Surrender Agreement

Surrender Agreement (Part 1)

I, _______________________________________, surrender my Golden Retriever,

________________________to Montana Golden Retriever Rescue. I understand

By signing this agreement I surrender:

1. My dog

2. His/Her medical history

3. His/Her AKC papers

Reasons for giving up the dog:

___________________________________________________________________

Owners Address:

___________________________________________________________________

Owners E-mail: _____________________________________

Owners Signature: ___________________________________

Co-Owners Signature: _________________________________