Owner Release Form

OWNER RELEASE FORM

Please only fill this out if you are serious releasing your dog. Please fill out the form completely.
Date *
Dog's name *
Sex *
Age
Date of Birth
Spayed/Neutred
Weight
AkC or VDD Registration #
if applicable
Reason For Release *
Dog's description *
I understand that I am permanently releasing this dog to National GWP Rescue, Inc. (NGWPR) for fostering and placement into a suitable permanent home;

1. I understand that I am releasing all claims to this dog as of the date entered on this form;

2. I understand that I shall be responsible for reimbursing for any and all costs it incurs due to omission of any material fact either known, or unknown, suspected or unsuspected or reasonably should have been known at the time of the occurring incident, including, but not limited to, age of animal, health status, behavior problems, disease and/or vaccinations;

3. Additionally, I understand that I may not attempt to reclaim said animal either from NGWPR or from the new adoptive owner after I have released said dog for adoption:
I agree to the above terms: *

Yes No
Owners name *

First Name Last Name
Phone Number *

Area Code Phone Number
Other Phone Number

Area Code Phone Number
Best Time To Call *
Address *
City *
State *
Zip *
E-mail *
Please tell us about your dog
Personality/Temperment *
(friendly, shy, cuddler, etc)
Dog is allowed *

Indoors Outdoors Garage Other
Please explain OTHER
Dog Sleeps *

Indoors Outdoors Garage Other
Please explain OTHER
What Brand do you feed your dog?
Type: Wet/Dry
How Much
How many times a day
Housebroken *
Energy Level *
Has Your dog every bitten anyone? *
If YES, please explain
Good with cats? *
Good with children under 18? *
Has your dog ever acted aggressively toward people or other dogs *
If YES, please explain
Is your dog current on all shots & vaccinations? *
Please list all shots & vaccinations
Is the dog microchipped *
Do you have all the info *
Date of last Vetrinary Exam
Name of Vet *
Phone Number *
Please list any medications the dog needs
Has the dog been boarded before *
How did he/she do *
Has the dog been to Doggy Daycare *
How did he/she do
Any other information you feel pertinent
Please attach photos of yur dog - A head shot and full body shot are preferred. *If your unable to resize your photos, please email photos to ngwprescue@gmail.com
Should be Empty:

OWNER RELEASE FORM