SURRENDER APPLICATION

Lucky Mutts Rescue (LMR) understands that there are sometimes circumstances that may prevent you from being able to keep your dog and we are here to help. If your application is approved to surrender your dog to LMR, he or she will receive a health and behavior assessment.

If you do choose to surrender, please have the following prepared:

  • An appointment is REQUIRED so we’re better prepared for your animal’s arrival. To request a surrender appointment please download the owner release form or complete the online form below.
  • Please bring your photo ID to the surrender appointment.
  • If you have them, please bring your animal’s medical records at the time of surrender.
  • Your animal should be social and easy to handle.
  • You MUST confirm an appointment for surrender with a LMR volunteer. No walk-ins accepted.

 
  • Owner Information

  • Dog Information

  • Vaccinations

  • Dog Facts

  • Interaction with Children

  • Other

  • It is understood that rescue does not buy or pay for dogs. This is a service to help place dogs in new homes when their present owners can no longer keep them. This service is free, however a donation to help pay for expenses is appreciated.
  • I, __________________________________, the owner, hereby make available for adoption, the dog _____________________________, to Lucky Mutts Rescue, Inc.
  • I certify that I am the owner of this dog, free and clear of all other interests.
  • I certify that this dog is not possessed of any dangerous or vicious propensities, and that I have not willfully concealed information about the dog that might indicate such propensities. The information I have provided about this dog is true and complete. I hereby forever release, discharge and agree to hold harmless and indemnify the rescue agency, its board of directors, its members, officers, and agents from all claims, demands, actions, causes of action, or liability of any kind whatsoever arising as a result of or in connection with the adoption or other disposition of the above named dog.
  • I acknowledge that the Rescue can do what is deemed in the best interest of the dog, and that may include EUTHANIZING the animal.
 

Verification

 

 

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