I hereby grant sole ownership of said animal to:
______________________________________________________________

  - I certify that I am the legal owner of this animal.

I agree to indemnify and hold harmless www.poundpals.com Pound Pals and the rescue individual agent and/or group _____________________________ from any claims arising from this animal and the transfer of it.

I further agree that the ownership of this animal can be transferred to whomever they choose without further approval or contact with me.

I also certify that this animal has never bitten nor attacked anyone to my knowledge.

Breed/Species/Mixed
Breed: ______________________________________________
Male ___ Female ___ Color _____________________________
Description/Markings _____________________________________________________
_____________________________________________________
_____________________________________________________
Microchip # ______________________________
Tattoo ________________________
 

_____________________________________________________
Signature
______________________
Date

Address:
_______________________________________________________________

City, State, Zip code ______________________________________________

Phone _______________________


____________________________________________________________
Signature of Agent accepting the animal

Rescue Group ________________________________________________

Date _____________________