Paws and Hands United Owner Surrender Form
Surrender of animal to Paws and Hands United Inc.
Name
Your answer
Address
Your answer
Phone Number
Your answer
Email Address
Your answer
Driver's License #
Your answer
Issuing State of License
Your answer
Animal Information
Animal Name
Your answer
Breed
Your answer
Age
Your answer
Current on Vaccines
Spayed/Neutered
Microchipped
If microchipped, number of micrchop
Your answer
Any known health/behavior issues
Your answer
Reason for Surrendering
Your answer
RELEASE OF OWNERSHIP I agree and understand that I am giving up all rights of possession and ownership of this animal and that I will not be able to redeem said animal at any time nor will I be allowed to know the dog's whereabouts. I agree and understand that said dog is now "sole property" of Paws and Hands United Inc. I promise that the information that I am giving is accurate and that Paws and Hands Unietd will not be held liable or chargeable for any false information or any misrepresentations that I may have submitted on this form. I further agree and understand that Paws and Hands United will evaluate this animal to determine whether or not the animal being surrendered will be considered "adoptable". The rescuers cannot guarantee placement. I also sign this give up agreement honestly and state truthfully that this animal has never bitten any human being.
Name
Your answer
Date
MM
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DD
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YYYY
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