BARC-CT Surrender Form

It all started when...It all started when...It all started when...It all started when...

By signing this form, I state I am the owner of the animal(s) who is/are the subject of this animal surrender form, hereinafter referred to as “the animal”. To my knowledge, no other person has any right to this animal. I hereby surrender all the rights to the animal to BARC-CT, (Bridgeport Animal Rescue Crew of Connecticut). I understand that once I relinquish the animal, the animal will not be available to be returned. I have read and understand the terms of this animal surrender form.

Name *
Name
Date *
Date
Address *
Address
Animal Name | Animal Type | Weight | Age | Years Owned | Sex
Spay Neuter | Color | Last Vet Visit | Current Vet Name
Animal Name | Animal Type | Weight | Age | Years Owned | Sex
Spay Neuter | Color | Last Vet Visit | Current Vet Name