold or quarantine? If yes, please explain in detail.

Is this dog currently on medications? If yes, please explain in detail

Please list any basic commands this dog responds to:

Please provide a write up about the dog in the space provided below. Description of the dog in paragraph format to advertise to potential adopters?

Does this dog have any other known medical of behavioral concerns that has not yet been provided herein?

Does your shelter spay/neuter, vaccinate, and microchip prior to adoption?

Spay/Neuter

Vaccinations

Microchips

Other

If other, please explain..

Does your shelter provide transfers to rescues?

If there a rescue group that works with your shelter that has the resources to spay/neuter and vaccinate?

If applicable- Please provide the name, address, and phone # of the rescue group working in conjunction with your shelter

Are volunteer transports to Boise available?

I (we) understand for acceptance consideration, required photos and YouTube videos are to be attached to the form below OR if the attachments are too large they are to be sent to: admin@wetyellowdog.net

Google Drive or YouTube link (please make sure the settings allow viewing)

Photo 1 (JPG, GIF, PNG)

Photo 2 (JPG, GIF, PNG)

Photo 3 (JPG, GIF, PNG)

Photo 4 (JPG, GIF, PNG)

Photo 5 (JPG, GIF, PNG)

Photo 7 (JPG, GIF, PNG)

Google Drive or YouTube link (please make sure the settings allow viewing)

Google Drive or YouTube link (please make sure the settings allow public viewing)

Please attach -one of any of the following- Health medical/ record, vaccine records, shelter document, evaluation

BBBR Animal Care Facility Intake Form

-Additional Shelter Information-