I, ......................................................................................................................... willingly surrender ownership of my dog [     ] / cat [     ] / other pet [     ]

called .............................................................................................................. and described as male [     ] / female [     ], colour ...........................................,

size .........................................................................., and type ............................................................................................... to the Animal Welfare Network.

In so doing, I renounce all ownership claims.
 

 

............................................................................................................................
Signature of owner

 

............................................................................................................................
Date


Reason(s) for surrendering pet :
 

............................................................................................................................
Name of recipient

 

............................................................................................................................
Clinic


I will Donate : $
 

Address: #14 Hillside Avenue, Cascade, Trinidad, W. I.  •  Tel (answering service): 1 868 627 3449  •   Email: animalwelfarenwk@yahoo.com