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Agreement of Surrender

Multi-line address
Sex
Male
Female
Desexed?
Yes
No
Does the dog tolerate time alone?
Yes
No
Is the dog house trained?
Yes
No
Training History:
Walks on Leash:
Protective/possessive of:
Destructive when left alone?
Yes
No
Has the dog shown aggression to:
Good with other dogs?
Yes
No
Has the dog lived with other dogs?
Yes
No
Good with cats?
Yes
No
Unknown
Reaction to livestock?
Yes
No
Unknown
Has your dog ever bitten anyone or another dog?
Yes
No
Has your dog lived with children?
Yes
No
Regular vet visits?
Yes
No
Current Vaccinations?
Yes
No

Dog Surrender Agreement – The DogFather Rescue

By completing and submitting this form, I acknowledge that I am requesting to surrender my dog to The DogFather Rescue. Submission of this form does not automatically transfer ownership.


The DogFather Rescue will review the information provided and, at its discretion, may accept the dog for rehoming. Once The DogFather Rescue confirms acceptance, this form, together with the required Change of Owner (NSW) form, will be ratified as the final surrender, and The DogFather Rescue will assume legal ownership of the dog.


Until such confirmation, I understand that I remain the legal owner and must not give the dog to anyone else.

Relinquishing Owner to Sign:

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Day
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