| RESCUE/ADOPTION CONTRACT RELINQUISHMENT FORM FROM DACHSHUNDS-N-DOXIES OWNER: BILLY JORDAN ADDRESS: 2453 BONNY DR CITY,STATE & ZIP: COCOA FLORIDA 32926 HOME# 321-632-4148 CELL# 321-615-8878 NEW ADOPTION OWNERSHIP INFORMATION |
| REGISTRATION #______________________DOB__________________ SEX_____________ NEW OWNER NAME: NEW ADDRESS: CITY,STATE,ZIP PHONE NUMBER: Home CELL THIS DACHSHUNDS WAS ADOPTED BY THE ABOVE SAID PERSON/S THIS DACHSHUND WILL BE CHECKED OUT BY A VET BEFORE HEADING TO IT'S NEW HOME/FAMILY AND PROPER CARE WILL BE MAINTAINED BY THE NEW OWNERS (EX;SHOTS,HEART WORM/FLEA PREVENTION, AND PROPER FOOD AND WATER) ALL NEW OWNERS WILL BE SCREENED TO INSURE PROPER CARE OF SAID DACHSHUND/RESCUE.IF SAID ADOPTION DOES NOT WORK OUT THEN HE/SHE IS TO BE BROUGHT BACK TO DACHSHUNDS-N-DOXIES NEW OWNER SIGNATURE_______________________________DATED__________ BREEDERS SIGNATURE________________________________________DATED__________ ANY OTHER INFORMATION ABOUT THE ADOPTION OF SAID DACHSHUND/CANINE THAT IS NEEDED TO BE KNOWN FOR NEW OWNER ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ |
