Animal Voluntary Surrender Form

Fur and Tails Animal Rescue

include State of Issue
Please list Name; Age; Color; Breed;
You agree that Fur and Tail Rescue makes no promises regarding future placement of your pet.*
You agree that once ownership is transferred you will be unable to reclaim your pet.*
I agree to surrender all ownership and rights to the above said animals to Fur and Tails Animal Rescue. I also give permission to Fur and Tails Animal Rescue for access to all medical records of these pets.
I agree that a donation to Fur and Tails Animal Rescue is mandatory.*
The undersigned hereby releases, discharges, covenants to hold harmless and indemnify for all costs Fur and Tails Animal Rescue, it's Board of Directors, Officers, Volunteers or any official agent from any and all claims for damages, expenses, or actions arising out of any act or occurrence pursuant to this contract and/or conduct of said Fur and Tails Animal Rescue.
This is a legally binding document for the irrevocable surrender of stated animals to Fur and Tails Animal Rescue.
If the form is successfully submitted, the form will be replaced with a success message. If you do not see the message and the form is not letting you submit, you will need to review your answers. Some answers are required and will be highlighted in red when you review.
This site uses Google reCAPTCHA technology to fight spam. Your use of reCAPTCHA is subject to Google's Privacy Policy and Terms of Service.

Thank you! Your surrender form was sent successfully.

Fur and Tails Animal Rescue is a non profit 501(c)(3) charitable organization.

By completing and submitting this form, you are agreeing that this a legally binding, irrevocable document . 

Link to downloadable form to print