Address, city, state, zip code*
Dog's name, age, gender, spayed/neutered?*
Special traits of dog:*
Dog's previous health records are located at (or current vet):*
Any additional information about the dog:*
Known previous conditions*
I, the undersigned, relinquish ownership of the dog listed above to Rottie Aid. As of above date, all health care and ownership decisions for this dog shall be made by Rottie Aid. In the best interest of the dog, any and all applicants for future adoption of this dog will have to go through an application process. I understand I have given up all ownership right to the above dog(s) and as of above date, have transferred complete ownership to Rottie Aid. If the dog is to remain in my possession for any said amount of time, I understand that all decisions, regarding placements, medical care and ownership of the dog are decided solely by Rottie Aid. If medical care is provided to said dog, and the dog is not relinquished but is instead sold, placed or in turn kept by owner, Rottie Aid will get reimbursed for any monies invested in the dog from the date above by the owner.
No information about the original owner will be shared with potential adopters, nor will the final approved adopter’s information be shared with the original owner unless approved by both parties.
[Please enter your name and date as your signature]