Animal Surrender Form

Animal Information
Animal Name(Required)
Previous Owner
If known
MM slash DD slash YYYY
Current Vet Clinic
Current Vet
Vet Clinic Address
By signing this form, I state that I am the owner of the animal(s) who is/are the subject of this Animal Surrender Form, hereinafter referred to as "the animal." To my knowledge, no other person has any right to this animal. I hereby surrender all rights to the animal. I understand that once I relinquish the animal, the animal will not be available to be returned. I have read and understand the terms of this Animal Surrender Form.