Surrender Name / ContactName* First Last Address* Street Address City State / Province / Region ZIP / Postal Code Phone*Email* Drivers License. number (required by MO Department of Agriculture)Dogs Name*Dogs Age*Your Vet's Name and Phone no.*Where did you obtain your pet? Was it through Wonder Weims?*Please attach current vet records if you have themIs your dog spayed or neutered*yesnoList Vaccines and dates. Distemper, Rabies, bordetella, Hrtwrm Test , Fecal Test*Is your dog microchipped?YesNoDon't knowIs your dog crate trained?*YesNoIs your dog housetrained?*YesNoPlease explain any bad habits the dog may have. Examples: Fence jumping, chewing, chasing cars,etc*Has the dog ever bitten anyone?*YesNoIf yes, explain why they bitPut a check next to the box if your dog is GOOD with:* Other dogs Cats Kids Under 9 Kids over 10 Men Women Special medications or needs?Reason for giving up the dog?*Please attach a photo of your dogThe laws of Missouri will govern the interpretation and enforcement of this contract. I certify that I am the sole owner of the dog described above and that I have the right to give it away. I further certify that there are no unpaid veterinary bills or claims on said dog. I hereby renounce any and all claims to the above described Weimaraner. It is my understanding that Wonder Weims Rescue will do what is best for the dog. With this instrument the dog becomes the property of the Wonder Weims Rescue. By initialing below I use that as my electronic signature. *INITIAL HERE*Date Δ