1. (List additional animals on back)
Date:
Name:
Address: DL State: DL#
City: St: Zip: Exp: DOB:
Phone # Cell #:
We respect your privacy and will not share or sell your information to anyone
I am relinquishing ownership of the following:
◻️️Cat(s) (#)_____ ◻Kitten(s) (#)_____ ◻Mother with (#)_____ kittens
How did you acquire these cat(s)/kitten(s)?
Why do you wish to relinquish ownership?
Name (if known)
Age
Sex
Altered?
Color/Markings 1) 2) 3) 4) 5)
(List additional animals on back)
Initial
Agreement
______
I understand that MeoowzResQ does not buy or pay for cats. This is a rescue service to help place cats and kittens into new homes when their present owners can no longer keep them.
I understand that this service provided by MeoowzResQ is free, however a donation to help pay for expenses is greatly appreciated. Amount donated: $__________
I, , hereby release, relinquish all rights, and make available for adoption, the cat(s)/kitten(s) listed above, to MeoowzResQ. I certify that I am the owner of these cat(s)/kitten(s), free and clear of all other interests.
I certify that these cat(s)/kitten(s) are not possessed of any dangerous or vicious propensities, and that I have not willfully concealed information about these cat(s)/kitten(s) that might indicate such propensities. The information I have provided about these cat(s)/kitten(s) listed above is true and complete.
I hereby forever release, discharge and agree to hold harmless, indemnify and defend MeoowzResQ, their boards of directors, their 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 listed kittens.
Owner’s Signature: Date:
Witness: Date: