What is your Neapolitan Mastiff's name?
What is the gender of your dog?:*
Date of birth, or approximate age: *
What is the approximate weight of your dog:*
What is the color of your Dog:
What type of ears does your dog have?
What type of tail does your dog have?
Is your Neapolitan Mastiff micro chipped?:*
If so, What is the microchip number and name of the manufacturer?
How long have you owned your Nea dog?*
Where did you originally get your Neapolitan? Please be specific:*
Does your Neapolitan Mastiff have registration papers?:*
If your Neapolitan Mastiff is registered, please list the breeder's name and contact information:
Have you contacted the breeder?
Why do you have to surrender you Neapolitan Mastiff? Please provide as much detail as possible to help us.*
Please describe (in detail) your dog's general temperament and behavior:*
What are some of your Nea's favorite activities?*
Is the dog house trained?
Choose all that apply:
Is your dog crate trained?:*
Is your dog leash trained?:*
Is your Neo obedience trained?
Does your Nea do well riding in the car?
Does your Neo do well with other dogs?
Does your Neo do well with cats?
Has your dog demonstrated aggression towards any other animals?*
If you answered yes, your dog has shown aggression to other animals, please explain the instance in detail:
Please list all animals residing in the home, who are owned by you or anyone else residing there. Please list animals species, name, breed, gender, age and spay/neuter status. if none, please answer, none:*
How many people reside in the household? Please list the names, ages, and genders of all household members:*
Has your dog ever demonstrated aggression towards humans, bitten, or attempted to bite?*
attempted to bite
bite requiring medical assistance
If you answered yes, your dog has shown aggression towards humans, please explain the instance in detail:
Name, address, and phone number of vet that has most recently seen your Nea:*
Approximate date of last vet visit?
Is your Neapolitan Mastiff spayed/neutered?:*
If your Neapolitan Mastiff is not spayed/neutered, please explain why:
Is your Neapolitan Mastiff up to date on all of their vaccines, INCLUDING Rabies?:*
If your dog is not up to date on its vaccines, explain why:
Is your Neo currently being given monthly heartworm preventatives?
Does your Neapolitan Mastiff have any medical issues?:*
If you answered yes, that your dog does have medical issues, please explain them in detail:
Are you willing to help with transport?
If yes, how far are you willing to drive round trip?
Are you willing to make a voluntary donation to Mastino Rescue, Inc. in order to help us offset our cost for this dog?
If so, potential amount of donation: $
How did you learn about Mastino Rescue Inc.?*
Referred by friend
Referred other rescue
Please list any additional information that you think would be helpful in determining our ability to accept your dog into Mastino Rescue Inc.
PLEASE ATTACH PHOTOS (at least one head shot, and one full body shot is preferred)
By answering below, you agree that this information is complete and accurate to the best of your knowledge. Please type your name, followed by today's date:*