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Surrender

Must be submitted prior to YRH assuming responsibility for any surrendered animal. Owner Surrender to Yorkie Rescue Houston Terms of release: I, the undersigned, hereby irrevocably surrender to Yorkie Rescue Houston (YRH) for placement/adoption the dogs listed herein.

We hereby represent and warrant to YRH, their agents, successors and assigns that we are the sole owner(s) of this described dog, that we have full power and authority to surrender this animal for adoption, that we are the only person (s) who are listed as registered owners of this animal with the AKC, that no other person or persons’ signatures are required to effect a valid transfer of AKC registration papers of this animal and that no other person or persons has any legal or equitable ownership interest in this animal.

We also agree to provide YRH with any documents and all other available information concerning this dog which might assist in matching this dog with the proper prospective adoptive home, including health and shot records, pedigree, name and address of breeder or person from who the dog was acquired and information concerning this dog’s "dog history" such as personal habits and individual personality traits.

By executing this documents, we understand that we are giving up forever all rights, title, and interest to the above mentioned dog and we further understand that all future decisions regarding the placement of this animal will be made solely by YRH.

We, the undersigned, hereby specifically and forever release, and hold YRH harmless from any and all liability arising from the placement for adoption by YRH of the above mentioned Dog or for any other actions taken by YRH in accordance with and in reliance on the representations we have made and the authorizations we have provided under the terms or this document. We agree to indemnify and hold harmless YRH and its officers and members for any damages suffered and expenses incurred, including legal fees in defending any legal action, whether for bodily injuries or death, property
damage, breach of contract or otherwise, whether instituted by us or by any other person or persons including the adoptive owners, arising out of or in consequence of the placement or this Dog, in reliance on the authorizations, representation and
guarantees we have made in the agreement.

THIS IS A LEGALY BINDING DOCUMENT FOR THE SURRENDER OF THIS (these)DOG(s) FOR PLACEMENT IN A RESCUE. PLEASE READ CAREFULLY AND FULLY CONSIDER THIS IMPORTANT DECISION BEFORE SUBMITTING.

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6046 FM 2920 # 628 •  Spring, TX 77379  •  info [ at ] yorkierescuehouston.org