Owner Surrender Form

Animal Information

I understand that upon giving my animal to Newman Nation: Senior Pets United, the rescue becomes the sole owner of the animal. I will make no attempt to reclaim my animal. I hereby voluntarily and irrevocably give, donate, surrender, and release to Newman Nation: Senior Pets United this animal. I represent and warrant that I am the lawful owner of the animal and I have full power and authority to surrender the animal to Newman Nation: Senior Pets United. No other person has any legal or equitable ownership interest in the animal. I have disclosed all material information regarding the medical or behavioral history of the animal. I willfully surrender all medical records and information pertaining to the animal. Newman Nation: Senior Pets United has my permission to contact my veterinarian for any necessary information pertaining to my animal and I hereby consent to the release of any and all medical information by any medical provider.