Animal Surrender Form

Animal Surrender Form
By signing this form, I state that I am the owner of the animal(s) who is/are the subject of this Animal Surrender Form, hereinafter referred to as "the animal". To my knowledge, no other person has any right to this animal. I hereby surrender all rights to the animal. I understand that once I relinquish the animal, the animal will not be available to be returned. I have read and understand the terms of this Animal Surrender Form.
Owner information*

First NameLast Name
Animal Type*
Animal Name
Animal Age
Date*

MonthDayYear
Date
Signature*

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Surrender Donation

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Payment Methods

Debit or Credit Card

First Name

Last Name

Credit Card Number

Security Code

Card Expiration

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