RELEASE OF RESCUE CORGI


I, the undersigned owner, release all rights and obligations, and transfer ownership to the below described Pembroke Welsh Corgi to North Texas Pembroke Welsh Corgi Fanciers, Inc. for placement in a suitable home. For and in consideration of said placement effort, I release NTPWCF, Inc. from all liability for any act in connection therewith.

North Texas Pembroke Welsh Fanciers, Inc. is a non profit organization and welcomes any donations you may wish to give for the rescue fund.

 



Dog's Name 	 Sex  			Age  			Color 


Identifying marks  	Neutered/Spayed?  


Reason for release: 


AKC registration papers:	Available  Provided 
Pedigree:			Available  Provided 
Current health records:	Available  Provided 


Immunization dates:	 	DHLPP     	 Rabies   


Currently on heartworm preventative? 


Currently on medication? 


Veterinarian’s name: 


Any known medical problems: 


Housebroken?   Leash trained?  Crate trained? 


Good with children?  Good with other dogs?  Good with cats? 


Any obedience training? 


Any know behavior problems?  


Feeding instructions: 




Owners name & address: 
Signature of Owner(s):  Date: 




NTPWCF, Inc. Representative: