Animal Surrender Form

Owner/Caregiver Information

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Animal Information

Relinquishing receipt for animals surrendered to ARF by owner/caregiver

I acknowledge that my signature, upon surrender, relinquishes all claims of ownership of the animal(s) described above. Neither my family, any representatives acting on my behalf, nor I may assert present and/or future claims, suites, or otherwise against ARF with respect to this animal(s). I understand that ARF will not return this animal to me once left in its care, under any circumstances, unless otherwise approved by ARF. I am also aware that the animal(s) may be humanely euthanized if medical problems render this animal(s) with low quality of life.

I acknowledge by signing, upon surrender, I hearby agree to release, indemnify and hold harmless ARF, its past, present and future officers, directors, agents, members, volunteers and employees from and against any and all liability, claims suits, actions, judgements, costs, fees, including reasonable attorney fees and damages caused by and/or arising out of and/or in connection with this animal(s).

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+1 515 395 1527

P.O. Box 194,
Algona, IA    50511