Please complete the form below. Answer all questions honestly and to the best of
your knowledge. Someone will be in touch with you within 24 hours of receiving
this information. You will also be sent a copy of this form for your own reference. You
must enter an email address for this form to be properly submitted.
Please note that we can only assist with dogs that are
currently located in North Carolina. If you are in another state, please visit
links page for more