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PLR Surrender Request

Important: Surrendering a Lab is free, but your dog must meet certain criteria to be eligible for adoption.
Click here to read more on surrendering your dog.

Please Tell Us About Yourself
(Please Include Your Phone #)

Name: 

Address: 

City/State: 

Zip Code (required)

Phone:  (required)

E-Mail: 

Please Tell Us About Your Lab
(This helps us place your lab with a family)

Color:   Male: Female:

Age:    Labs Name: 

Is This Lab A Stray?
Yes No

Housebroken?
Yes No Unsure

Lab is Kept:
Indoors  Outdoors 

Good With Kids?
Yes No Unsure

Good With Other Dogs?
Yes No Unsure

Good with Cats?
Yes No Unsure

Purebred?
Yes No Unsure

AKC Papers?
Yes No

More About Your Dog

Your Lab is a: 

How Long Have You Had This Lab?

Any Habits? 

Leash/Obedience Trained?
Adv. Basic None



Medical History

Vet Record? Yes No

Vets Name? 

Neutered/Spayed?
Yes No Unsure

On Heart Worm Medication?
Yes No

Weight?  Lbs.

Medical Problems? 
 

Any Comments/Explainations? 
 
 

  If you are happy with the above information then please 

Otherwise feel free to 



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