850-668-5999 | Fax: 850-668-5998

Request A Fence

To increase the chance we can help, please provide as much information as possible. There are many dogs and families in need and we have limited resources. We do our best to make the most positive impact we can with those limited resources, so the more information you are able to provide, the better job we can do of maximizing the very generous time and money donated to help those in need.

Request a Fence

Would the fence be for your dog? (Select no if you’re referring us to a dog belonging to someone else)
 Yes No

How many dogs live at the location?


Your Information

First Name:

Last Name:

Email:

Phone Number:

Would you prefer to remain anonymous?
 Yes No


Owner Information

First Name:

Last Name:

Email:

Phone Number:


Dog Information

Use the nearest location if the exact address is not known

Street Address:

Address Line 2:

City:

State:

Zip:

Has animal control been involved?
 Yes No

Please briefly describe the dog(s) situation:

Name, age, breed and gender of dog(s).

Is the dog spayed/neutered?
 Yes No

How long has the dog lived at the present location?

How many hours a day does the dog spend chained/tethered or in a small outdoor pen?

Does the dog come inside at night?
 Yes No

Is the dog currently on a chain/tether?
 Yes No

Is the dog confined in a small outdoor pen?
 Yes No

Does the dog have a dog house?
 Yes No

Are you interested in a dog house for this dog?
 Yes No

Please describe any existing fencing:

Is there any other information you’d like us to know?

How did you hear about us?

If this fence is for someone else, do you wish to make a donation toward this fence at this time?



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