RELEASE FOR EAR CROPPING

Buyer _______________________________ has chosen surgery for ear cropping with

____________________________________________ to be done on ______________.

Buyer is aware that the seller JoAnn Negris is acting only as a courier for the ear cropping

procedure. Buyer releases seller from any complications and/or any further liabilities financially

or medically before, during or after (including but not limited to):All aspects of surgery including

stay at surgery site While being transported to and from the facility While puppy is in the care of

seller after the surgery, prior to buyer pick up Buyer is aware that with any type of surgery

and /or with general anesthesia there is a risk of complications and/death. Buyer also agrees not to

hold seller responsible for (including but not limited to): Any additional (unforeseen) costs Any

additional (unforeseen) medical procedures relating or caused by said procedure Ear

infections Ears not standing erect (one or both) Seller: JoAnn Negris will deliver buyers Doberman

Pinscher puppy on ______________________________(to) and pick up said puppy on

__________________(from) ______________________ following Surgery

(providing the puppy is released after his/her 24 hour stay @ Veterinarians The buyer will pick up

his/her puppy @ the sellers home on ___________________ Along with the antibiotics and

instructions on how to care for the puppy after surgery. The suture removal is done 10 days

following the surgery, please call the office immediately for your follow up appointment

and/or if you have any questions or concerns when you bring your puppy home.

Buyer is responsible for purchasing an E collar for puppy to help deter from scratching

the ears and removing sutures. Buyer agress to pay seller $_______prior to ______________ for

the ear cropping surgery. Please note additional costs for micro chipping apply.

Buyers signature and date:____________________________________________