If Harmony & Hope agrees to take this dog into care, I agree to giving up all rights of this dog. The dog will not come back into my care once it has been given over if this is a surrender. - I give permission for this dog to be advertised on social media platforms and Trademe. - I acknowledge that the rescue will take an adoption fee from the new owners to go towards costs for this dog and the next one that comes into our care. - I declare that the information I have provided on this form to be accurate and truthful (if not I am liable for costs involved with anything that may happen in regards to this dog).