Relinquishment form

Because we are not a formal rescue organization, we must rely on the help of volunteers to assist us in the transport and relocation of  displaced livestock guardians.  The Maremma Sheepdog Club assumes no liability for the outcome of any relinquished livestock guardian, other than to provide a connection for those looking to foster, adopt or surrender a displaced animal.   In order for us to better serve you, please provide us with the following information:

Name:   

Address:   

City:   

State:   

Zip code:   

Home Phone:      

Cell Phone:      

E-Mail:      

Information about the animal:

Name of dog:   

Age:   

Purebred Maremma?    Yes    No

    Male         Female

Intact     Neutered      Spayed

Current on vaccines?  Yes    No

Type of Livestock exposed to:

Alpacas    Sheep    Goats    Poultry    Cattle/Horses   
Other     

Good with people / children?   

Reason for Relinquishing:  

Any behavioral issues you are aware of?  
Mouthing    Chasing livestock    Nipping /wool pulling   
Wanders/won't stay within boundaries    Food/resource guarding
Digging    Excessive barking    Shy or Fearful    Chases cars/motorized vehicles

Any health problems you are aware of?      

Best way to contact you:

Bes time of day to reach you:

Thank you on behalf of the Maremma Sheepdog Club of America