NASAC Rescue Agreement

NASAC Rescue Agreement


First name:
Last name:
Street address:
City:
State:
Zip code:
Cell phone:
Home phone:
Other phone:
Email address:
I agree to take the following animals to rescue for the purpose of finding them new homes. Upon signing this agreement I accept full ownership of the animal(s) and release the Nacogdoches Animal Services and Adoption Center from any responsibility for the maintenance or actions of the animal(s).
Name of Rescue: *

Animal name:
Animal name:
Animal name:
Animal name:
Animal name:
Animal name:
Animal name:
Animal name:
Animal name:
Animal name:
Signature of Rescue Representative: * Signature
Date:
Attach 501C letter here:
Driver's License or ID: *
Please ensure that the application is complete before submitting, as the document cannot be edited once it has been submitted