BREEDER NOTIFICATION FORM
Date:_____________
Dear_____________
A Shiba Inu of your breeding has recently come to the attention of the rescue group, and is in
need of a new home. Since we have found that ethical, reputable breeders maintain an ongoing
interest in animals of their breeding, we would like to give you an opportunity to help us help this
dog.
Please complete the bottom of this form and return it to the address below within seven days so
we can continue to serve the Shibas, their owners and friends.
Thank you,
Mail Reply to: (Address of rescue chair or person)
------------------------------------------------------------------------------
Dog's name:__________________________ Age:________ Sex:____________
Sire:
Dam:
Date of Birth:
Last Known Owner:
Reason for Rescue's attention:
[ ] Owner can no longer keep dog
[ ] Owner has abandoned dog
[ ] Owner has surrendered dog to Pound or Shelter
Reason:
[ ] Dog has health problems requiring care
(vet evaluation attached)
[ ] Other
==============================================================================
BREEDER'S REPLY
[ ] Please return dog to me at my expense.
[ ] I cannot take the dog, but will support it until a new home is found.
Enclosed is a deposit for expenses $__________________
[ ] I cannot support this dog while boarded, but here is a donation for its
care $____________________________________________
[ ] I am not interested
Breeder's name:_____________________________________
Address:_______________________________________________
______________________________________________________
Phone:_______________________________
__________________________________________
Signature
cc: Rescue File
