Owner Surrender

Surrendering Party's Information

First & Last Name  


Phone Number  

Email Address  


Pet's Information 

Pet's Name  

Pet's Sex


Pet's Age  

Reason for Surrendering Pet  

Has this pet bitten anyone and broken skin in the past 10 days?


List any health conditions/concerns  

SURRENDER AGREEMENT: I certify that I am the owner of or have the authority to surrender the animal described to the MEOW co. Cat Shelter (MEOW co.) herein. I hereby relinquish all rights of ownership and any right to information on the disposition of this animal. I also authorize the release of any veterinary records. I certify that to the best of my knowledge I have truthfully disclosed all requested information concerning health, behavior, history, or anything else that may affect the safe placement of the animal in a new home. *If I reclaim this animal from MEOW co. after the surrender date, I agree to reimburse MEOW co. for its expense of caring for the animal and any expenses associated with preparing and holding the animal for adoption. (*not applicable for temporary transfer/change in custody for medical treatment and care through Goodcat Veterinary Hospital - GVH will process and handle medical billing within their respected department) In cases regarding temporary/change in custody for medical assistance, your pet will be returned back over to your care within a timely manner. Your pet will not be processed or scheduled for adoption by MEOW co. or any of it's divisions.

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Signature Certificate
Document name: Owner Surrender
lock iconUnique Document ID: 4c237b86c41ece98d8c75036541cfa51d90a2e78
Timestamp Audit
July 30, 2020 3:10 pm PDTOwner Surrender Uploaded by Daniel Mariano - medical@meowco.org IP