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Owner Surrender Form

Faith N Friends Horse Rescue and Sanctuary

I hereby irrevocably surrender and relinquish to Faith N Friends Horse Rescue and Sanctuary the following equine:

Equine's Name:*
Breed:*
Registration Number if Applicable:*
Age:*
Sex:* Mare Gelding Stallion (SEE NOTE)

* Faith N Friends does not accept stallions. All male horses must be gelded prior to surrender. Understood

Height (hh):*
Reason for Surrendering:*

Color/Markings:*
If this is a mare, could she possibly be pregnant:*
Yes No/Not applicable

Is this horse trained to ride? YesNo

If yes, what disciplines? English Western Bareback

Has this animal ever injured anyone?* Yes No

If "Yes," please explain:*

Does this horse have habits/behaviors that we need to be aware of? (Bites, Cribbing, Kicks, etc): *

Please list dates of equine’s last vaccinations, worming, hoof, and dental care:*

E&W Encephalomyelitis:    Rabies:
Rhino‐Flu:
Tetanus:
West Nile Virus:
Dental Care/Float:
Hoof Care:
Worming Product:
Does this equine have a current Coggins?* Yes No

Date of Last Coggins

Are there any medical issues we should be aware of?* Yes No

If yes please explain:

How does this equine get along with others in a herd situation?*

Does this equine stand easily for the farrier?* Yes No

Does this equine trailer load easily? Yes No

Items transferring with horse: (tack, medications, supplies, etc)*

Any cash donation to offset the intake costs (veterinary, feed) to Faith N Friends:
Donations to offset the intake cost to Faith N Friends are greatly appreciated. They are, however, not required as a condition of intake.

If you are unable to transport the horse(s), there is a fee of $2.00 per mile to offset the cost of transportation. Yes, I understand.

Representations and Warranties
I hereby represent and warrant to Faith N Friends that the undersigned is the sole owner of the above-described equine; has the authority to surrender this equine for adoption/placement or sanctuary at Faith N Friends, that no other person or person’s signature is required to initiate a valid transfer of ownership and registration papers on this equine (if available); and that no other person or persons has any legal equitable ownership interest in this equine.
Surrender Rights
By executing this document I understand that I am giving up forever all rights to, titles to, and interests, regardless of the delivery or non‐delivery of registration papers, to the above equine voluntarily and without coercion or threats of any kind. I further understand that all future decisions regarding the placement of this equine will solely be those of Faith N Friends. I also understand if this equine is found to be unsuitable for placement for reasons determined by Faith N Friends and/or a licensed veterinarian that the equine may either be retained as a Sanctuary Ambassador at Faith N Friends or euthanized. Lastly, it is understood that the surrendering party shall hold Faith N Friends and all its officers, directors, employees, and volunteers harmless from any claims of damage, injury, or acts of negligence arising from this surrender.
This is a legally binding document for the irrevocable surrender of an equine for placement in an adoptive home by Faith N Friends. Please read this document carefully and thoroughly before signing. Take as much time as you need to consider this decision.
I have read the preceding and agree to all conditions set forth.
Name:*
Date:*
Address:*

Phone:*
Email Address:*

SEVERABILITY:: In the event that a court of competent jurisdiction finds any term or clause in this Agreement to be invalid, unenforceable, or illegal, the same will not have an impact on other terms or clauses in the Agreement or the entire Agreement. However, such a term or clause may be revised to the extent required according to the opinion of the court to render the Agreement enforceable or valid, and the rights and responsibilities of the parties shall be interpreted and enforced accordingly, so as to preserve their agreement and intent to the fullest possible extent.
Nondiscrimination: Faith N Friends does not and shall not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities or operations. These activities include, but are not limited to, hiring and firing of staff, selection of volunteers and vendors, and provision of services. We are committed to providing an inclusive and welcoming environment for all members of our staff, clients, volunteers, subcontractors, vendors, and clients.
Faith N Friends is an equal opportunity employer. We will not discriminate and will take affirmative action measures to ensure against discrimination in employment, recruitment, advertisements for employment, compensation, termination, upgrading, promotions, and other conditions of employment against any employee or job applicant on the bases of race, color, gender, national origin, age, religion, creed, disability, veteran's status, sexual orientation, gender identity or gender expression.
**Adopters must be legal adults. The age requirement to sign a contract is 18 years of age, and applications/contracts signed by minors will be deemed invalid contracts. A child under the age of 18 is considered a minor and is unable to sign a contract.

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Timestamp

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February 9, 2020 7:48 am EST

Owner Surrender Form Uploaded by Faith Sadiku - faith@faithnfriends.org IP 68.62.189.161

December 13, 2021 3:46 pm EST

Document owner Paloma@faithnfriends.org has handed over this document to faith@faithnfriends.org 2021-12-13 15:46:33 - 108.70.43.90