I/We, the undersigned, hereby IRREVOCABLY surrender to Havok's Wolfpack, a pet described as follows, Please specify the name of your pet:
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Please specify the species and breed of your pet:
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Please specify the gender of your pet:
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Please specify the age of your pet:
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1. REPRESENTATIONS & WARRANTIES. We hereby represent and warrant that the undersigned are the sole owner(s) of the above- described pet. That I/we have full power and authority to surrender this animal for adoption, (if not AKC registration, the next section does not apply) that I/we are the only person(s) who are listed as registered owner(s) of this animal with the AKC, that no other person or person’s signatures are required to effect a valid transfer of AKC registration papers on this animal and that no other person or persons have any legal or equitable ownership interest in this animal. Please initial below:
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2. DELIVERY OF REGISTRATION. (Void if no registration exists) I/we agree to, within two (2) days of the execution of this document, deliver TO RESCUE, a properly signed transfer of the AKC registration papers for the above described pet. Please initial below:
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3. OTHER PERTINENT INFORMATION. We agree to provide the above named new owner with any documents and all other available information concerning this pet which might assist the new family, including health and shot records, pedigree, name and address of breeder or other person from whom the pet was acquired, and information concerning this pet's “history”, such as important life events and individual personality quirks. We certify that this pet is not possessed of any dangerous or vicious propensities and that we have not willfully concealed information about the pet that might indicate such propensities. The information I/we have provided about this pet is true and complete. Please initial below:
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4. CONSENT FOR CONTACT. We understand that Havok's Wolfpack or the new owner may contact the breeder or previous owner or veterinarian to provide additional background information, to assist the new family in facilitating the animal’s adjustment. New owners must contact the Havok's Wolfpack Rescue with any questions. Please initial below:
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5. SURRENDER OF RIGHTS. By executing this document, we understand that we are giving up forever all right, title and interest to the above-mentioned pet and we further understand that all future decisions regarding this animal will be made solely by the new owner, possibly in conjunction with Havok's Wolfpack. We also understand that if this pet is later found to have a quality of life that is substantially impaired, in the opinion of a competent veterinarian, by a chronic, irreversible, painful condition, euthanasia may be considered as a final alternative. Please initial below:
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6. RELEASE AND INDEMNITY. I/we, the undersigned, hereby specifically and forever release, and hold Havok's Wolfpack (its board of directors, its members, officers and agents) harmless from all claims, demands, actions, causes of action, and any and all liability arising from the placement for adoption by Havok's Wolfpack in accordance with, and in reliance on, the representations we have made and the authorizations we have provided under the terms of this document. I/we agree to indemnify and hold harmless Havok's Wolfpack 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 of the pet, in reliance on the authorizations, representations and warranties we have made in this agreement. Please initial below:
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7. DONATION/FEE. It is understood that Rescue does not buy or pay for dogs. This is a service to help place pets in new homes when their present owners can no longer keep them. This service is free for surrendering pet owners. Havok's Wolfpack reserves the right to charge an adoption fee to new owners of the pet. Please initial below:
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Date:
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Full Name
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Signature (First Initial and Surname):
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Submit
