I declare that I am the owner/current guardian of the dog(s) described above. By submitting this form, I hereby relinquish all claims and ownership of the dog(s) described above to Lucky Paws Dog Rescue and its officers. I acknowledge that I will not be able to reclaim this dog(s) once it is in the possession of Lucky Paws Dog Rescue.
I declare that the above information is correct to the best of my knowledge and that I have not concealed or withheld any information regarding the above described dog(s) and its history.
I understand that falsification or omission of information regarding the above described dog(s) may result in my being held liable for future actions of the dog(s); for future medical expenses of the dog(s); and for legal expenses involved in any dispute of my right to surrender this dog to Lucky Paws Dog Rescue. I understand that the information provided may be released to any potential foster home or adoptive home.