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Black Moon Canid Intake Application

Are you looking for temporary or permanent placement for a canid?
Please complete this form to help us learn more about your situation and the animal in need. Every detail you share helps us assess the best and safest outcome for all involved.
Black Moon Wild Canid Sanctuary is a small, 501 (c)(3) nonprofit organization that provides rescue and lifelong sanctuary for wolfdogs, New Guinea Singing Dogs, foxes, coyotes, and other wild canids in need. Our mission is to provide ethical, trauma-informed, gold standard care for animals who cannot safely be placed elsewhere. Once your form is received, our team will review your information and reach out within 3-7 business days to discuss the next steps, which may include additional photos, temperament details, or scheduling a Zoom consultation. Thank you for helping us ensure each animal receives the safest and most appropriate care possible.

Tell us a bit more about yourself

Animal's name

IF they're a wolfdog/wolf/singer, what %?

Age of canid

If temporary/foster is needed, how long for? Or N/A

Will you be able to provide their veterinary records or contact info?

Animal breed(s)

Length of placement you're seeking

Length of placement you're seeking
A
B
C
D

Embark DNA test?

Animal Sex

Animal Sex
A
B
C
D

Relationship to animal

Relationship to animal
A
B
C
D
E

Are they up-to-date on vaccinations?

Are they up-to-date on vaccinations?
A
B
C

If the dogs are not intact or UTD, will the current owner or a clinic be able to cover that at no cost to Black Moon?

Are they intact or altered?

Are they intact or altered?
A
B
C

Is the owner/shelter/foster able to pay a surrender fee?

Is the owner/shelter/foster able to pay a surrender fee?
A
B

Any pertinent medical needs, history, behaviors, or background story etc?

Anything else we should know?

Upload Photos: please send clear images of each dog standing (front, side, rear, and from above), as well as face and neck close-ups. (Video of their locomotion is also very helpful.)

How did you hear about Black Moon?

How did you hear about Black Moon?

If a current employee at (Black Moon) referred you, please list their name

Are you able to provide transport or help cover transport cost?

Are they able to contribute to the cost of a pen for placement? Approximately $1,500 per animal

Are they able to contribute to the cost of a pen for placement? Approximately $1,500 per animal
A
B