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Owner Surrender Form
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First and Last Name
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Email
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Phone
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Location (we serve NC, SC and VA)
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Did you adopt your dog from Blue Ridge Boxer Rescue?
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What is the appr. age of your dog?
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Is your dog good with other dogs?
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Is your dog good with other cats?
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Is your dog good with children?
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Are there other dogs inside the home?
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Elaborate on behaviors with other animals or children?
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Additional comments regarding your dog ?
Is your dog crate trained?
Yes
No
Is your dog spayed or neutered?
Yes
No
Is your dog on monthly Heartworm Prevention?
Yes
No
Does your dog have any health problems?
Yes
No
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What vet work has been done to your dog besides spay or neuter?
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Why are you considering owner surrender for your boxer?
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What is your timeframe to surrender your dog?
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I am serious about surrendering my dog.
Yes
No
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I can confirm that I am not working with another organization or individual to place my dog.
Yes
No
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I understand and acknowledge that if I surrender my dog to BRBR, I will no longer have legal rights to nor will I contact new owners of this pet?
Yes
No
Please provide photos of your dogs, headshots and showing its personality are extremely helpful.
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