General Help Request Form

Your name:(required)

Phone number:(required)

Best time to call (check all that apply):

Mornings

Afternoons

Evenings

Weekends

Email address:(required)

City:(required)

State/Province:(required)

What sort of assistance are you in need of?(required)

I want to keep my dog, but I need help for behavioral rehab

I need to rehome my dog, and I can keep him/her while JCLDR looks for a foster placement or adopter

I need to rehome my dog, and he/she must be removed from my home immediately

Other (please specify below)

If other, please specify:

Is there anything else we should know?(required)

Please upload a full-body photo of your dog

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Maximum file size 10MB. If you are having trouble uploading a photo, please submit this form without, and instead email the photo to info[at]jcldr.com.

We will try to help you as best as we can! Filling out this form does not guarantee that we can or will take your dog into rescue, nor that we solve behavioral problems over the phone. If you are seeking placement into rescue, please understand that this possibility is based upon availability of fosters. We do not have a dedicated facility, so we take dogs into rescue only when skilled fosters able to care for them become available. This process can take days or months, so we ask for your patience and understanding. We will do our best to accommodate your request immediately, but due to the number of requests we receive, we simply do not have enough fosters to give every applicant the love and care your companion deserves.

Once you have completed this form in its entirety, please submit by clicking the send button below. Once your request has been processed, you will receive a confirmation email.

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