Green Dogs Unleashed
Phone: Number Not Listed
Email: woof@greendogsunleashed.org

Owner Surrender Agreement


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Your Personal Information

About the Animal Being Surrendered

Surrender History

Medical Information

General Personality

Dogs (other animals may skip this section)

Anything Else

Surrender Agreement

 I certify that I am the owner of or have the authority to surrender the animal described to GDU. I hereby relinquish all rights of ownership and any right to information on the disposition of the animal described to GDU. I also authorize the release of any veterinary records regarding the animal. I certify that to the best of my knowledge I have disclosed all of the information about the animal concerning health, behavior, history and anything else that may affect the safe placement of the animal in a new home.

By typing my name below, which I hereby adopt as my electronic signature, I affirmatively consent and agree that:

1. We can electronically provide to you all documents, agreements and disclosures.

2. electronic signature on agreements and disclosures has the same effect as if I signed them in ink.


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