Surrender Contract – Speaking Of Dogs

Dog Surrender Contract

Name of dog *

Is the dog Male or Female? *

Male
Female

Is the dog Spayed/Neutered? *

Yes
No

Age (or approximate age) *

Breed/physical description *

Reason for surrender: *

Details of veterinarian care received: *

Name of Veterinary Clinic, Veterinarian, and phone number (if available): *

Agreement

By signing this form you relinquish all ownership of this animal and s/he becomes the property of Speaking of Dogs Rescue.

I agree that this dog is my property and that I give all ownership rights to this animal to Speaking of Dogs Rescue and its agents and volunteers. I understand that I will not be permitted to adopt this dog from Speaking of Dogs Rescue. Said dog has not bitten anyone in the last 10 days.

Your Name *

First

Last

Email *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Signature *

Clear Signature

Date *