* denotes required fieldName* First Last Today's Date* MM slash DD slash YYYY PhoneDog's Name* DVGRR ID #*(format: 99-999, e.g. 16-000) Dog's Age Dog's New Name (if changed) Adoption Date* MM slash DD slash YYYY Name of DVGRR Adoption Facilitator Does the dog have an appetite?* Yes No Is the dog showing any behavior NOT discussed during adoption?* Yes No If yes, please explain:Is the dog exhibiting any of the following behaviors?*(Check all that apply) Inappropriate chewing Anxiety Separation problems Aggression/play biting/mouthing Jumping Housebreaking/accidents Other (please use box below to describe) None Describe other behaviors not listed above:Do you feel that the adjustment period is proceeding as expected?* Yes No Additional comments/concerns:How is the dog responding to your commands?* Very well Just OK Not at all How are the dog's leash manners?* Very good Average Needs work Any additional remarks/comments/concerns:If you have any questions or concerns, please call DVGRR (717-484-4799) immediately!Feel free to email training questions to Dennis (dennis@dvgrr.org) or Zack (zack@dvgrr.org). Δ
