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Purple Paws 2nd Chance Rescue
Owner Surrender Form


**PLEASE DO NOT USE AUTOFILL TO FILL IN FORM, WE WILL NOT RECEIVE FORMS THAT USE AUTOFILL, SORRY**


It is understood that rescue does not buy or pay for dogs. This is a service to help place dogs in new homes when their present owners can no longer keep them. This service is free, however a donation to help pay for expenses is appreciated.
Please Read, Sign And Date The Following:
the owner, hereby make available for adoption, the dog
to Purple Paws 2nd Chance Rescue (PP2CR), the rescue agency.
I certify that I am the owner of this dog, free and clear of all other interests. I certify that this dog is not possessed of any dangerous or vicious propensities, and that I have not willfully concealed information about the dog that might indicate such propensities. The information I have provided about this dog is true and complete. I hereby forever release, discharge and agree to hold harmless and indemnify the rescue agency, its board of directors, its members, officers, and agents from all claims, demands, actions, causes of action, or liability of any kind whatsoever arising as a result of or in connection with the adoption or other disposition of the above-named dog.
I also agree my name and phone number may be released to the new owner of this dog, and that the new owner may contact me if he/she wishes, to gain any further information on this dog.
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