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Owned Dog Release Form to Shiba Inu Rescue
(S.O.S.- Save
Our Shibas)
I, _______________________________________, release the
Shiba Inu/Shiba mix
Named _______________________________________, age
________, sex ______, to
Shiba Inu Rescue (S.O.S.) representative (name)
______________________________.
I realize I will receive no payment for
this dog and that I am voluntarily placing this dog with Shiba Inu Rescue
(S.O.S.)
I relinquish all rights to the above named dog. I understand I
have 48 hours to reclaim this dog, after which it becomes the permanent custody
of Shiba Inu Rescue (S.O.S.) to be placed at their option.
I have
included all records of inoculations and AKC papers, if available. I also
certify that this dog has not bitten anyone in the last ten- (10)
days.
Date: _____________
Time released to Shiba Inu Rescue
(S.O.S.): __________________________
Name:
________________________________________________________
Address:
______________________________________________________
_____________________________________________________________
Phone:
( ) ___________________________(home)
( )
___________________________(Work)
Owner signature:
____________________________________________________
Shiba Inu Rescue
(S.O.S.) Representative
Signature:
_________________________________________________________
