Chicago Chicken Rescue Intake - Animal Surrender Form
I hereby certify that I am the rightful owner/keeper/caretaker/custodian of the animal(s) who is/are the subject of this Animal Surrender Form, hereinafter referred to as “the animal.” I hereby surrender any and all property rights to the animal. I certify that no other person has a right of property to the animal. I understand that by surrendering my property rights to the animal, the animal may be transferred into the custody of an animal shelter. I also hereby certify that the animal has not circle bitten or scratched a human or another animal within the past 10 days. I understand that once I relinquish the animal, the animal will not be available to be returned.

NOTE THAT AS AN ALL-VOLUNTEERED ORGANIZATION, WE DO NOT HAVE THE TIME AND RESOURCES TO PROVIDE UPDATES ON SURRENDERED ANIMALS. BY SIGNING THIS FORM, YOU UNDERSTAND YOU CANNOT CONTACT US FOR AN UPDATE ON THE ANIMAL(S) YOU ARE SURRENDERING TO OUR ORGANIZATION.

Enter your name below to further certify that you have read and understand the terms of this Animal Surrender Form. And complete the entire form.
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