Dog Intake Form Give us the scoop on the new dog! Entries with a red * are required. Dog's Name *Date Acquired *Breed *FRR ID Number *Microchip Number *Age of Dog *Dog's Date of Birth (if known)Gender of Dog *FemaleSpayed FemaleMaleNeutered MaleOrigin of dog *ShelterOwner Turn-InAnother RescueBorn in RescueShelter Name *Impound Number *OTI Name of Owner *City *Name of Another Rescue *City *FRR Name of Mother Dog *Health Concerns *Known Behavior History (friendly with kids/cats/dogs, hand shy, resource guarder, etc.) *Intake Volunteer *Approved By *Dog’s Rep *Submit