OWNER SURRENDER AGREEMENT
This Owner Surrender Agreement is entered into voluntarily by the undersigned owner, who hereby relinquishes all rights, ownership, and interest in the animal described below to Paws Place Rescue Inc.
Animal Name:
Species / Breed:
Color / Markings:
Age (Approx.):
Sex:
Spayed / Neutered:
Yes
No
Microchipped:
Yes
No
Vaccination History (if known):
Medical Conditions / Behavioral Notes:
Reason for Surrender:
Owner Information
Owner Full Name:
First Name
Last Name
Phone Number:
Format: (000) 000-0000.
Email Address:
example@example.com
Physical Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Government ID Provided:
Yes
No
By signing below, I certify that I am the lawful owner of the animal described above and that I am voluntarily surrendering the animal to Paws Place Rescue Inc. I understand that this surrender is permanent and irrevocable. I release Paws Place Rescue Inc. from any and all future claims, responsibilities, or liabilities related to this animal.
Owner Signature:
Date:
-
Month
-
Day
Year
Date
Paws Place Rescue Inc.
Mailing Address: 4355 FM 933 Suite 121, Whitney, TX 76692
Website: www.pawsplacerescue.com
Email: pawsplacerescue.inc@gmail.com
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