assistance

Havanese Rescue Inc Assistance Request

Due to an increase in the volume of requests we receive for assistance,
the following information is required from anyone interested in surrendering a dog to HRI.

Please provide as much information as possible. Responses to submissions with missing/incomplete
information may be delayed. Thank you!

Submisssion of this form is NOT a commitment to surrender your dog. It is simply a request for assistance.
When we contact you, we will discuss ALL possible solutions to your situation.

Name and Email address are required for ALL submissions. Thank You!

Your Name

Your Email

Dog’s Name

Dog’s Age

Phone number

Best time to call

Location of rescue dog (city/ST)?

Good with cats?

Good with other dogs?

Good with children under 12?

Sex (male or female)

Good with children over 12?

Does rescue dog have special needs?

Please describe such things as medical problems, required medications, etc.!

Please explain the circumstances prompting you to request assistance for the dog, or why you desire to surrender this dog to HRI.

Reason for surrender:

Submisssion of this form is NOT a commitment to surrender your dog. It is simply a request for assistance.
When we contact you, we will discuss ALL possible solutions to your situation.