MustLuvBoxers Rescue Owner Surrender Form

Owner Surrender Form

We understand that surrendering your Boxer is a difficult decision, and we're here to help make the process as smooth as possible. To begin, please complete the following steps:

Fill out the questionnaire form below with as much detail as you can.
Upload a minimum of two photos of your dog.
Upload all past medical records, including vaccinations, spay/neuter certificates, and any other medical care history.

Once you've submitted the required items, a representative from MustLuvBoxers Rescue (MLBR) will contact you within 48 hours. If you are facing an emergency, please call us directly at (206) 778-9457.

We welcome Boxers of all ages and medical conditions. We do, however, ask that you fully disclose all important details, especially any bite history, on the surrender form. This helps us create the best plan for your dog's future.

Please be aware that due to the high volume of surrender requests, there may be a waiting period of a few days or even weeks until we have an available spot in our program. A trained volunteer will conduct an in-person evaluation before we can officially bring your Boxer into our care. We appreciate your patience, understanding, and honesty throughout this process as we work to find your Boxer a safe and loving home.

Primary Owner Name*

First NameLast Name

Secondary Owner Name (if applicable)

First NameLast Name

Primary Phone Number*

Area CodePhone Number

Secondary Phone Number (if applicable)

Area CodePhone Number

E-mail*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Primary Owner's Employer

Primary Owner's Occupation

Are you the sole owner of the dog?*

YesNo

Dog Name*

Dog Sex*

MaleFemale

Dogs age and/or birthdate *

Dog color *

Breed of dog*

Purebred BoxerOther

Is the dog spayed/neutered?*

YesNo

Is the dog microchipped?*

YesNo

Microchip number

Are vaccinations up to date?*

YesNoUnknown

Is the dog current on Distemper/Parvo Shot?*

YesNoUnknown

Has your dog been heart worm tested in last year?*

YesNoUnknown

Has your dog received heartworm preventative this year?*

YesNoUnknown

Has your dog received flea tick/prevention in the last year?*

YesNoUnknown

What type and when was the flea/tick prevention last given?

Has your dog ever been bred?*

YesNoUnknown

Has dog ever had puppies?*

YesNoUnknown

What is the current brand of dog food your feeding?*

How many times a day do you feed your dog? *

How many cups do you feed at each meal? *

How long have you owned this dog?*

How many owners has this dog had? *

Does the dog have any of the following health issues?*

	Yes	No	Unknown
Seizures
Ear problems/recurring infections
Hip dysplasia
Arthritis
Other orthopedic problems
Allergies
Other medical conditions

Please explain any "yes" answers provided above

Veterinarian Information*

Veterinarian Name, Location, and Phone Number

I authorize the clinic/doctor referenced above to release ALL records pertaining to the dog indicated above.*

Agree

Is your dog house broken?*

YesNoUnknown

Is your dog crate trained?*

YesNoUnknown

Is your dog a digger?*

YesNoUnknown

Has your dog ever jumped a fence or attempted to jump a fence?*

YesNoUnknown

Is your dog leash trained?*

YesNoUnknown

Does your dog frequently bark?*

YesNoUnknown

Has your dog been through obedience training?*

YesNoUnknown

Is your dog aggressive towards other dogs?*

YesNoUnknown

Explain in detail why you are surrendering your dog. *

Please be as detailed as possible

What are the dog's bad points (i.e. behavior issues, aggression, counter surfing, digging, etc.)?*

Please be as detailed as possible

What are the dog's good points?*

Please be as detailed as possible

Please describe how your dog interacts with other dogs. *

Please be as detailed as possible

Where is the dog kept?*

InsideOutsideKennelOther

Has the dog lived with children?*

YesNoUnknown

What are the ages of the children?

Has the dog lived with dogs or cats?*

Does the dog know any commands (sit, stay, go to bed, etc.)?*

Is the dog home alone during the day?*

YesNoUnknown

How many hours per day is the dog alone?*

Any other comments/information:

Please upload at least two photos:

Browse Files

Please upload any vet records you have:

Browse Files

INITIAL: I understand that MustLuvBoxers Rescue does not buy nor pay for dogs. This is a service to help place boxers in new homes when their present owners can no longer keep them. This service is free, however a donation to help pay for expenses is appreciated. Most of the dogs we handle are from animal shelters and require considerable expenses prior to adoption. Everyone associated with MustLuvBoxers Rescue are volunteers.*

INITIAL: The information that I have provided regarding the previously mentioned dog is true and complete. I hereby forever release, discharge and agree to hold harmless and indemnify toMustLuvBoxers Rescue, its board of directors, its members, officers, and agents, past, resent, and future from all claims, demands, actions, causes of action, and/or liability of any kind whatsoever arising as a result of/or in connection with the adoption/or other disposition of the above named dog.*

INITIAL: I hereby relinquish all rights of the above named dog, to MustLuvBoxers Rescue. I hereby certify that I am the owner of this dog, free and clear of all other interests. I hereby certify that this dog is not possessed of any dangerous and/or vicious propensities, and that I have not willfully concealed any information about the dog that might indicate such propensities. I further understand and agree that I received no money or other compensation as a result of this surrender.*

Date

Signature

Thank you for taking time to fill out an owner surrended form and for trusting us with your canine family member.

A MustLuvBoxers Rescue representative will be in contact with your regarding your surrender as soon as possible.

If you have any questions or concerns about the form please feel free to call or email us.

Phone: (206) 778-9457

email: mustluvboxersrescue@comcast.net

Browse Files

Owner Information

Dog Information

Dog Medical History

Dog Behavior & Environment