Dane Surrender Form
					Please copy & paste this form, then submit it to the e-mail address below.  To copy & Paste, Highlight the form with the mouse, right mouse click and select copy.  To paste, just go the email and right mouse click to select Paste, or use the CONTROL V option to paste.   webmaster@greatdanelifeline.org
				Name: _________________________________________________________________ Address: ________________________________________________________________ Phone: ____________________E-Mail:______________________________________ Description of dog:   Sex:________Color:__________Age:________Weight:_________ Dog's Name:_________________________________  Spay/Neuter:______________ Has this dog ever bitten: A person_____________Another animal:_________________ If yes, please explain the circumstances:______________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Please give a brief reason for the surrender:___________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________