Request to list a dog on the Mid Atlantic Page

(This form should ONLY be used for dogs currently in:
Delaware, Maryland, New Jersey, New York, Ohio, or Pennsylvania!
Posting dogs from other states will only DELAY the listing further.)
If you would like to list a dog on the site, please fill out the following information and press the SUBMIT button.  An email will be sent to the Mid Atlantic Page Editor for evaluation.  The dog will NOT be automatically added to the site.  Should the dog be approved for listing, it will be listed for SIX months if it is missing, THREE months if this dog is still with his owner or with a Siberian Husky rescue group, or ONE month if the dog is in a shelter.  If you want to extend the listing, you must contact the page editor prior to the dog's removal to get the listing extended.  We will not contact you to ask the dog's status.  
Dog's name
Gender (required)
Coat color  Please refer to this guide for reference.

Other coat information:
(optional)

Woolly              Splashcoat            Piebald(If you do not know what these terms mean, please refer to this guide for reference!  It is NOT necessary to pick one!)
Eye color
Age
Spay/Neuter status
Health info
Contact name and phone
Email address (required)
State (required)
Temperament information:
Other information, including reason for placement:

Add a picture to the listing

 Pictures must be less than 2 meg

This site is not for the use of people trying to sell a dog or breeders wishing to place their own dogs for any reason outside of a true emergency situation. Individuals wishing to place dogs should first contact their local rescue organization before requesting a listing at this site.  That organization may then contact me to list the dog.  If a dog IS listed at this site, the placing party may ask for a donation to go to a local shelter or rescue organization to cover costs.  If I find out the placing party is requesting remuneration outside of these guidelines, I will remove the listing from the site.  THIS SITE IS NOT INTENDED TO BE A SALES VEHICLE OF ANY KIND!  It is for the express purpose of saving dogs whose lives are in danger, who are being abused, in a shelter or otherwise in a bad situation.