Surrender Step #2 | St. Louis Scottish Terrier Rescue

STEP #2- RELEASE AND SURRENDER AGREEMENT
THIS IS A LEGALLY BINDING DOCUMENT FOR THE IRREVOCABLE SURRENDER OF YOUR SCOTTISH TERRIER FOR PLACEMENT TO AN ADOPTIVE HOME. PLEASE READ CAREFULLY AND COMPLETELY BEFORE SIGNING. TAKE AS MUCH TIME AS YOU NEED TO FULLY CONSIDER THIS IMPORTANT DECISION. IF YOU HAVE ANY QUESTIONS, PLEASE CALL: (314) 448-0460. A SURRENDER DONATION OF ANY AMOUNT IS APPRECIATED.

RELEASE AND SURRENDER AGREEMENT
This General Release and Surrender Agreement (hereinafter "the Agreement") is entered into as of this date
MonthDayYear
by and between the St. Louis Scottish Terrier Rescue, a Missouri not-for-profit corporation ("STLSTR"), and
Owner's Name*
E-mail*

Once more please!...
(an) individual(s) residing at [ADDRESS] ("Transferor").

FOR GOOD AND VALUABLE CONSIDERATION, the receipt and sufficiency of which is hereby acknowledged, Transferor on behalf of him/herself and his/her family, heirs, executors, administrators and assigns hereby IRREVOCABLY surrenders to the STLSTR for placement and adoption, a Scottish Terrier described as follows:
CALL NAME
AKC REGISTERED NAME (If different than "Call Name"
SEX*

MaleFemale
DATE OF BIRTH

MonthDayYear
COLOR
AKC REG. PAPERS *

YesNo
AKC REG. NO
MICROCHIP NO.
Should be Empty:

STEP #2- RELEASE AND SURRENDER AGREEMENT