Owner Surrender
Georgia animal Rescue & Defence, Inc.

Owner Surrender


The owner surrender form should only be completed if you have received approval to surrender your animal to GARD. The agreement will be emailed to GARD and put on file. You may print out this page or the PDF version of this agreement if you wish to have a copy of the it for your records.

Owner Surrender Agreement

Being of legal age to give consent, I do hereby voluntarily and irrevocably give, donate, surrender and release to Georgia Animal Rescue & Defence, Inc. (GARD) the animals listed in this form.

I have disclosed any and all material information regarding the medical behavioral history of said animal(s). I willfully surrender all medical records and information and give GARD and its representative’s permission to contact the treating veterinarian for any records or information which might be in their possession.

First Animal's Sex

Is the first animal spayed or neutered?

Second Animal's Sex

Is the Second animal spayed or neutered?

Third Animal's Sex

Is the Third animal spayed or neutered?

I acknowledge that Georgia Animal Rescue & Defence, Inc. has made no promises regarding the surrendered animal(s) beyond the inclusion in its care and adoption program. I hereby certify that I am the rightful owner/keeper/caretaker/custodian of the animal(s) who is/are the subject of this Animal Surrender Form, hereinafter referred to as “the animal.” I hereby surrender any and all property rights of the animal. I release and discharge GARD from any and all claims, obligations, liabilities, and causes of action whatsoever arising out of or relating to the ownership, possession, or disposition of the animal(s) and agree to hold harmless GARD from and against any and all such rights claims, obligations, liabilities and causes of action which may be asserted by other parties. I certify that no other person has a right of property to the animal. I understand that by surrendering my property rights to the animal, the animal may be transferred into the custody of an animal shelter. I also hereby certify that the animal has not bitten or scratched a human or another animal within the past 10 days. I understand that once I relinquish the animal, the animal will not be available to be returned. I further certify that I have read and understand the terms of this Animal Surrender Form.THIS IS A LEGALLY BINDING CONTRACT AND DOCUMENT FOR THE IRREVOCABLE SURRENDER OF YOUR ANIMAL(S) TO Georgia Animal Rescue & Defence.

12 + 5 =

Phone & Email

PH: (Please Email Us)


By Appointment Only


100 Dichroic Dragon Dr.
Pembroke, GA 31321

Take I-16 to Exit 137 (Hwy. 119). Go south towards Pembroke, GA. We are 2.3 miles on the left.