Maremma Sheepdog Club of America

Maremma Sheepdog Club of America

MSCA Owner Surrender Form



OWNER SURRENDER Information: Maremma Sheepdog

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Purebred/Mixed
Sex
Spayed/Neutered?
Please describe the dog’s current situation

History of Behaviour

Has the dog scratched or bitten a person in the last ten (10) days?
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Has the dog ever
If yes, did a bite break the skin?
Was Animal Control involved?
Is the dog current on vaccinations?
Check all of the following that describe the dog
Has the dog lived with or been around children?
Would you recommend your dog live with children in the future?
Has the dog lived with dogs?
Do you have any concerns about your dog being around livestock in the future?
Would you recommend your dog live with dogs in the future?


My signature below certifies that I am the owner of, or have the authority to surrender to MSCA Rescue Society, the animal described above. I hereby relinquish all rights of ownership and any right to information on the disposition of said animal. I also authorize the release of any veterinary records regarding the animal. I certify that to the best of my knowledge I have disclosed all information about the animal concerning health, behavior, history and anything else that may affect the safe placement of the animal in a new home, and that all statements made above are true and correct.
Reset signature Signature locked. Reset to sign again
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Name
Address
The MSCA Rescue Society spends an average of $450 on food, shelter, medical and other care for each animal in our care. If you are able, please consider making a donation to help us care for your Dog. Thank you!