Dog Surrender Form

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Personal Information

Dog Surrender Authorization

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. *
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. *
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. *
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. *
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. *
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. *

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