Bluegrass Pug Rescue, Inc. Surrender Form

You can save your current form progress and come back later.
Save Progress

Personal Information

Pug Information

PLEASE ATTACH A PHOTO OF YOUR PUG HERE

You MUST attach a photo of your Pug for your surrender form to be submitted. If you are having difficulty attaching a photo or with any part of this application please contact secretary@bluegrasspugrescue.org

PLEASE ATTACH ANY MEDICAL RECORDS YOU HAVE FOR YOUR PUG.

Agreement to Surrender

Upon submission of the Bluegrass Pug Rescue, Inc. Surrender Form, I hereby certify that I am the rightful owner/custodian of the pug(s)/pug mix(es) who is/are the subject of this Surrender Form, hereinafter referred to as “the pug”. I hereby surrender any and all property rights to the pug and certify that no other person has a right of property or any other claim to the pug. I understand that once I relinquish the pug, the pug will not be available to be returned to me. I further certify that I have read and understand the terms of the Surrender Form.



You can save your current form progress and come back later.
Save Progress