Relinquish

Owner Relinquish Request

Life is full of changes, and it sometimes becomes necessary for an owner to part with its beloved pet. Bichon Rescue Brigade will accept Bichons and Bichon mixes from those who can no longer keep them, pending successful evaluation of your pet’s health and temperament. BRB requests a minimum $100 donation to help cover costs to re-home your pet.

Please be sure you and your family have discussed relinquishment to ensure everyone is in agreement.

This is an emotional process and it’s important that everyone is in agreement before we start the rehoming process.

We will contact your veterinarian to request a current copy of the pup’s medical history and records. Please be sure to contact your veterinarian and authorize the release of their records to Bichon Rescue Brigade.

Once we agree to bring your pup into Bichon Rescue Brigade:

We may ask the pup be spayed or neutered or vaccinated (if not done or current.)
We will ask for 5-6 photos of your pup, and a video if you have one.
We may ask for additional information about your pup’s personality to aid with rehoming.

We ask that all of the pup’s supplies go with with him/her – bed, blanket, crate, collar, harness, tag, leash, bowls, favorite toy(s), sweaters/clothes and a 2- week supply of food/supplements/medications. Having familiar items and food will make the transition into a new home easier for your pup.

Please note: You must complete one form for each dog you are relinquishing.

Fields marked with a * are required

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Date of Request to Relinquish *

OWNER INFORMATION

Your Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Mobile Phone *

Home Phone

Email Address *

of that least

DOG INFORMATION

Note: You will be required to provide proof or records substantiating your responses at the time you relinquish the dog.

Dog's Name *

Dog's Age *

How long have you owned this dog? *

Dog's Gender

Male
Female

Dog's estimated weight *

Dog's breed *

Dog's coloring *

Is this dog spayed and/or neutered? *

Is this dog current on vaccinations? *

Is this dog microchipped? *

Is the microchip registered? *

Does this dog shed? *

What food do you currently feed this dog? *

Is this dog currently on any medications? *

Please list all medications and what they are treating. *

Is this dog currently on any supplements? *

Please list all supplements and what they are used for. *

Are you able to keep the pup until we find their new family? *

Please provide estimated date when you would need the dog placed. *

Do you authorize your vet to release this dog's records to Bichon Rescue Brigade? *

Vet Office Name *

Vet Office Phone Number

TELL US A BIT MORE ABOUT YOUR DOG

What is the primary language spoken in the pups current home? *

Please provide a list of any/all commands the pup currently knows *

Is this dog house trained? *

Is this dog crate trained? *

Describe house and/or crate training *

Examples: the dog uses a doggie door, lets you know it’s time to go outside, or uses potty pads inside.

Is this dog bonded with another pet? *

Please describe: *

Is this dog leash trained? *

Is this dog good around other dogs?

Yes
No
Not sure

Please explain: *

Is this dog good around children?

Yes
No
Not sure

Please explain: *

Is this dog good around cats?

Yes
No
Not sure

Please explain: *

Describe times when this dog barks and if he/she stops when corrected. *

What are this dog's favorite activities and toys? *

Describe this dog's energy level *

Please provide an overview of this dog's temperament. *

How many hours a day is this dog home alone? Explain. *

Please describe any separation anxiety when the dog is left alone. *

Please describe what you think would make an ideal home for this dog. *

Please write a short narrative that describes the dog and highlights their personality. *

AGREEMENTS

Agreements

I/we agree to relinquish the above named dog to Bichon Rescue Brigade and agree I/we have no further claim to the dog.
I/we agree that Bichon Rescue Brigade will have complete control over the future placement of the dog.
I/we have shared all medical and registration information that we have on the dog being relinquished.
I will authorize my veterinarian to release medical history on the pup to Bichon Rescue Brigade.
During the time I/we owned this dog it has never exhibited any aggressive behavior.
During the time I/we have owned this dog it has never exhibited aggressive behavior toward other dogs.

If you didn't checked the box to either of the prior two statements, please provide more details here. *

ADDITIONAL INFORMATION

We are contributing this amount to Bichon Rescue Brigade to assist in the placement of this dog. *

If you have additional comments, please provide them here:

VERIFICATION

I confirm that I am at least twenty-one (21) years old and that I am requesting the assistance of Bichon Rescue Brigade in placing my dog. *

Yes, I confirm

Answer the question below to show us you're not a bot! *

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Relinquish

Owner Relinquish Request

Please be sure you and your family have discussed relinquishment to ensure everyone is in agreement.

Please note: You must complete one form for each dog you are relinquishing.

OWNER INFORMATION

DOG INFORMATION

TELL US A BIT MORE ABOUT YOUR DOG

AGREEMENTS

ADDITIONAL INFORMATION

VERIFICATION

Zeffy

Venmo

Zelle

Checks

Relinquish

Owner Relinquish Request

Please be sure you and your family have discussed relinquishment to ensure everyone is in agreement.

Please note: You must complete one form for each dog you are relinquishing.

OWNER INFORMATION

DOG INFORMATION

TELL US A BIT MORE ABOUT YOUR DOG

AGREEMENTS

ADDITIONAL INFORMATION

VERIFICATION

Pay Adoption Fee

Zeffy

Venmo

Zelle

Checks