Release Form Garbage

Pig Placement Network

RELEASE AND SURRENDER AGREEMENT

 

 

Owner’s Name: ________________________________   Phone: ( _______ ) __________________ email _________________________________

 

Address: ____________________________________________________________City__________________ State ____________

 

I hereby irrevocably surrender to the Pig Placement Network for placement, adoption or disposal, the following pet pig (s) :

 

Pet’s name(s): __________________________________, age(s) ____________, sex(s) _________, weight ______________ description________________________________________________________________________________________

 

as more fully described in the attached Surrender Form, subject to the terms below:

 

  1. I hereby represent that I am the sole owner or have the legal authority over the pet pig. I have full power to surrender this animal for adoption and that no other person has any legal ownership interest in this pet.

 

  1. I understand that PPN does not buy or pay for pet pigs. PPN’s adoption service is offered to help place your pet pig into a new home. The service is free, however you are expected to pay for any vet care or other expenses incurred by PPN in order to make your pet pig suitable for placement into a new home. Donations for our volunteers’ efforts are always appreciated. PPN is under no obligation to provide veterinarian care to my pet, but may do so under this Release.

 

  1. I agree to provide PPN with any documents and other available information regarding my pet pig, including health and shot records, registration forms, the pet’s history, including any important life events and individual personality traits. I certify that I have not willfully concealed any information about my pet, including any history of biting or aggression.

 

  1. By executing this agreement I understand that I am giving up all rights to the above mentioned pet and understand that future decisions regarding the placement of this animal will be made solely by PPN. I also understand that if this pet is later found to have an unpredictable temperament or otherwise is unsuitable for adoption or placement, or if the pet’s quality of life is substantially impaired, in the opinion of a competent veterinarian, by a chronic, irreversible, painful medical condition, euthanasia may be considered as an alternative to adoptive placement. Should this decision need to be made I ________ wish  or ____________ do not wish, to be contacted (please “X” one).  If you wish to be contacted PPN will use reasonable efforts to contact you, unless an emergency or other condition arises which makes it difficult for PPN to make you aware of this decision.

 

  1. I hereby specifically and forever release and hold PPN (including its board of directors, its officers, volunteers and agents) harmless from any and all liability arising from the placement for adoption by PPN of my pet pig or for any other actions taken by PPN in connection with the adoption or other disposition of my pet. PPN may specifically rely on the information provided and the representations I have made in the surrender process (including the completion of all Surrender Forms and information provided therein). I agree to indemnify and hold harmless PPN and it’s volunteers from and against any claims, demands, actions causes of action or any liability of any kind arising as a result of or in connection with the adoption or other disposition of my pet, this includes any claims which may arise from volunteers of PPN, the adoptive owners of my pet, or any other parties, arising out of or in connection with the information I have provided to PPN during this surrender process.

 

THIS IS A LEGALLY BINDING DOCUMENT FOR THE IRREVOCABLE SURRENDER OF YOUR PET PIG FOR PLACEMENT TO AN ADOPTIVE HOME. PLEASE READ IT CAREFULLY AND COMPLETELY BEFORE SIGNING.

 

TAKE AS MUCH TIME AS YOU NEED TO FULLY UNDERSTAND THIS IMPORTANT DECISION.

 

I have read this agreement and agree to its terms and conditions. I further certify the information I have provided is true and complete.

 

 

 

____________________________________________________          _______________________

Signature of Owner                                                                     Date

 

 

 

Witnessed by:

 

 

_____________________________________________________          ________________________

Signature                                                                           Date

 

 

Please initial below if you wish to have the new owner’s contact you:

 

_____________  I agree that my name and telephone number may be released to the new owner of this pig and the new owner can contact me if he/she wishes to gain any further information about my pet.