OWNER’S SURRENDER AGREEMENT The undersigned, being the owner or the fully appointed agent of the cat described herein hereby affirm, acknowledge and warrant and represent that all information contained in this profile is true and correct to the best of their knowledge and belief. Should any information set forth be discovered to be false, untrue or misleading in any respect at any time, Second Chance Kitty (SCK) shall have the right to require owner to pay all costs incurred in the care, placement or disposition of the cat, further, should any of the information set forth in this document be discovered to be false, untrue or misleading in any respect at any time, then owner agrees to indemnify and hold SCK harmless by, from and against any and all claims, suits, damages, liabilities and costs (including reasonable attorney fees) related to or in any manner connected with this cat. I understand SCK will utilize the information contained in this form to assist in selecting an appropriate Foster Home and Adoptive Home. I understand that I will be held liable for any and all claims, suits, damages, liabilities and costs (including reasonable attorney fees) related to or in any manner connected with this cat that is a result of any false, untrue or misleading information provided in this form that therefore results in the cat being placed in an inappropriate home, situation or environment. I understand that SCK will make every effort to find a loving home for my cat and grant my permission to contact all of the medical service providers named in this Owner Surrender Form and hereby grant permission for the release of all records and information in their possession. I understand that SCK will have full ownership of the cat effective immediately upon surrender.