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Owner Surrender Application

Dog Information

Current on vaccines:

What is your dogs current feeding schedule

Dog Personality


I am the owner of the above mentioned dog or have authorization to relinquish this dog.

I understand that Lovebugs Rescue is a non-profit organization and will handle any needs the dog has moving forward such as basic care, medical if they agree to take into their rescue.

Lovebugs Rescue is solely responsible for finding a suitable home for the dog and may be collecting an adoption fee payable to Lovebugs Rescue for such placement if they agree to take into their rescue.

I may request to be notified when the dog is placed, however I will not be privy to any information regarding the dogs new owner if they agree to take into their rescue.

To the best of my knowledge, I have provided additional information on this dog, see attached.

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