WESTIE RESCUE OF
TENNESSEE OWNER'S RELEASE CONTRACT
Name of Westie being released to WRT:
Age: ______ Sex: M F Neutered/Spayed? Y / N
Intake Form completed? Y / N
Name(s) of Owner(s) of released Westie (print):
City: ________________________ State: _______________ Zip: ___________
Phone Numbers: Home ____________ Cell ____________ Work ____________
Terms of Agreement
Please read, sign and date the following
I, _________________________, hereby
make available for adoption the West Highland White Terrier (Westie)
known as ______________________________
I certify that I am the legal owner of this dog, free and clear of all other interests.
I certify that this dog does not have any dangerous propensities, and that I have not willfully concealed information about the dog that might indicate such propensities. The information I have provided about this dog is true and complete.
I hereby forever release, discharge and agree to hold harmless and indemnify Westie Rescue of Tennessee and the new adoptive owner and his/her family from all claims, demands, actions, causes of action or liability of any kind whatsoever arising as a result of or in connection with the adoption or other disposition of the above-named dog.
Signature of Owner Signature of Co-Owner
Westie Rescue of Tennessee (signature)