subject_line
Boxers and Buddies Owner Surrender Form
Boxers and Buddies Owner Surrender
Please answer the following questions pertaining to the dog you are surrendering. This information will be extremely helpful:
1.
In order to place the animal in a suitable/compatible home
2.
To give new/prospective owners an overall history of the dog they are planning to adopt
3.
To help make the transition to a new home as stress-free and smooth as possible for the animal.
Feel free to add ANYTHING pertaining to the animal that would be helpful for the well-being of the dog and new owner. Please be
truthful
and
honest
when answering the questions.
Completion of the form does not guarantee that Boxers and Buddies will be able to intake your dog. Decisions to accept owner surrendered dogs are made based on available space and on a case by case basis. You will be asked to make a financial donation to the rescue to assist in your dog's care.
Thank you for your help and cooperation.
Personal Information
Owner's Name:
*
Street Address
*
City/State/Zip
*
Home Phone
*
Cell Phone and/or Work phone and ext.
*
E-mail Address
*
Dog Information
Why are you surrendering your dog?
*
Dog's Name:
*
D.O.B. or Age:
*
What breed is the dog you're surrendering?
*
Is the dog pure or mixed breed (if mixed please list ALL possible mixes)
*
Color of Dog:
*
Fawn
Brindle
White
Other:(please specify)
Other:(please specify)
Registered with:
*
AKC
UKC
No Registry
Other
Other
I got the dog from a
*
Breeder
Pet Store
Family Member
Rescue
Shelter
Private Party
Stray/Found
Gift
Other (specify):
Other (specify):
Release of Ownership
I am the legal owner of the dog described above and understand that I am giving up all rights of possession and ownership of the dog and that I will not be able to redeem this dog at any time. I agree and understand that this dog is now the sole property of Boxers and Buddies Rescue and I am conveying all rights of ownership to Boxers and Buddies Rescue. I promise that the information I am giving is accurate and complete, and agree to hold harmless and indemnify Boxers and Buddies Rescue, its officers and volunteers, from all claims in connection with the adoption or any other disposition of the dog.
On the Internet an Electronic Signature carries the same legal weight as if you were signing your name to a printed document. Please provide your electronic signature below by typing your name in the box below.
*
(Page 1 / 2)