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Rescue Application - No Kill Manchester, TN

Rescue Application - No Kill Manchester, TN

A simple dog rescue application form. Form Preview
  • Do not use this form! Use new form located here: http://jotform.us/form/31676370730151 No Kill Manchester, TN: Rescue Pull Request

    (To be filled out if you are a Rescue that wishes for us to help you pull a dog from the Coffee County and Manchester, TN animal shelters)
  •  -
  • *I understand that all pull fees, vetting costs, and transport fees are my responisbility, as the signing representative for this organization, and that I am required to make sure all fees are paid in a timely manner.

    *I understand, that to cross state lines, it is Tennessee state law that any dog(s) pulled must have a veterinarian signed health cerificate.

    * I understand that I am responsible for spaying/neutering ALL dogs by six (6) months of age or within 30 days of rescue pull if older than six months. I must provide proof of this and vaccinations within thirty (30) days to the Coffee County or Manchester, Tennessee Animal Shelter, depending on which shelter the dog(s) were pulled from or to No Kill Manchester if the pull was coordinated through them.

    *I hereby accept the dog(s) as is and assume all risks and responsibilities associated with the dog(s)'s health and behavior, including but not limited to injury inflicted on any such persons by the dog(s), and I hereby fully and completely release, indemnify, and hold harmless No Kill Manchester, TN and it's volunteers from any claim, cause of action or liability of any sort or nature, whether known or unknown, directly arising out of or in connection with the adoption, health, care, or ownership, maintenance, retention, temperament, conduct or condition of the dog(s). I understand that this/these dog(s) is/are a RESCUE dog(s) and may have been exposed to diseases that are asymptomatic and could be incubating in the animal.

    *I understand that by typing my name, today's date, and submitting this form electronically, I am agreeing to all of the above conditions:

  •  -  - Pick a Date
  • Please remember to hit the "submit" button below before leaving this page or No Kill Manchester will not receive your application.

  • Should be Empty: