SANDY PAWS RESCUE RELEASE FORM

I hereby release my (breed)__________________________________, (name) _______________ to Sandy Paws Rescue for placement in a suitable pet home. I understand that this dog will be thoroughly evaluated for temperament and suitability as a pet and if the dog is determined unsuitable as a pet, he/she may be humanely euthanized. I agree and understand that I have no further ownership or claim to this dog and the information provided below will be considered in the dog's evaluation.

Following is an accurate description of this dog, to the best of my knowledge and experience:

Spayed/Neutered _____ yes _____ no At what age? _________________________________

Please provide dates for the following shots/lab work or answer "no"

DHLP-P ______________ rabies _________ wormed _______ Heartworm check____

Veterinarian (name, address, phone)

_________________________________________________________

_________________________________________________________________________

Color _______________ Age ________ Sex __________ Cropped _________ Docked _____

Feeding frequency _______________________________ Kind of food __________________

Housebroken ? ____ yes ____ no Crate trained ? ____ yes ____ no

Obedience trained ? ____ yes ___ no

Has this dog ever bitten? _____ yes _____ no

Describe circumstances _____________________________________

____________________________________________________________________________

Describe your dog's behavior with Cats____________________________________________

Other dogs __________________________________________________________________

Strangers____________________________________________________________________

Livestock____________________________________________________________________

Dog's general attitude_________________________________________________________

Dog likes to_________________________________________________________________

Dog does NOT like to__________________________________________________________

How is dog in a vehicle? _______________________________________________________

Other comments? ______________________________________________________________



Dog Accepted By ________________________________ Date_________________________

Dog Relinquished By _____________________________ Date_________________________


Complete ALL Of This Portion

Your Name______________________________________________________

Street Address ___________________________________________________

City, State, Zip ___________________________________________________

Area Code + Phone # ______________________________________________