| RESCUE/ADOPTION CONTRACT RELINQUISHED FROM DACHSHUNDS-N-DOXIES OWNER MARY JUDITH 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 THE DACHSHUND(RESCUE).IF SAID ADOPTION DOES NOT WORK OUT THEN HE/SHE IS TO BE BROUGHT BACK TO DACHSHUNDS-N-DOXIES (RIGHT OF FIRST REFUSAL) NEW OWNER SIGNATURE_______________________________DATED__________ BREEDERS SIGNATURE________________________________________DATED__________ ANY OTHER INFORMATION ABOUT THE ADOPTION OF SAID DACHSHUND/ANIMAL THAT IS NEEDED TO BE KNOWN ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ |
