Owners Release for the Underground Railroad Rescued Kitty Network
By filling out and submitting this form you are stating that you have the authorization to release the ownership of the cat named in this form. URRKN is NOT responsible for clearing the adopter. Meaning it is up to you the owner to research, call references and throughly do your very best to be sure that your kitty is going to a good home. We do not, nor will we if asked do home checks. This is the sole responsibility of you the person or organization adopting out this kitty. Thank you for doing your very best to ensure that this is a good and healthy home for your kitty.
Authorized Party Name *
Authorized Party Address *
Authorized Party Phone *
Name of Kitty *
Breed
Sex *
Altered *
Color *
Microchipped *
Chip number?
Chip Company?
Aggressive? *
Is this Kitty? *
SHOT RECORD
What ones? When were they given?
Wormed
Clear selection
Type of cat food?
FEEDING SCHEDULE
VETERINARIAN Name *
VETERINARIAN Phone *
VETERINARIAN Address *
The Underground Railroad Rescue Kitty Network is a service to help transport cats to their new homes once an adoption has taken place. This is a free service, however donations are always appreciated. We (URRKN) cannot guarantee transport, volunteers or good weather. We (URRKN) are not responsible for medical expenses in case of illness during or after transport. We (URRKN) are not responsible for any loss/sickness/injury/death. *
By clicking submit you are agreeing that this will be accepted as your legal signature. Please type your initials in the text box below.
I release, relinquish all rights & make available for adoption cat to this adopter. *
By clicking submit you are agreeing that this will be accepted as your legal signature. Please type your initials in the text box below.
Full name of the adopter that you are agreeing to surrender ownership of this cat to *
I certify that I am the owner of this particular cat, free and clear of all other interests. The information I have provided about this cat is true and complete. *
By clicking submit you are agreeing that this will be accepted as your legal signature. Please type your initials in the text box below.
I hereby forever release, discharge and agree to hold harmless, indemnify and defend the URRKN and their boards of directors, their members, officers, and agents from all claims, demands, actions, causes of action, or liability of any kind whatsoever arising as a result of or in connection with the adoption, transport or health of the above named cat. URRKN is NOT the agent of the sender/foster/rescue/shelter or receiver/adopter. URRKN is merely a transportation service. The adopter is solely responsible for determining the health and characteristics of the animal prior to agreeing to the adoption. *
By clicking submit you are agreeing that this will be accepted as your legal signature. Please type your initials in the text box below.
I certify that no other person or entity has ownership rights to this cat. I also certify that I am in all good faith sending this cat to a forever home, and not a foster home. *
By clicking submit you are agreeing that this will be accepted as your legal signature. Please type your initials in the text box below.
Todays Date *
Name of shelter or rescue *
Phone number of shelter or rescue *
Owner/Agent Signature *
By clicking submit you are agreeing that this will be accepted as your legal signature. Please type your name in the text box below.
Submit
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