Terms of Surrender:

I. Terms of Release
I, the surrendering owner(s), hereby agree to irrevocably surrender to the Surrender Facilitator the following so described Yorkshire Terrier:

II. Owner's Representations and Warranties
We hereby represent and warrant to the Surrender Facilitator, successors and assignees, that we are the sole owner(s) of the above described Yorkshire Terrier and that we have unabridged authority to surrender this animal. We further assert that we are registered as the sole owner(s) of this Yorkshire Terrier with the AKC, or other pedigree registry, and require no other individual or institution's permission to affect a transfer of ownership of said pedigree registration papers. No other individual or institution has any legal or equitable interest in this animal.

III. Owner(s) Document and Information Provision
We agree to provide the Surrender Facilitator with any documents and all other available information concerning this Yorkshire Terrier that may facilitate matching this dog with the proper adoptive home. These documents may include veterinary records, vaccination records, and pedigree registrations. We also agree to provide personal knowledge of the Yorkshire Terrier's history, habits, and personality characteristics.

IV. Owner(s) Surrender of Rights
With the execution of this document, we cede all rights, title, privileges, and interests in the aforementioned Yorkshire Terrier. It is understood that this revocation extends to all future decisions concerning this dog made by the Surrender Facilitator including medical and adoption requirements. We further stipulate that the Surrender Facilitator has sole discretion in determining whether the dog's temperament, health, especially chronic, irreversible, life-threatening, and/or painful ailments render the dog unsuitable for adoption, requiring unforeseen actions.

V. Release and Indemnity
We agree and understand that herewith we release and hold harmless the Surrender Facilitator from any and all liability arising from the placement for adoption or any other necessary and appropriate action undertaken by the Surrender Facilitator on behalf of the aforementioned Yorkshire Terrier in accordance with and in reliance on the representations made and the authorizations given under the terms of this document.

We agree to hold harmless the Surrender
Facilitator from any damages suffered, expenses incurred, including legal fees in defending or pursuing any legal action, whether for bodily injuries or death, property damage, breach of contract or otherwise, whether instituted by us or by any other individual(s) including the adoptive owners, arising out of or in consequence of the placement of this Yorkshire Terrier, in reliance on the authorizations, representations, and guarantees we have made in this agreement.

This constitutes the entire agreement between the Surrender Facilitator and us and no other terms or conditions are granted or implied.


THIS IS A LEGALLY BINDING DOCUMENT FOR THE SURRENDER OF THE AFOREMENTIONED DOG. PLEASE READ THIS CONTRACT CAREFULLY AND COMPLETELY. BE CERTAIN YOU UNDERSTAND ALL TERMS BEFORE SIGNING.