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Surrender Form

This form is for individuals or rescue groups who wish to notify JCCARE of a Japanese Chin dog in need.


Please complete the following form. Fill in all contact information and be as specific as possible. We cannot help if we have incomplete information. Upon submission, a JCCARE rescue representative will contact you.

If you prefer, you may contact a JCCARE representative in your state with the following information.

The information submitted on this form will remain confidential.



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JCCARE is a dog rescue organization dedicated to the health and welfare of Japanese Chin dogs. We are a 501(c)(3) non-profit organization of rescue volunteers whose sole purpose is helping, rehabilitating and finding homes for homeless Japanese Chin across the United States of America.