SURRENDER FORM

SURRENDER FORM



Please fill in the form below and click the submit button when finished.



DOG'S NAME

IMPORTANT NOTICE:  All owners of the above named dog must sign this contract before Four Paws Elkhound Rescue (hereinafter called Four Paws) will agree to take this dog.

In regard to the surrender of the above-described dog, I/We, the undersigned, agree to the following conditions:

1.  By signing this contract, I certify that I am the owner of this dog.

2.  By signing this contract, I understand that this dog is placed, it  becomes the responsibility of Four Paws and that I have no further rights to this dog.

3.  All decisions regarding the placement of this dog will be made solely by Four Paws.

4.  The Relinquisher has no right to information regarding the adoption of this dog.

5.  The Relinquisher guarantees to Four Paws that this dog's history with regard to biting, aggressiveness, and destructive behaviors is accurately described below:

6.  The Relinquisher is fully responsible for all actions, behaviors, and incidents caused by the dog until it is placed and picked up by a representative of Four Paws.

7.  The Relinquisher understands the time needed to place the dog is not guaranteed and depends on the dog's circumstances, area, and condition.  

8.  The Relinquisher is responsible for the care of the dog until it is placed including good quality food, fresh water, safe and comfortable living area, and medical care.



Has the dog bitten anyone?
If yes, please describe the circumstances.

Has the dog shown any aggressive behavior?
If yes, please describe the behavior

If yes, please describe the behavior


Does the dog have any destructive habits?  
If yes, please describe destructive haibs

If yes, please describe destructive haibs


STREET ADDRESS

CITY, STATE, ZIP CODE

PHONE NUMBER

Terms and Conditions

Terms and Conditions

I/We understand this contract and the policies described above and agree to their conditions.  I/We agree to hold Four Paws, its officers, board members, agents and volunteers harmless for any loss of, damage to, or injury to persons, animals, property arising from or relating to the placement of this dog.
Date
By typing your name below you agree to the terms and conditions listed above.  

COPY OF PHOTO ID

COPY OF PHOTO ID

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Name of Veterinarian

Name of Veterinarian


Veterinary Records

Veterinary Records

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