First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone*

Cell Phone*

Dog Name: *

Breed:*

Gender:*

Age:*

Color:*

Why are you surrendering/transferring the dog?*

By signing this Owner/Transfer Agreement, I, as the legal owner, or authorized rescue representative, of /for this specific dog, agree to the following:

1. I freely transfer ownership of the above listed dog to Freedom German Shepherd Rescue.
2. I understand that once I surrender the dog, I no longer have any rights to the dog and that I will release Freedom German Shepherd Rescue and/or its agents from any liability surrounding the transfer/future adoption of the dog.
3. This dog has not bitten anyone within the last 10 days.
4. I have given an honest and accurate description of the dog’s behavior and medical history to the representative(s) of Freedom German Shepherd Rescue to the best of my knowledge.
5. I understand that if I am found in violation of this contract and subject to legal action should my statements about the above listed dog be found to be untrue.
6. I will turn over any medical records or registrations for the dog or give the dog’s veterinarian permission to release the dog’s records upon surrender.

Typing my name in the box below serves as my legal signature*

Date*