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CEDAR VALLEY BOXER RESCUE
Ownership Transfer |
No._______________ |
Dog's Name: ______________________________________________________________________________________________
Description: _______________________________________________________________________________________________
Age: _________________________________ Sex: ____________________________________
Describe the dog's temperament and what obedience training they have had: ____________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
Has the dog ever bitten anyone? If yes give details:
__________________________________________________________________________________________________________
Is the dog current on shots: ___________________________________________________________
Has the dog been on Heartworm preventative/ brand used: __________________________________
When was this last given to the dog? ___________________________________________________________________________
Is the dog Spay or neutered: __________________________________________________________
Does the dog have any known health problems: __________________________________________________________________
Veterinarian used: _________________________________________ Phone #: (_____)______________
How does the dog react to:
Other dogs: ________________________________________________________________________________________
People: ____________________________________________________________________________________________
Children: __________________________________________________________________________________________
Cats/ other Pets: _____________________________________________________________________________________
Any other information you would like rescue to know:
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
I/We __________________________________________________________ do agree that the information given is correct and accurate.
I/We further agree to relinquish all rights to the dog described above to Cedar Valley Boxer Rescue Program and will not make any
attempts to regain the dog.
Owner: ___________________________________________________________________________
Address: __________________________________________________________________________
City/State/Zip: _____________________________________________________________________
Phone Number #: (_____)______________
Rescue Member: ________________________________________ Date: ______________________