INTAKE FORM

Heaven English Bulldogs Rescue (HEBDR)

Heaven English Bulldogs Rescue is based in Pleasanton, Texas. You will be required to transport the dog to our rescue.

First name *

Last name *

Email *

Phone *

Multi-line address

Country/Region *

Address *

City *

Zip / Postal code *

Dog Name *

ACP Age *

Breed *

Weight *

Gender *

Type of Surrender *

If owner surrender, reason for surrendering your dog.

Does the dog have any health issues? *

Yes No Other

Does the dog have any behavioral issues? *

Yes No Other

Has the dog been heart-worm tested in the last 6 months? *

Yes No Other

Does the dog have bite history? *

Yes No Other

How long has the dog been in your care? *

Friendly with people? *

Yes No Other

Friendly with children? *

Yes No Other

Friendly with other dogs? *

Yes No Other

Friendly with cats? *

Yes No Other

Please upload a photo of the dog. *

Upload File Click to upload or drag and drop (JPG, PNG, GIF)

Submit