Petstablished | Manage your Animal Welfare Organization (AWO) with our easy-to-use software.

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I have freely chosen to surrender the dog back to MAMCO.

AGREEMENT: Selecting the 'Yes' option below is a form of electronic signature, I agree that I have read and agree to this information and that my answer is the legally binding equivalent to my handwritten initials. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding. *

YesNo

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I understand that by choosing to surrender the dog back to MAMCO that I am relinquishing all legal ownership rights to the dog.

AGREEMENT: Selecting the 'Yes' option below is a form of electronic signature, I agree that I have read and agree to this information and that my answer is the legally binding equivalent to my handwritten initials. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding. *

Yes

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Dog/Litter Name

AGREEMENT: Selecting the 'Yes' option below is a form of electronic signature, I agree that I have read and agree to this information and that my answer is the legally binding equivalent to my handwritten initials. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding. *

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I agree not to seek a refund of the adoption fee, per the adoption contract signed at the time of adoption.

AGREEMENT: Selecting the 'Yes' option below is a form of electronic signature, I agree that I have read and agree to this information and that my answer is the legally binding equivalent to my handwritten initials. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding. *

Yes

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I acknowledge that surrendering the dog is my choice and I agree not to hold MAMCO liable for my decision.

AGREEMENT: Selecting the 'Yes' option below is a form of electronic signature, I agree that I have read and agree to this information and that my answer is the legally binding equivalent to my handwritten initials. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding. *

Yes

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By signing this agreement, I agree to forfeit all rights to the dog from this time forward, and will not seek compensation at a future date.

Signature Required *AGREEMENT: By typing my name below as a form of electronic signature, I agree that it is the legally binding equivalent to my handwritten signature. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding. *

Dog Surrender Form

Personal Information

Dog Surrender Authorization