POODLE RESCUE RELEASE FORM
(from old owner to Poodle Rescue)

I, owner of the below described dog, do release my ownership rights to:

________________________________________, who is a representative of Poodle Rescue.

Name:_______________________________________

Address:______________________________________

__________________________________________________

Date:__________________

Description of Poodle: Variety: __________________Registration #:_________________

Tattoo #__________________________ microchip #_________________________________

Other identifying characteristics:


Name:____________________

Color:__________________

Sex:__________________ Neutered? ________Spayed?_________

Age:__________________

Name and address of breeder:___________________________________________________

____________________________________________________________________________

Diet dog has been receiving:_____________________________________________________

Housebroken?_______________, Good with cats?________________, Noisy?______________

Jumper?_____________________ Good with children?_______________________________

Good with other dogs?__________________________

Health history?______________________________________________________________

Date of last rabies immunization?____________, heartworm test:____________, DHLPP:_______

Name and telephone number of Veterinarian who has cared for this dog?________________________________________________________________________

Reason for release to Poodle Rescue?_______________________________________________

_____________________________________________________________________________
Other comments:


I, a representative of Poodle Rescue, Hereby do take ownership and responsibility for this above named and described Poodle.

Name:___________________________

Date:____________________________