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Owner Surrender Form

Owner Surrender Form

After you fill out the form below, email photos of the dog here or snail mail them to the physical address below.

The donation must be sent to the address below or can be made via Paypal once you have submitted the form.

We do not accept any animals that are dangerous to the general public and reserve the right to ask for a professional evaluation at the owner's expense. Additionally, surrendering your animal to rescue is not considered a donation.

PLEASE CONTACT YOUR VETERINARIAN TODAY. LET THEM KNOW YOU ARE RELEASING YOUR LAB TO RUDYS RESCUE. REQUEST THAT THEY MAIL THE ENTIRE MEDICAL RECORDS TO US AT THE ADDRESS BELOW. WE REQUIRE DOCUMENTATION FROM YOUR VETERINARIAN SHOWING YOUR DOG IS UP TO DATE ON VACCINATIONS.

Mailing information:

RUDY'S RESCUE
PO BOX 1046
henrietta, NY 14467-1046

This form is designed to provide Rudy’s Rescue with adequate information on the dog that you are releasing.
It will be used to provide information to potential families considering this dog, to ensure that proper care of this dog is continued, and to protect both Rescue and the party releasing the dog.

General Information

Food

Medical

Other Information

Release Of Ownership Agreement

I agree and understand that I am giving up all rights of possession and ownership of the described dog and that I will not be able to redeem this dog at any time nor will I be allowed to know the dog's whereabouts. I agree and understand that this dog is now the "sole property" of Rudy’s Rescue.

TO BE COMPLETED BY THE RELINQUISHING OWNERS: I (We) certify that we own the above dog and that this dog has not shown any signs of aggression, or bitten anyone and that the statements above are true and accurate. I(We) agree to indemnify and hold harmless Rudy'dogs Rescue by, from and against all claims, suits, damages, liabilities, and costs related to or in any manner connected with this dog. We further acknowledge understanding that the dog becomes the Property of Rudy's Rescue, and that they may place the dog, spay/neuter, or euthanize it as they see fit. Additionally, I understand that Rudy's Rescue will not be able to communicate with me about any possible adoptive homes or the whereabouts of this dog.

Please Note: If you want to surrender a dog you must submit the owner surrender fee of no less than $100 plus the owner release form. Returned checks are subject to an additional $25 fee. Filling out this form does not guarantee that Rudy's Rescue will accept your dog into its program. If Rudy's Rescue does not accept your dog into its program, your Owner Surrender Fee will be refunded. Your Owner Surrender fee will be considered a donation and will not be refunded if Rudy's Rescue accepts your dog into its program and you re-home the dog on your own or change your mind and decide to keep your dog.

After completing our owner surrender form - you must print your complete information, sign it and mail it to our PO Box along with complete medical records from the veterinary hospital. If we do not have all requested information along with the fee your dog cannot be taken into our program.

Please advise your veterinary hospital that you are turning your dog over to Rudy's Rescue. This will make the records available to our medical staff.

The amount you are donating to Rudy's Rescue to aid with reimbursement of veterinary and other expenses incurred by this dog and others (if any).

A minimum donation of $100 is required with each owner surrender. Because we are a volunteer organization funded entirely by donations, we are delighted to accept any amounts over this minimum amount to help with the dogs in our care.