SAVING K9 LIVES PLUS, INC
Name of Dog
Breed of Dog
Age and Weight of Dog
Is the Dog Fixed
Not Spayed or Neutered
State / Province / Region
Postal / Zip Code
Microchip Manufacturer and Number
Health and Medical Issues/ Treatment
Vaccinates, Rabies and Dates vaccinated
Existing Diet and Feeding Schedule
Temperament of dog, Behavioral issues:
Has the dog attacked another dog?
Is the dog house trained?
Where has the dog stayed and where has the dog slept?
The Dog must be current on vaccinations and medical records must be provided to validate. The rescue will need proof of spay/neuter at time of relinquishment.
Yes, I have medical paperwork
No, I do not have medical paperwork
File Upload Photos/ Medical History
Are you willing to make a donation for the care of your dog?
Please Read The Following Carefully:
I declare that the information I have provided in this application is complete and correct. It is understood that Saving K9 Lives Plus Inc is providing a “service” to assist in helping place pets in new homes.
I/We hereby relinquish ownership of my dog to Saving K9 Lives Plus Inc.
I confirm that I am the owner of this dog and have not concealed any information about this dog. I hereby forever release, discharge and agree to hold harmless and indemnify Saving K9 Lives Plus Inc., from all claims, demands, actions, causes or action, or liability of any kind whatsoever arising as a result of or in connection with the adoption or other disposition of this dog.
This is a binding contract and I understand it will hold up in the court of law that I have surrendered my dog
Do you agree to these terms and conditions?
Yes, I agree