Relinquish Form

Occasionally, a senior pet must be given up for various reasons.  If you wish to apply to relinquish your pet, please complete the form below.

**NOTE:  Before the Bridge Senior K9 Rescue charges a $150 Relinquish Fee for relinquished pets coming into rescue.  Payment may be made here, by PayPal, or by cash; no cheques will be accepted.

Enter Name of Dog

Alternatively, you may download the PDF version of the Relinquishment Form for printing.

Vet History

Please include copies of receipts, certificates, tags


Please list date of last treatment

Is/Does/Has this dog...