To Surrender Your Bulldog

Please complete the below form to start the surrender process. The more we know about your dog, the easier it will be for us to provide proper care and find the best home.

First Name*

Last Name*

Dog's Name*

Age*

Chip Number

Color/Markings

AKC Registration No.

Please list the names, address and phone numbers for all the vets you currently use. To expedite the process, please notify your vet of our call and give your permission for them to release information to us.*

Street Address*

City*

State*

Zip Code*

Phone*

Phone

Email*

Personality Profile Of Surrendered Dog

When/how does it exercise?

Does the dog understand basic commands? Which ones?*

Where does the dog sleep?*

Favorite Toys

Favorite Games

Tricks

Favorite brand of dog food*

How often does the dog eat? How much?

List any medications and supplements

How do you administer medications?

Please provide any information you feel necessary on previous question.

Where was the dog obtained?*

Have you been the continuous owner of the dog? Explain

Has the dog had any previous surgeries? Please detail.*

Does the dog have any skin issues? If so, please explain.

Does the dog have any eye issues? If so, please explain.

Does the dog have any hip/joint issues. If so, please explain.

Why do you need to surrender this dog? Please explain in detail.

Is there any other information you think we need to know?

If you have vet records available, please upload them.

Drop files here or

Max. file size: 2 GB.

I hereby surrender all interest in the Bulldog described above, to Lone Star Bulldog Club Rescue. I request that this dog be disposed of as seems advisable at the sole discretion of Lone Star Bulldog Club Rescue. I understand that the above dog is being voluntarily surrendered of my own free will and in no way is to be considered or construed as a sale. I will receive no money or any further consideration or remuneration as a result of surrendering this dog. I understand that once I surrender this dog I have no further claim or interest in this dog and it becomes the property of Lone Star Bulldog Club Rescue. Further, by our submission below, it is understood and agreed that we approached Lone Star Bulldog Club Rescue with the express purpose of releasing our rights of ownership so that the dog may be rehomed, and that this agreement was entered into of our own free will and is binding and permanent. I certify that to my knowledge this dog has not bitten any animal or human within the last 30 days.

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Certificate Of Surrender

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