RHST Surrender Form

Owner Release Agreement
Date:____________________________
Animals Name: ____________________________

Species:____________________________ Gender: ____________________________
Microchip? ___________________ Color(s):___________________________________
Scars, or Injuries:__________________________________________________________

RELEASE OF OWNERSHIP: I agree and understand that I am giving up all rights of possession and ownership of this pet and that I will not be able to redeem said pet at any time nor will I be allowed to know the pet's whereabouts. I agree and understand that said pet is now sole property of the Reptile Hospice and Sanctuary of Texas (RHST). I promise that the information that I am giving is accurate and that the RHST will not be held liable or chargeable for any false information or any misrepresentations that I may have submitted on this form.

Previous Owners information: Printed Name Of Previous Owner: ___________________________________________________
Signature Of Previous Owner: ___________________________________________________
Street Address: ________________________________________________________
City, State, Zip:__________________________________________________
Phone Number with Area Code: ( )______-__________
How did you learn about our Sanctuary?