Animal Surrender Form

Owner's Name*
Owner's Email*
Owner's Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Animal's Name*
Additional Information about the Animal
By signing this form, I state that I am the owner of the animal(s) that are the subject of this Animal Surrender Form, hereinafter referred to as “the animal”. To my knowledge, no other person has any right to the 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.
Owner's Signature*
Date*
MM slash DD slash YYYY