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Application to Relinquish your Hound
Relinquishment Application
NOTE
before completing the application below ALL fields with * are MANDATORY and must be completed prior to submission. If you do no complete it will not submit and you will have to recomplete the application.
Note:
If you need to relinquish more than one dog to Arizona Basset Hound Rescue – a separate relinquishment application must be submitted for each dog.
Did you adopt your dog from Arizona Basset Hound Rescue*
Yes
No
Dog Name*
Age*
Years Old*
Years Old
Months Old
Spayed/Neutered*
Yes
No
Color*
Up to Date on Vaccines*
Yes
No
Can proof be provided*
Yes
No
Any medical Issues (please describe any medical issues and any medication your dog is currently receiving)*
Any behavioral issues (Behavioral issues will NOT disqualify your dog for possible intake by Arizona Basset Hound Rescue – it will allow us to place your dog in an appropriate foster home.)*
Personality of your dog (Please provide any additional information about your dog, this will allow us to place your dog in an appropriate foster home)*
Please explain why you need to relinquish your dog*
Is there a specific time frame when your dog must be relinquished*
Immediately (within the next 48 hours)
Within the next two weeks
Within the next month
Once an appropriate foster home is located
Photos*
We need a minimum of three photos: a head shot and one from each side (dog standing), all taken at the dog’s level.
Can you email digital photos*
Yes
No
Can you text photos (number to text photos to will be provided after submitting relinquishment application)*
Yes
No
Do you need to mail photos (address for mailing photos will be provided after submitting relinquishment application)*
Yes
No
Name (owner):*
Phone:*
Email:*
Location:*
Arizona Basset Hound Rescue requires all owner surrenders to have a completed owner relinquish agreement form on file. If you chose not to complete this form – Arizona Basset Hound Rescue will NOT consider your dog for intake. Once Arizona Basset Hound Rescue has taken possession of your dog, you will have relinquished all rights to the dog and will not be able re-claim the dog for any reason. Do you understand and accept that upon the surrender of your dog to the Rescue, you have relinquished all rights to the dog and will not be able re-claim the dog for any reason?
Yes
No
Arizona Basset Hound Rescue will require you to complete an owner relinquish agreement form upon acceptance of your dog into the Rescue. Do you agree to complete this form in its entirety, upon the surrendering of your dog to the Rescue?*
Yes
No
How did you hear about AZBHR?*
Adopted from AZBHR
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Current AZBHR Volunteer
Facebook/Twitter
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Other
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