Dog Surrender Form

I acknowledge and agree that I will have to pay a $120 non-refundable surrender fee

I hereby declare that, to the best of my knowledge, the information provided by me above, is true and accurate.

I understand that I will be interviewed about the information I have provided on this form and before any surrender takes place I will need to prove that I own the dog, provide its medical records, permit us to assess the dog, and sign a release transferring ownership of the dog to EHS.