Little Yorkie Rescue Surrender Form

Little Yorkie Rescue- 
CO: Donna Rickard 
1308 Douglas Ct. Lorain, OH 44053 



A Donation would go a long way toward the care of your animal and others.


     By signing this form via hard copy or by electronic submission  you are agreeing to surrender your animal to Little Yorkie Rescue (LYR). You are stating that you are the owner of the animal/s who is/are the subject of this Animal Surrender Form, referred to as “the animal.”  You are surrendering the animal with full knowledge that there is no other person who has any right to this animal. 

     I, hereby surrender my rights to the animal/s to Little Yorkie Rescue (LYR). I understand that once I sign (Electronically Sign & Submit) below that I relinquish all right to the animal/s, that the animal/s will not be available to be returned. I have read and understand the terms of this Animal Surrender Form. 

Signature: ______________________________________     Date: ______________________________

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