2. I Agree to Attempt to Find Alternate Housing for My Animal As Soon As Possible

Animal Intake #

Liability Release

Due to a declared emergency, I am requesting Butte County/NVADG to board my animal listed above and agree to all of the following: 1. I understand that my animal may be exposed to diseases and other risks while being housed at the shelter or other facilities and therefore I will not hold Butte County/NVADG responsible for the health or death of my animal. 2. I agree to attempt to find alternate housing for my animal as soon as possible. 3. I agree to contact the agency on a regular basis to keep Butte County/NVADG updated on my whereabouts and possible alternate housing. 4. I understand that this boarding agreement is temporary and I agree to make arrangements for or claim my pet at the close of the shelter. 5. I understand that I will be subject to boarding fees after the close of the shelter.

Owner Signature Date

Butte County/NVADG Volunteer/Witness Date

______

AUTHORIZATION FOR ANIMAL RELEASE (COMPLETE THIS SECTION WHEN ANIMAL IS BEING RELEASED FROM SHELTER)

I hereby acknowledge that I am the owner/responsible person for the above animal. I have taken custody of my animal on and am now responsible for its care and transportation. I also acknowledge that I have received my animal in satisfactory condition. I release this facility, Butte County/NVADG, all of its volunteers and any sponsoring agencies associated with caring for my animal(s) from further responsibility. I have also been advised that the premises to which I am returning the animal should be thoroughly checked for damage (fences down, hot spots, chemicals, and any other animal endangering condition) before returning the animal to its premises, and before the animal is released from this facility.

Owner Signature Date Drivers license

Released By Date Time

White copy to intake book Yellow copy leave attached Pink copy to owner/rescuer @ time of animal release Last Updated 3/19/09