Cocker Surrender Form
DOG INFORMATION
There are severe penalties around the rehoming of aggressive dogs
*If yes please provide date and details of last vaccination: (i.e. C3, C4, C5 etc.)
Please provide and attatch the following original paperwork:
Desexing Certificate:
Vaccination Certificate:
Microchip Number:
THIS FORM CONSTITUTES A LEGAL AGREEMENT:
Surrendering Owners Declaration:
I declare that I am the owner of the Cocker Spaniel referred to herein. I declare that all information provided by me is true and correct. I understand that there are severe penalties for rehoming aggressive dogs. I hereby surrender my Cocker Spaniel into the care of English Cocker Spaniels Australia Incorporated (ECSA Inc). I understand that upon signing this declaration, that I relinquish ownership of, and any and all interest in the Cocker Spaniel referred to herein.