Relinquishment Form – Tobie's Small Dog Rescue

Animal Relinquishment Form

I am the legal owner of this dog listed below. I am relinquishing my rights to this dog and signing this dog over to Tobie’s Small Dog Rescue.

Your Name *

First

Last

Dog Name *

Breed *

Color *

Gender *

Male
Female

Microchip *

Driver license number or State ID *

Reason for relinquishment *

Details about the animal, temperament, etc

Veterinarian that has treated this dog *

By Agreeing Below, You Are Transferring Ownership To Tobie’s Small Dog Rescue. Please, Attach A Copy Of Any Medical, Licensing Or Proprietary Records You Have For This Dog. *

I Agree

Date *

Email *

Cell / Work Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Upload current photo of your pet

Click or drag a file to this area to upload.

Max file size 10Mb - Allowed File Extension .png, .gif, .jpeg, .jpg, .pdf