Puppy Return & Surrender Agreement

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Relinquisher (Original Owner) Information

Name of Relinquisher *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Puppy Information

Name of Dog: *

Breed: *

Sex: *

Male
Female

DOB (if known)

Color: *

Weight *

Microchip #: *

IMPORTANT NOTICE *

All owners of the above-named dog must sign this Agreement before Rejoice Retrievers will accept return and surrender of this puppy.

Terms of Surrender

* *

In regard to the surrender of the above-described dog, I/we, the undersigned, agree to the following conditions:

1. *

I/we certify that I/we are the legal owner(s) of this dog.

2. *

I/we understand that upon signing this Agreement, this dog becomes the sole responsibility and property of Rejoice Retrievers, and I/we relinquish all ownership rights.

3. *

All decisions regarding the care, training, retention, or placement of this dog will be made solely by Rejoice Retrievers.

4. *

I/we understand that the Relinquisher has no rights to information regarding the future placement or adoption of this dog.

5. *

I/we agree to disclose all known health, behavioral, or temperament concerns.

Veterinary Status

Rabies Vaccine Date: *

DHLPP Date: *

Bordetella Date: *

Heartworm Preventive (last date): *

Flea/Tick Preventive (last date): *

Current health problems (if any): *

Medications the dog is currently taking: *

dog Behavior your

Temperament & Behavior History

Is your dog good with children? *

Is your dog good with cats? *

Is your dog good with other dogs? *

Does your dog like to swim? *

Does your dog like to ride in cars? *

Does your dog walk well on leash? *

Where does your dog sleep at night? *

Where does your dog stay during the day? *

Does your dog jump fences? *

Does your dog come when called? *

Is your dog house-trained? *

Is your dog crate-trained? *

Is your dog afraid of storms? *

Does your dog show separation anxiety? *

Does your dog growl at strangers? *

Will your dog allow food or toys to be taken away? *

Commands your dog knows (check all that apply): *

Sit
Down
Stay
Come
Fetch

Any other commands: *

Behavior during grooming:

Grooming: *

Bathing: *

Brushing: *

Owner Insight

What do you enjoy most about this dog? *

What do you enjoy least about this dog? *

What would be the ideal home for this dog? *

Financial Terms (if applicable)

No refund due or expected
Refund per original contract

Other agreement:

Optional surrender contribution (if applicable):

Release of Liability *

I/we agree to hold harmless Rejoice Retrievers, its owner, agents, and representatives from any liability arising from the care, placement, or future ownership of this dog after the date of surrender.

Acknowledgment *

I/we acknowledge that this surrender is voluntary and made in the best interest of the dog.

Owner/Relinquisher Name: *

First

Last

Signature of Owner/Relinquisher: *

Clear Signature

Date *

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