By typing your name into the signature blocks below, your answers to this form attests that the information you have given is accurate and true. You also agree that, upon surrendering your animal into Charley's K-9 Rescue, you will voluntarily relinquish all claims and ownership of said animal to the organization known as Charley's K-9 Rescue and members thereof. You understand that you cannot reclaim the dog once the dog is in possession of Charley's K-9 Rescue and understand that the animal will be spayed or neutered, if needed, in accordance with North Carolina state law. You agree to give up the dog's AKC registration papers (if available) and any and all medical records available. Neither Charley's K-9 Rescue nor members thereof shall be held responsible for the actions of the adoptive or foster family and/or dog. You furthermore certify that this dog is not vicious and has never shown signs of aggression towards human beings, unless otherwise noted above, and certify that this dog has never bitten anyone, unless otherwise noted above. If you are surrendering an animal with a bite history, it is your responsibility to contact Nicole immediately upon application submission. (704) 839-3015.