SURRENDER OF OWNERSHIP

Date _______________

To Whom It May Concern:

I, ___________________________________, am the legal owner of and have surrendered  _____________ to Las Vegas Labrador Rescue. ____________ is a [ ]chocolate, [ ] black, [ ] yellow Labrador Retriever. He/She is ________ years old. I am relinquishing all rights to this animal.

Please release any records and information, including microchip transfer to Las Vegas Labrador Rescue and their volunteers.

Any questions, please feel free to call _________________________ and ask for _______________ .

Thank you,

____________________________________________