• Owner Release Form

    Owner Release Form

    In order to find the most appropriate home for your dog, please provide as much detail as possible about his/her history, veterinary care, likes and dislikes, and behaviors.  By providing this information you are ensuring the easiest transition for your pet, only you know them best.  Behavior and medical issues do not necessarily create problems but not disclosing them certainly will. Please be truthful about your dog's situation so we can try to provide the best resources to them.  If you are surrendering more than one dog, please fill out a separate form for each one.
  • I agree with, and understand, the above statement*
    • Section One - Owner's General Information 
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    • Section Two - Dog's General Information 
    • Gender*
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    • Section Three - Dog's History 
    • Section Four - Medical 
    • Has the dog seen a veterinarian at least once a year?*
    • Is the dog current on vaccinations? (rabies and distemper/parvo)*
    • Is this dog currently on heartworm prevention?*
    • Has the dog ever been diagnosed with, or treated for, any of the following (check all that apply)*
    • Does the dog have any lumps, bumps, wounds, scars, skin tags, or anything abnormal externally?*
    • Section 5 - Behavior and Training 
    • How would you describe the dog most of the time? (check all that apply)*
    • Does the dog have any form of anxiety, such as separation anxiety or anxiety in general?*
    • How does the dog like to play? (check all that apply)*
    • What level of energy does your dog have?*
    • What sort of exercise do you provide your dog? (this is to help us determine what sort of foster home the dog may need)*
    • What type(s) of training has this dog had?*
    • Does this dog know the basic commands?(check all that apply)*
    • Section Six - Home and Human Interactions 
    • How would you describe your household?*
    • What areas of your home did the dog have access to? (check all that apply)*
    • Where does the dog spend most of his/her time? (check all that apply)*
    • Is your yard fenced?*
    • Has the dog repeatedly escaped from the yard?*
    • If the dog escapes from the yard, how does the dog escape?
    • Is the dog crate trained?*
    • Is the dog destructive if left alone with free roam of the room/house?*
    • Where is the dog used to sleeping?*
    • What ages of people lived with the dog?*
    • Is this dog most comfortable with:*
    • Has the dog regularly been around children?*
    • If this dog lived with children under age 7, how did they interact? (check all that apply)
    • Has the dog regularly been around children?*
    • Section Seven - Animal Interactions 
    • Has the dog ever been exposed to, or lived with, other dogs?*
    • If this dog lived with children under age 7, how did they interact? (check all that apply)
    • Has the experiences with other dogs always been positive?*
    • Has the dog ever been exposed to, or lived with, cats?*
    • If the dog lived with cats, how did they interact? (check all that apply)
    • Has the experiences with cats always been positive?
    • Has this dog ever bitten another animal?*
    • Is the dog frightened by anything? (check all that apply)*
    • Is your dog housetrained?*
    • How often does the dog have accidents in the house?*
    • Does this dog chase anything?*
    • Is your dog a barker?*
    • What other animals has the dog lived with? If they have lived with other dogs or cats, please provide if the other dog or cat is male or female and their age.
    • When leashed does this dog lunge at other dogs?*
    • When leashed does this dog lunge at other people?*
    • Has the dog ever tried to attacked or bite a person or animal?*
    • Section Seven - Signature 
    • As of today's date, I certify that I am over 18 years of age.*
    • I certify that I am the lawful owner of this dog that I am surrendering
    • I certify by selecting yes that I fully understand and accept the terms and conditions of the Lola's Rescue Owner Surrender Agreement below

    • LOLA'S RESCUE, INC. OWNER SURRENDER AGREEMENT

      It is understood that Lola's Rescue does not buy or pay for dogs.  This is a service to help place dogs 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 greatly appreciated as we are a nonprofit rescue and rely heavily on our donors to continue saving the lives of the dogs that come into our care.  Any amount, small or large, is helpful and can be made on our website or via check sent to 22351 East Bayaud Avenue, Aurora, Colorado 80018. 

    • READ, ACCEPT AND DATE THE FOLLOWING:

      I hereby make available for adoption, the dog named below on this form, to Lola's Rescue. I certify that this dog is not possessed of any dangerous or vicious propensities, and that I have not willfully concealed information about the dog that might indicate such propensities. The information I have provided about this dog is true and complete. I herby forever release, discharge and agree to hold harmless and indemnify the Lola's Rescue, its board of directors, its members, officers, and agents from all claims, demands, actions, causes of action or liability of any kind whatsoever arising as a result of or in connection with the adoption or other disposition of the named dog.
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