Beruflich Dokumente
Kultur Dokumente
90403
310.74-LHASA • 310.745.1551 Fax
LhasaHappyHomes@aol.com
RELEASE OF ALL CLAIMS
I hereby release to LHASA HAPPY HOMES RESCUE, this pet as described herein:
Dog’s name____Belle_______ Age ____5_______ Birthdate (if known) ____June 6___ Male Female
Reason(s) you are giving up: ____Do not have the funds or time to car for her___________________________________
DOG INFO: Housebroken OK/dogs OK/Cats Good w/ kids Gives Kisses Protective*
Best/Worst characteristics of your dog (including any “attitude”): Extremely loving and great happy demeanor, needs lots of love!
__________________________________________________________________________________________________________
1158 26 TH Street, Santa Monica, CA
90403
310.74-LHASA • 310.745.1551 Fax
LhasaHappyHomes@aol.com
ANYTHING YOU CAN TELL US ABOUT YOUR DOG THAT WILL HELP US IN REHOMING:
She is perfect we cannot care for her b/c of 2 new babies and the time and money it takes to care for them____________________
__________________________________________________________________________________________________
What will you be sending along with the dog (food, bed, toys, crate, etc)? Crate, toys_________
__________________________________________________________________________________________________
Upon my release of the above-mentioned pet, I agree to allow Lhasa Happy Homes Rescue (LHH) select a new home for this animal,
which they deem to be appropriate, without any involvement from me (as the former pet owner), unless agreed upon in advance. By
signing this document, I, being of lawful age, do hereby release, acquit and forever discharge LHH and their employees, agents
(hereinafter collectively designated as the releasees) of and from any and all allocations, causes of action, claims, demands on account
of or in any way growing out of any and all claims of any kind resulting, or to the result from, or by reason of the conduct of releasees
occurring at either any time prior hereto or hereinafter.
Further, by signing this document below, Lhasa Happy Homes certifies that it will foster and care for your dog(s) until such time as
they are re-homed with a permanent family. We will house and board, vet and medicate, spay/neuter if necessary, groom, de-worm
and provide a loving environment for your pet. We will not, under any circumstances, resell your animal for the purposes of medical
research or anything related thereof.
__________________________________________________________
City/State Zip
VETERINARIAN: __________________________________________
(name)
______________________________________________________
(Clinic)
PHONE ___________________________________________
IMPORTANT: Please attach copies of current shot records, sterility and rabies certificates and send along with a
signed copy of this Owner Release Form (OTI). Thank you.