Owner Release Agreement

We appreciate that giving up your schnauzer may be very difficult. However you came to this decision, we are grateful that you sought us out to provide a good home for the dog.

Schnauzer Savers Rescue does not buy or pay for dogs. This is a service to help place Schnauzers and any non-shed breed 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.

Please fill out the following release form and submit it to us.

Please supply Rescue with all veterinary papers, birth records, bowls, leashes, food preferences, toys, blankets, crates, etc.

General Information

Dog's Registered Name (if registered)

Dog's Call Name *

Sex *

Male
Female

Spayed or Neutered *

Age *

Birth Date

Color *

Owner's Name *

First

Last

Primary Contact Phone *

Primary Contact phone is *

Cell
Home
Work

Alternative Contact Phone *

Alternative Contact Phone is

Cell
Home
Work

Email *

Owner's Address *

Address Line 1

Address Line 2

City

State

Zip Code

Dietary Information

Brand of Dog Food *

Type of food (kibble, canned, describe other) *

When do you feed the dog? (check all that apply) *

Morning
Noon
Evening

Training

House Trained *

Yes
Somewhat/Mostly
No

Crate Trained *

Yes
Somewhat/Mostly
No

Leash Trained *

Yes
Somewhat/Mostly
No

Obedience Trained *

Yes
Somewhat/Mostly
No

Behaviors and Characteristics

Barks *

Yes
Somewhat/Occasionally
No

Digs *

Yes
Somewhat/Occasionally
No

Jumps Fences *

Yes
Somewhat/Occasionally
No

Aggressive *

Yes
Somewhat/Occasionally
No

Rides well in a vehicle *

Yes
Somewhat/Occasionally
No

Circles *

Yes
Somewhat/Occasionally
No

Chews *

Yes
Somewhat/Occassionally
No

Sleeps in the hosue *

Yes
Occasionally
No

Sleeps or goes on a human bed *

Yes
Occasionally
No

Sleeps or goes on furniture *

Yes
Occasionally
No

Further behavioral characteristics

Gets along well with other dogs *

Yes
Sometimes
No
Unknown - No Experience

Gets along well with cats *

Yes
Sometimes
No
Unknown - No Experience

Gets along well with chidren *

Yes
Sometimes
No
Unknown - No Experience

Has the dog ever attacked another animal? *

Has the dog ever attacked a person or a child? *

Physical and Medical Care

Breeders name - "Unknown" if appropriate *

Veterinarian's Name *

Veterinarian's Phone *

Shot Record is Available *

Wormed *

Takes Heart Worm Preventative *

Takes Vitamins *

Is Treated with Flea/Tick Preventative *

List any conditions for which the dog is currently receiving treatment (or "none") *

List any medications and their dosage the dog is currently taking (or "none") *

Please Read and Sign

I , *

Enter your name

the undersigned, hereby IRREVOCABLY surrender to the Schnauzer Savers Rescue for placement and adoption, the dog, named

Dog's Name *

Enter the dog's name above

I hereby represent and warrant to said Rescue, their agents, successors and assigns that the undersigned are the sole owner of the above described dog. That I have full power and authority to surrender this animal for adoption, that I am the only person who is listed as registered owner of this animal on its veterinary records, microchip records, any AKC/CKC or other registration papers, that no other person or persons' have any legal or equitable ownership interest in this animal. I certify that this dog is not possessed of an 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 Schnauzer Savers Rescue its board of directors, its members, officers, fosters 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 agree to indemnify and hold harmless Schnauzer Savers Rescue for any damages suffered and expenses incurred (including legal fees) in defending any legal action, whether for bodily injuries or death, property damage, breach of contract, or otherwise, whether instituted by us or by any other person or persons including the adoptive owners, arising out of or in consequence of the placement of the dog, in reliance on the authorizations, representations and warranties we have made in this agreement. I also agree to provide Schnauzer Savers Rescue with any documents and all other available information concerning this dog which might assist in matching this dog with the proper prospective adoptive home, including health and shot records, or other person from whom the dog was acquired, and information concerning this dog's history, such as important life events and individual personality quirks.

By executing this document, I understand that I am giving up forever all right, title and interest to the above mentioned dog. I further understand that all future decisions regarding the placement of this surrendered dog will be made solely by Schnauzer Savers Rescue.

This is a legally binding document for the IRREVOCABLE SURRENDER of your Schnauzer for placement to an adoptive home.

I have read the preceding and agree to the conditions

Date of Signature *

Electronic Signature *

Type your name above as legal signature

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