Owner Surrender Form Logo

  • Owner Surrender Form

    Release of Said Animal to Texas OES Rescue, Inc
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  • About the dog

    Basic information about the dog. Breeder, feeding and grooming details.
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  • Previous Owner

    Any information about the previous owner will be appreciated, enter below:
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  • Training

    Commands dog responds to:

  • Please answer either (always - sometimes - never)

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  • Health History


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  • Typical day for dog.

    Please list what the dog is doing and with whom during the following times:


  • Temperament


  • Characteristics and Peculiarities

    The following is a list of dog behavior problems. Please list either (always - sometimes - never). If always or sometimes, please describe (when, where, why, etc.)

  • Signatures and Comments

    How soon must you, or how desperate are you to give up the dog? Would you be willing to keep the dog until it is placed?

  • Placement

    Before this dog can be placed in a new home, he or she must be groomed, updated on inoculations and have a current heart-worm test. We also recommend that the dog be altered. If the owner is unable to do these things, we ask for a donation to help cover these expenses. We realize that every situation is different and our main concern is the welfare of the dog. Thank you for your cooperation. I, (owner of said dog), have read, understood, and answered all of the above questions completely and honestly, making no misrepresentations concerning the temperament, health or behavior of the above named dog.
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  • Should be Empty: