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I Need To Surrender

Do you have a Wheaten in Florida you are no longer able to care for? If you do, please complete the Behavioral/Medical Summary below.

Someone from our Rescue Committee will contact you quickly.

If you are in an urgent situation, please contact:

Melissa Nelson
Florida Rescue Co-coordinator



Vaccination Record - please fill in with the last date each was given.

Please fill in the information requested below regarding your dog's diet.

The following questions are regarding your dog's behavior.

What word do you use for the following?

The following questions refer to your dog’s behavior in the house.

The following questions refer to your dog’s behavior outside.

Please provide the following information about your dog's caregivers.

When we receive this form, one of our rescue coordinators will call you to talk about your dog. Please fill in the following information completely.