Surrender Form

Help to rehome your dog - Surrender Form. Normally we will ask you to print this out and hand it over with the dog. We appreciate that at times there will be no printer access, and no time to send a paper copy, in that case we will accept an online form. In either situation we need you to input a unique code as confirmation of our agreement - you will be advised of the code when we make arrangements with you.

* Indicates required field

Name *

First

Last

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Dog's name *

Dog's Breed *

Dog's Age *

Is your dog *

Male Female

Please confirm if your dog has been neutered *

For unspayed bitches, date of last season (if males or spayed put n/a) *

Vaccinations *

Card handed over with dog not vaccinated/not current vaccinated but cannot find card - in which case please give vet details so we can check what boosters are required and when

Vet details and appx dates of last vaccination *

Microchip number. It is now a legal requirement that dogs are chipped. We will NOT accept a dog without this. *

When was the dog last wormed? *

When did the dog last have flea treatment? *

I hereby declare that I have no further right to the Animal(s) set out in the above schedule; that I do not, and will not, make any future claim to such property. I agree to Boxer and Bully Saviours (BABS) taking possession of said animal.

Signature (for online submission retype your name) *

Unique code (supplied by BABS when we agree to take the dog) *

Submit

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