Relinquish Form

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Relinquish Form

Occasionally, a senior pet must be given up for various reasons.  If you wish to apply to relinquish your pet, please complete the form below.

**NOTE:  Before the Bridge Senior K9 Rescue charges a $150 Relinquish Fee for relinquished pets coming into rescue.   Fee is paid when the dog comes into rescue and can be made by etransfer or cash.

Enter Name of Dog

 

NOTE: This fee is not due and payable until we bring your dog into rescue.

Alternatively, you may download the PDF version of the Relinquishment Form for printing.

Occasionally, some computer systems may not compatible with this form and you will not be able to submit this form properly. If you don’t hear from us within 2 business days, please call us at (204) 295-0955 or email directly here.

 

Fields marked with an * are required
Your Name(Required)
Your Address(Required)
Sex of Dog(Required)
Spayed / Neutered?(Required)
Is the dog paper/pee-pad trained?
Crate trained?
Used to being in a crate?
Know basic obedience commands?
Has obedience training?
Good with other dogs?
Good with cats?
Good with children?
Have any temperament issues?
Bitten anyone?
Jump over or dig under fences?

(I/we) fully understand that by executing this document and delivering the above described dog to Before the Bridge Senior K9 Rescue Inc. that (I/we) hereby relinquish any and all legal rights of ownership of the above-described dog.

(I/we) represent that (I/we) are the lawful owner(s) of, and have good title to and the right and power to gift, sell, assign, transfer, convey and deliver this said dog; and that said dog is free and clear from claims of ownership or other encumbrances of any kind or nature whatsoever by any other person or entity.

(I/we) understand that Before the Bridge Senior K9 Rescue Inc. will act in the best interest of said animal in its care and placement. By assuming ownership, Before the Bridge Senior K9 Rescue Inc. reserves all rights in regards to making all decisions in regards to the dogs care, placement and medical treatment.

(I/we) understand that Before the Bridge Senior K9 Rescue Inc. has the right to return the dog to the owner if said dog shows aggression in the foster home

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After relinquish is approved – to be filled out by Before the Bridge Senior K9 Rescue Inc. and relinquish owner at the date and time of relinquish pick up/drop off
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Name of relinquish owner:
Name of relinquish co-owner:
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Name of Before the Bridge Senior K9 Rescue Inc. representative: