Our veterinary partners:
Sponsors and partners:
View upcoming events!
I hereby certify that I am the rightful owner/keeper/caretaker/custodian of the animal who is the subject of this Animal Surrender Form, hereinafter referred to as “the animal” “dog” or “Boxer dog.” I hereby surrender any and all property rights to the animal. I certify that no other person has a right of property to the animal. I understand that by surrendering my property rights to the animal, the animal will be transferred into the custody of Rejection Collection Boxer Rescue, a no-kill non-profit boxer rescue.
I also hereby certify that the animal has/has not [circle one] bitten a human or another animal within the past 10 days.
I understand that once I relinquish the animal, the animal will not be available to be returned.
I further certify that I have read and understand the terms of this Animal Surrender Form.
First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Email*
Cell Phone
Please write out your full name and birthdate*
Why are you surrendering your Boxer dog?*
Name of Boxer Dog*
Birthdate or approx. age*
Male or Female*
Spayed or Neutered
Veterinarian's Name and Phone Number*
Is your Boxer dog up-to-date on vaccinations?
Date of last vaccinations*
Is the Boxer dog potty trained?
Is the Boxer dog crate-trained?
Has your dog ever bit another animal?* Choose one: Yes No
Has your dog ever bit a person?* Choose one: Yes No
If your dog has a bite history of any kind, please explain.
Is Boxer dog a mix?
If Boxer dog is a mix, what is the other breed?
How did you acquire the Boxer dog? If from a breeder, please include breeder info. How long have you had the Boxer dog?
Does your Boxer dog get along with children?
Does your Boxer dog get along with other dogs?
Does your Boxer dog get along with cats?
Additional comments/explanations to answers above:
