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United States Kerry Blue Terrier Club Rescue
OWNERS RELEASE AGREEMENT
Kerry Blue Terrier
Name of Dog________________________________________
Age_______ Sex__________Color______________________
Reason for Relinquishment__________________________
___________________________________________________
I, the undersigned, do hereby unconditionally release my animal to USKBTC Rescue, relinquishing all my rights, title and interests in said animal. I hereby swear that I am the sole legal owner, or agent for the owner of this animal. I agree that if USKBTC Rescue, in an extreme case, deems it unavoidable and necessary for health reasons and/or unsound temperament the animal may be humanely euthanized.
Name(Print)________________________________________
Address____________________________________________
City,State,Zip_____________________________________
Phone______________________________________________
Signature__________________________________________
(Note: USKBTC Rescue does not sell animals for research)
USKBTC Rescue Contact List
Contact List
RELEASE AGREEMENT RECEIPT
I,____________________________________, acting as a representative of USKBTC Rescue, will accept this dog and will deliver this dog to a USKBTC Rescue approved foster home.
USKBTC Rescue assumes full responsibility for the dog at the time of this transaction. At this time the GIVER, relinquishes all responsibility for this dog.
USKBTC Rescue will treat this dog according to it's established procedures for placing dogs.
Signature of USKBTC Rescue Representative
__________________________________________________
Address___________________________________________
City, State, Zip__________________________________
Phone_____________________________________________
Date______________________________________________
Last Updated: 10/20/2008, 9:11 pm
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