By filling out this form I understand that I hereby voluntarily relinquish all claims and ownership of said dog to the organization known as Carolina Boxer Rescue, Inc. and members thereof. I cannot reclaim this dog once the dog is in the possession of the rescue and understand that this animal will be spayed or neutered, if needed. I agree to give up the dog’s AKC registration papers and all medical records available. Neither the rescue nor members thereof shall be held responsible for actions of the adoptive or foster family and/or dog. The dog may be euthanized if the rescue deems it necessary due to human aggressiveness. I certify that this dog is not vicious and has never shown any signs of aggression towards human beings.
Name of Person or Breeder you got the dog from
By signing my name, I certify that I am the person identified in this application and that this will be considered my electronic signature. I certify that all information provided herein is true and correct and that Carolina Boxer Rescue, Inc. or it’s agent will not be held liable or chargeable for any false information, or any misrepresentations, that I have submitted on this form.
Electronic Signature:
1) I have agreed to submit an application by electronic means.
2) I understand the questions on this form and understand that giving false or misleading information will disqualify my dog from being able to be surrendered.
3) I certify that all my answers are true, correct and complete to the best of my knowledge.
4) I understand that an electronic signature has the same legal effect and enforceability as a written signature on an application.
