Puppy Prevention Enrollment Form

WAG Puppy Prevention Program Enrollment form

Thank you for enrolling in WAG's Puppy Prevention program. Spay/Neuter is an important part of the solution to pet overpopulation. Our goal is to end the cycle of breeding with each litter - your help is important! Please complete the information below. Questions marked with asterisk * indicate required information.
Owner's Full Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
County of residence *
Phone Number *

Area Code Phone Number
E-mail *
Name/Breed of Mother/Dam *
Approx. Age of Mother dog
Puppies date of birth *
Number and Sex of puppies in the Litter *
Breed of Father/Sire (if known)
Upload picture of litter, if available.
Do you have a fenced area or other secure place for the puppies to stay? (For fostering purposes.) *

Yes No
Is Mother/Dam current on vaccinations?

Yes No
I understand that the puppies will be transferred to the Walton Animal Guild adoption program when age appropriate and WAG has the responsibility of placing them in homes. *

Yes No
I understand and agree that ALL puppies will be spayed/neutered prior to going to new families, even those placed in homes by agreement outside of the WAG Puppy Prevention program. *

Yes No
Should be Empty:

WAG Puppy Prevention Program Enrollment form