• SURRENDER FORM

  • In consideration of the information below having been supplied, the dog has been donated to Midlands Cleft Rescue. The parties of this agreement hereby agree as follows;

    • I confirm that I have the authority to enter into this agreement and should my authority be subsequently questioned by Midlands Cleft Rescue or any third party, I agree to take full responsibility for entering into this agreement and if necessary compensate any third party

    • On signing this agreement the Dog described is accepted by M.C.R with ownership and all rights to the dog entirely passing to M.C.R

    • The person signing the dog over to M.C.R has no right to receive the dog back or exercise any other rights in respect of the dog.

    • I give my permission for the vet detailed as given here to be contacted for a medical history if necessary

    • I have read, understood and agree to the above conditions

    • The information I have given in this form is true and correct to the best of my knowledge

    • I am over 18 years of age.

    • Any donations that can be made to the rescue would be extremely helpful, this all goes to the aftercare of the puppies being surrendered, including high
    • transports costs and any medical bills that may be ahead, our bank details are below-
    • Rebecca List

      608407

      72167766

    • Paypal- midlandscleftrescue@gmail.com

     

  • Dog Details

  • Gender
  • Current Owner Details

  • Should be Empty: