FORM: Rescue to Rescue Transfer Contract

PO Box 2432, Mission Viejo, CA 92690

P:949-484-9228 F: 949-208-8880

dreamanimalrescue@gmail.com

Rescue to Rescue Transfer Contract

The following animal(s) is being transferred from:*

Transferring rescue group name.

And being transferred to:*

Receiving rescue group name.

As of this date, rescue/organization transferring said animal(s) also transfers all ownership and responsibility of care to the receiving rescue. The receiving rescue/organization accepts all care and responsibility for said animal(s).*

Animal Name*

Species*

Breed*

Gender*

Male

Female

Altered*

Yes

Color*

Current age*

Reason animal is being transfered*

Any known behavior issues*

Has this animal received any veterinary care?*

Yes

If yes, what was the reason for the medical care

If yes, please give veterinary clinic information

Transferring Rescue Organization Information

Organization Name*

Street Address*

City*

Phone Number*

Representative Name*

Date*

Receiving Rescue Organization Information

Organization Name*

Representative Name*

Street Address*

City*

Phone Number*

AGREEMENT AND SIGNATURE

By filling in my signature, today's date and clicking the submit button:

I certify that all statements made by me on this document are true and correct.
I agree with this document in its entirety.

Signature*

Date*

I have read and agree to DREAM Animal Rescue PRIVACY POLICY.

REV 5/19