NC Yorkie Rescue Inc: Surrender Agreement

Are You the Owner of the Dog?  
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I relinquish all future rights, privileges, and claims to this animal.  

About Your Dog

Dog's Gender  
Is the dog spayed or neutered?  
I can provide a copy of the dog's spay/neuter certificate.  

Terms of Surrender

I. Owner’s Representations and Warranties:
I/We hereby represent and warrant to NC Yorkie Rescue, Inc., their agents, successors and assignees, that I/We am/are the sole owner(s) of the above described Yorkshire Terrier, and that I/We have unabridged authority to surrender this animal. I/We further assert that I/We are registered as the sole owner(s) of this Yorkshire Terrier with the AKC, or other pedigree registry, and require no other individual or institution’s permission to affect a transfer of ownership of said pedigree registration papers. No other individual or institution has any legal or equitable interest in this animal.

II. Owner's Document and Information Provision:
I/We agree to provide NC Yorkie Rescue, Inc. with any documents and all other available information concerning this dog that may facilitate matching this dog with the proper adoptive home. These documents may include veterinary records, vaccination records, and pedigree registrations. I/We also agree to provide personal knowledge of the Yorkie's history, habits, and personality characteristics.

III. Owner's Surrender of Rights:
With the execution of this document, I/We cede all rights, title, privileges, and interests in the aforementioned dog. It is understood that this revocation extends to all future decisions concerning this dog made by NC Yorkie Rescue, Inc. including medical and adoption requirements. I/We further stipulate that NC Yorkie Rescue, Inc. has sole discretion in determining whether the dog’s temperament, health, especially chronic, irreversible, life-threatening, and/or painful ailments render the dog unsuitable for adoption, requiring unforeseen actions, including euthanasia.

IV. Release and Indemnity
I/We agree and understand that herewith we release and hold harmless NC Yorkie Rescue, Inc. from any and all liability arising from the placement for adoption or any other necessary and appropriate action   undertaken by NC Yorkie Rescue, Inc. on behalf of the aforementioned dog in accordance with and in reliance on the representations made and the authorizations given under the terms of this document.

I/We agree to hold harmless the staff, its officers, members, and representatives from any damages suffered, expenses incurred, including legal fees in defending or pursuing any legal action, whether for bodily injuries or death, property damage, breach of contract or otherwise, whether instituted by us or by any other individual(s) including the adoptive owners, arising out of or in consequence of the placement of this dog, in reliance on the authorizations, representations, and guarantees I/We have made in this agreement.

This constitutes the entire agreement between NC Yorkie Rescue, Inc. and the surrendering parties and no other terms or conditions are granted or implied.

THIS IS A LEGALLY BINDING DOCUMENT FOR THE SURRENDER OF THE AFOREMENTIONED DOG. PLEASE READ THIS CONTRACT CAREFULLY AND COMPLETELY. BE CERTAIN YOU UNDERSTAND ALL TERMS BEFORE SIGNING.
Signature & ID will be required at time of surrender.
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