I have hereby decided to surrender complete care and control of my dog listed above to Fulfilling Hearts Rescue. I certify that the information provided on this form is true and correct. I further understand that by providing this information, Fulfilling Hearts Rescue is under no obligation to accept my dog. Upon signing this document, I understand that I no longer have ownership rights whatsoever to the above named dog. In addition, I understand that said dog will be rehomed to an appropriate family based on the rescue group’s best judgment. I do not have any say or objection towards where the above mentioned dog will end up. I also agree that I am not to attempt to contact the dog’s new adoptive family without permission from the directors of Fulfilling Hearts Rescue. I understand that appropriate legal measures may be taken to protect the new adoptive family if necessary.