BAR

PO Box 543                                                                                                                 Phone 1-877-598-7751

N. Bellmore, NY 11710                                                                                              Fax: 212-971-2592

Boxer Angels Rescue

Boxer Owner Surrender Agreement

Date_______________________

 

I,___________________________________(owner), being the owner of   __________________________
                                                                                                                                   (name of dog)

being a _______________________________________________(description of the dog) hereby voluntarily relinquish all claims and ownership of said dog to the organization known as Boxer Angels Rescue (name of rescue organization, hereinafter known as Rescue) and members thereof. I cannot reclaim this dog once the dog is in the possession of Rescue and understand that this animal will be spayed or neutered, if needed. I agree to give up the dogs American Kennel Club registration papers and all medical records available.

This dog may be euthanized if Boxer Angels Rescue deems it necessary. I certify that, to the best of my knowledge, this dog is not vicious and has never shown signs of aggression towards human beings, and certify that this dog has never bitten anyone.

Signature______________________________          Date____________________

City__________________________________          State/Zip___________________

E-Mail________________________________          Phone___________________

Owner  Surrender Fee to be received in the amount of  $100.00______

Owner’s Signature_____________________________________________________

BAR representative’s signature___________________________________________