Surrender Form - Cowra Pet Rescue

Surrender Agreement

"*" indicates required fields

MKC Surrender Agreement

Name

First Last

Address

Street Address City State / Province / Region ZIP / Postal Code

Mobile number*

Names of Animals Surrendered*

What is the name (or the names if more than one) of the cats you are surrendering? Any description and details

Microchip(s) number(s)

Animals Personality i.e., confident, timid, playful, used to a quiet/noisy house, exposed to children/other pets

Health issues and any medical background.

Reason for surrender

Surrender Agreement*

Yes

Do you acknowledge that you are surrendering this pet and that we will rehome to a new family and home. You will not in future request the return of this pet or financial payment from CPR for this pet, and you agree to sign a NSW Government change of ownership form to transfer this pet to CPR.

I certify that I am the owner of the above-mentioned surrendered animal, and that today I transfer that ownership to Cowra Pet Rescue. As such I understand that I relinquish all rights to this animal.

Your name

Date of surrender

This field is for validation purposes and should be left unchanged.