Rescue (Owner Surrender) Order Number We're so sorry to hear that you're in this position. Please, tell us a little about yourself, and about the beauceron in need, so that we can identify how best to assist you both. About the Dog About You Name * Gender * Male Female Age/Birth date * Ears * Cropped Natural Color * Black/Rust Harlequin Other How did you acquire this dog? * Purchase Rescue Other From whom? * Why are you seeking to re-home this dog? * Name * Phone E-Mail Address * Location * About The Situation Has the dog's breeder been contacted about re-homing? * Yes No Please share the breeder's response, or tell us why they have not been contacted. * Does this dog get along with children? * Does this dog get along with other dogs? * Does this dog get along with other types of pets? * Please describe any behavioral issues or concerns. * Please describe any medical issues/concerns. *
