Surrender Form and Agreement

Bichon FurKids Rescue wants to help Bichons and Bichon mixes that can no longer be cared for by their owners. Our primary mission, however, is to rescue those who are in shelters and whose original guardians have abandoned or rejected them, rather than famililes who may have not made provisions for bichons in their care or in the care of other family members. As a result we look very carefully at every surrender application that is submitted and evaluate each on the basis of the application itself.

Our surrender fee is assessed on a case by case basis ranges depending on the age and health status of the dog. Our fees start at $150. If you are requesting that BFK consider your dog, he or she should be clean, up to date with shots, spayed or neutered, and ready to become a part of a forever family. We will contact you to arrange a time to evaluate your dog - and will advise you of the surrender fee after evaluating your dog.  And, unlike some other groups, we do not separate a bonded pair generall. Additionally, with a bonded pair, there is a surrender fee for each dog.

Before completing this form, please review our surrender process.  Then complete the form below and one of our representatives will contact you to see how we can help.

We'll need some pictures too of the bichon you want to surrender. Ideally, pictures should be taken in natural lighting, like in a well lit room or outdoors. Try to get some pictures while he/she is active (such as romping in the yard, riding in the car or playing with a toy.) A snuggly shot or two would also be good to include. Try to avoid taking pictures looking down at him/her. (It's best to keep your camera at eye level with your dog.)  Please send pictures in their original, uncropped resolution via email to:

Your information
Name:
Name of Spouse:
Physical Address (no PO Boxes):
City:
State:
Zip:
Home phone:
Work phone:
Cell phone:
Email address:
Reason for release of dog to Bichon FurKids Rescue:
Information about the dog you are surrendering:
Breed (note purebred or mix):
Dog's Name:
Age (date of birth if know):
Color and Markings:
Height at Shoulder:
Weight:
Sex:
Spayed or Neutered?	Yes No
Registration Number:
Microchip Number:
Name, address and phone number of your veterinarian:
Brand Name and type of food you have been giving your dog:
How often do you feed your dog and what amount of food do you give with each serving?
Is your dog housebroken? If not, explain:
Does your dog go for walks? Please explain the walking schedule:
Does your dog like to ride in the car? Please explain:
Which of these best describes your dog?	Cuddler   Independent Affectionate
Tell us how your dog gets along with others:
Good with children?	Yes No
Good with other dogs?	Yes No
Good with cats?	Yes No
Is your dog comfortable around strangers?	Yes No
Has this dog ever bitten anyone?	Yes No
Is he or she destructive?	Yes No
Does your dog demonstrate any anxiety when left alone?	Yes No
Please explain any negative behaviors related to the questions of how your dog gets along with others, is anxious or destructive or if he/she has ever bitten anyone.
Overall, describe your dog's health. How often do you go to the vet and for what purpose?
Date of last veterinary visit:
Date of last rabies immunization:
Date of last heart worm test:
Date of last DHLPP:
Other comments you'd like us to know about your dog.
TRANSFER OF OWNERSHIP AND SURRENDER AGREEMENT This Agreement to transfer ownership("Agreement") is entered into on this day of , in the year . By submitting this form, I, , acknowledge that I am the owner of the dog and am fully authorized to enter into this Agreement.  I proclaim that the information provided on this form is accurate and I understand that Bichon FurKids Rescue will evaluate my dog prior to accepting my dog.  At that time, I will hereby permanently and irrevocably transfer ownership of this dog to Bichon FurKids Rescue. By executing this Agreement, I acknowledge that I am irreversibly relinquishing to Bichon FurKids Rescue, any and all rights, title, and ownership that I had or may have had with respect to this dog.