| RESCUE CONTRACT RELINQUISHED TO DACHSHUNDS-N-DOXIES OWNER Billy Jordan ADDRESS: 2453 Bonny Dr CITY,STATE & ZIP: Cocoa Fla 32926 Home# 321-632-4148 CELL# 321-615-8878 RELINQUISHMENT OF OWNERSHIP INFORMATION |
| REGISTRATION #______________________DOB__________________ SEX_____________ PREVIOUS OWNER NAME: PREVIOUS ADDRESS: CITY,STATE,ZIP PHONE NUMBER: Home CELL THIS DACHSHUND/S WAS VOLUNTARILY TURNED OVER TO DACHSHUNDS-N-DOXIES FOR PLACEMENT IN A HOME SUITABLE FOR THE DACHSHUND/S ATTITUDE BEHAVIOR AND MEDICAL NEEDS SAID DACHSHUND WILL BE CARED FOR TILL IT IS RE-SOCIALIZED,RE-TRAINED, TREATED FOR ANY DISORDERS BEFORE GOING TO A NEW HOME ALL NEW OWNERS WILL BE SCREENED TO INSURE PROPER CARE OF SAID DACHSHUND/(RESCUE) No Cash transactions will be made at the time the said dachshund/s is RELINQUISHED/RETURNED to DACHSHUNDS-N-DOXIES PREVIOUS OWNER SIGNATURE_______________________________DATED__________ RESCUES SIGNATURE________________________________________DATED__________ ANY OTHER INFORMATION ABOUT THE RESCUE/RETURNED DACHSHUND/CANINE THAT IS NEEDED TO BE KNOWN SAID DACHSHUND HAS MEDICAL PROBLEMS (Yes or No) SAID DACHSHUND HAS A GENETIC DISORDER (Yes or No) COMMENTS: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ |
