Owner Release Form- Horse
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Date
-
Month
-
Day
Year
Date
Owner's Full Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Owner's Email Address
example@example.com
Owner's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Horse's Name
Horse's Breed
Horse's Date of Birth
-
Month
-
Day
Year
Date
Horse's Color
Horse's Gender
Male
Female
Gelding
Registration Number (if applicable)
Veterinarian's Name
Veterinarian's Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
Health Conditions
I Authorize Fonzy's Farm Rehab and Sanctuary to obtain all medical records for the surrendered animal.
Yes
No
I understand that by signing this form, I am relinquishing all rights to the surrendered animal and that Fonzy's Farm Rehab and Sanctuary is solely responsible for the animals care and decisions surrounding it's care.
Yes
No
Feeding and Care Requirements
Behavior and Training Notes
Upload Documents (Option to Upload Medical Records, Registration Papers, or Pedigree Information)
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I hereby certify that I am the rightful owner/keeper/caretaker of the animal who is the subject of this surrender form. I hereby surrender all property rights to the animal. I certify that no other person has the right of property to the animal.
I agree by signing below.
Signature
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