Owner Surrender Form

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Personal Information

Owner Surrender Form

We understand that giving up your dog is a difficult decision, but we realize that in making this choice, you are thinking about your dog's best interests. We are here to help. Above all, please be honest; we understand your dog may not be perfect, but the more we know, the better we are able to find the right new home for your dog. Your dog deserves a second chance to find a wonderful home, and by providing us with the detailed information, you will help us to better accomplish this goal. Every dog is placed in an approved foster home until an appropriate permanent home is found. In all cases the best interests of the dog is paramount. We applaud your decision for giving your dog a second chance for a good life through this program.

One of our volunteers will be reaching out to you upon receipt of this form to address any lingering questions and discuss next steps.

If not known, please provide an approximate date to the best of your knowledge.
Please answer to the best of your knowledge
i.e. Name of the breeder, rescue or pet store, or if other, please explain.
If yes, please provide the chip number if known. If you don't know the chip number we will scan your dog at intake.
We'll be reaching out to your vet to get copies of any medical history for your dog. Please contact your vet and let them know that one of our volunteers will be reaching out to request this information. **Note, this is not used in determining if we will take your dog, simply so that we don't repeat vetting such as vaccines or spaying if they've already been done.
Please provide details on any known medical issues so we can promptly have them addressed by our vet. This many include things like a prescription diet, frequent ear infections, hot spots, injuries, etc. **Note, this is not used in determining if we will take your dog, simply so that we can prioritize addressing these items as quickly as possible.
Please provide details on the brand of food currently given, the number of times a day your dog eats and how much he/she eats per meal.
Please include a full length side view, one full frontal, and one full frontal head/side photos.
I/We certify that I/we own the above dog, free and clear and that the statements above are true and accurate. I/We agree to indemnify and hold harmless the National Newfoundland Rescue Inc. by, from and against all claims, suits, damages, liabilities and costs related to or in any manner connected with this dog. I/We further acknowledge understanding that the dog becomes the property of National Newfoundland Rescue Inc.

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