OWNER SURRENDER

Lily’s Pad Rescue does take in owner surrender dogs. We understand that special needs dogs require extensive resources ranging from medical care, diet, all the way to the daily care required for a diapered or differently abled dog. Filling out this form does NOT guarantee that the rescue will be able to take on your dog. We are a foster based organization and only have a certain number of spaces available at any given time.

PLEASE NOTE:

By submitting this application, I understand that Lily's Pad Rescue has the right to accept or deny my surrender application. By submitting, I hereby make available for adoption through Lily’s Pad Rescue the above named dog. I certify that I am the owner of this dog, free and clear of all other interests. I certify that this dog is not possessed of any dangerous or vicious propensities and that I have not willfully concealed information about this dog that might indicate such propensities. The information I have provided about this dog is true and complete. I forever release, discharge and agree to hold harmless and indemnify Lily’s Pad Rescue, its Board of Directors, officers and agents from all claims, demands, actions, causes of action, or liability of any kind whatsoever arising as a result of or in connection with the adopter or any other disposition of the about-named dog. By submitting I understand that this dog will become under the ownership of Lily's Pad Rescue once he/she is in the physical custody of an LPR representative and is an irrevocable decision on my part. At the end of the surrender application, there is a mandatory additional area to indicate you have read and understand this condition. We will not enforce the surrender form agreement until the dog comes in to the physical custody of our representatives. The surrender contract must be electronically signed prior to an LPR representative picking up the dog.

Revised: 9/24/23