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Airedale Terrier Club of America
Rescue & Adoption Committee 

BREEDER NOTIFICATION FORM


Date:




Dear

An Airedale Terrier of your breeding has recently come to the attention of the Airedale Terrier Club of America Rescue and Adoption Committee, and is in need of a new home. Since we realize that the welfare of this dog may be a concern to you, we would like to give you an opportunity to let us know how you want us to proceed.

Please complete the attached form and return it to the address below within seven days so we can get started right away. If we have not received the form within seven days, we will assume you do not wish to be involved in helping this dog.

Thank you,




Rescue Chair

Mail reply to:



Airedale Terrier Club of America
Rescue & Adoption Committee


Dog's name: AKC Reg #________________________
Sire:
Dam:
Date of birth: Sex: Neutered?
Last known owner:
Reason for Rescue's attention:
[ ] Owner can no longer keep dog
[ ] Owner has abandoned dog
[ ] Owner has surrendered it to pound or shelter
[ ] Owner has surrendered it to Rescue
[ ] The Rescue Volunteer in possession of the dog is willing to assist you rehome the dog ( Breeders must realize that Rescue Volunteers are not always able to assist in rehoming a dog. Their first priority is to abandoned dogs with no other support available. )
[ ] Dog has health problems requiring veterinary care
Veterinary evaluation attached
[ ] Other (report attached)

Breeder's Reply
[ ] Please contact me at the number below. I will make arrangements to pick up the dog at the earliest possible opportunity. I will reimburse the Rescue Committee for all expenses incurred through the date I take custody of the dog. I will provide the highest quality care to this Airedale Terrier for as long as it is in my care including quality food, water, proper shelter from heat or cold; active companionship, appropriate exercise, socialization, and professional veterinary care whenever necessary. I will never abuse, nor knowingly allow abuse of this Airedale Terrier. I will re-home the Airedale Terrier only with a family I believe to be interested in a lifetime commitment to the Airedale and who will agree in writing to provide the highest quality of care for said Airedale, including quality food, water, proper shelter from heat or cold; active companionship, appropriate exercise, socialization and professional veterinary care whenever necessary.

[ ] If the Rescue Volunteer in possession of the dog has made an offer to assist in rehoming the dog, I would like to cooperate with Rescue to find the best possible home for this dog. I will support the dog until a new home is found. Enclosed is a deposit of $_____________ for expenses payable to ATCA Rescue & Adoption. [ Only available if Volunteer in possession of the dog has offered to assist in rehoming the dog. ]


[ ] I am unable to help at this time and release any claim to the dog.

Breeder's name:

Address:

Phone:




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Signature