Please, only use this form if you have been asked, by Piedmont Pound Paws, Inc., to submit it. It is NOT for use as a request for us to take your unwanted pet as we are not a pound and have no facility to hold unwanted pets. If you are wanting to rehome a pet or this is about a stray, please post a good picture of that pet/stray, info., and your contact number on the (Link) Piedmont Paw Protectors' facebook page to look for an owner, another home, or a licensed rescue. There are several licensed rescues that monitor those posts and will gladly take unwanted pets as room and funds allow. they will contact you directly so be sure to post your contact info as well. Thank you for reaching out for help. Thank you for helping to find homes for unwanted pets.
First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Email*
Home Phone
Work Phone x
Cell Phone
Alt Email
State Driver's License # or License Plate (required by the Dept. of Agriculture)*
What is the breed, sex, age, color, of the pet(s) you are releasing?*
Why are you giving up this pet?*
Please read and initial the following statement that you understand and agree: I hereby surrender, release and transfer ownership to Piedmont Pound Paws, Inc. of the animal identified above. I certify that I have true and legal ownership of the above animal, free and clear of all other interests and that I have all necessary right and authority to surrender, release and transfer ownership of the animal. I certify that this animal is not possessed of any dangerous or vicious propensities, and I have not concealed information about this animal that might indicate such propensities. The information that I have provided about this animal is true and complete.*
I hereby forever release, discharge, and agree to hold harmless and indemnify Piedmont Pound Paws, Inc. from all claims, demands, actions, causes of action, or liability of any kind whatsoever arising as a result of or in connection with the care or the adoption or other disposition of the above animal.*
Type your full name and date to show you legally agree to this release in full.*
