Surrender Form | Fmfsanctuary

Animal Surrender Form

The following form is required upon surrendering any animal to Finny Mini Farm and Sanctuary.

First name

Last name

Animal's Name(s)

Species/Breed

Reason for surrendering

Health and Vaccination History (Include Dates)

Other information (habits, temperament, food type, feeding schedule, favorite things)

I hereby certify that I am the rightful owner/keeper/caretaker/custodian of the animal(s) who is/are the subject of this Animal Surrender Form, hereinafter referred to as “the animal.” I hereby surrender any and all property rights to the animal. I certify that no other person has a right of property to the animal.

I have disclosed all material information regarding the medical and behavioral history of the animal(s). I will willfully surrender all medical records and information pertaining to the animal(s). I have granted permission to contact my veterinarian for any necessary information pertaining to the animal(s) and I hereby consent to the release of any and all medical information by any medical provider

I understand that once I relinquish the animal, the animal will not be available to be returned and Finny Mini Farm and Sanctuary has no obligation to follow up with information about the animal(s). I further certify that I have read and understand the terms of this Animal Surrender Form.

I hereby release and forever discharge Finny Mini Farm and Sanctuary from any and all rights, claims, obligations, liabilities, and causes of action whatsoever arising out of or relating to the ownership, possession, or disposition of the Animal(s), and I agree to indemnify and hold harmless Finny Mini Farm and Sanctuary from and against any and all such rights, claims, obligations, liabilities, and causes of action which may be asserted by third parties.

I understand that by surrendering my property rights to the animal, the animal may be transferred into the custody of an animal shelter or adopted by a screened adopter.

I have fully read and understand this Surrender Agreement. I accept and agree to abide by its terms.

Full Name

Your Signature

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