ONTARIO DOBERMAN
RESCUE PROGRAM
ONTARIO DOBERMAN
RESCUE PROGRAM
Doberman
Surrender / Release Form
I am
surrendering my dog named, _________________________ to Rescue, to be placed in
a new home. By my signature I certify that I am the legal owner of this pet.
Owners
Name: _______________________________
Address:
____________________________________
City,
Province: __________________________________
Phone
______________________________________
E-Mail:
_____________________________________
Signed__________________________________
Date: __________________
Reason for surrender: _____________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
How
did you come to be in possession of the dog.
_________________________________________________________________
Any
additional information that is applicable:
Pet’s
gender: Male _____ Female _____
Pets
colour and markings: ________________________
Age:_______
Weight: ________
CKC ID:
_______________________________________
Type of
food and frequency: ________________________________________
Has your
pet ever bitten, or exhibited aggressive behaviour towards other pets
or people?
_______________________________________________________
Pets
likes or dislikes: other dogs, cats, birds:
___________________________________________
Pet:
chews, digs barks, comes when called, jump on people:
_________________________________________________________________________
Is the
pet crate trained: _______________________________
Does the
pet stay in the house for a period of time alone unattended:
Yes:
_______ No: ______
Does the
pet know any commands or tricks: ______________________________________
Pets
Veterinarian and phone number____________________________________________
Last at
the vet: _______________ any special Medical needs: _______________________
_____________________________________________________________________
On Heartworm Prevention: Yes
____ No ____ Date last given: _________________
Mail or
FAX Surrender Form to: