ACKNOWLEDGMENT

RELEASE, WAIVER AND QUITCLAIM

KNOW ALL MEN BY THESE PRESENTS:

I, _________________________________, of legal age, __________, ______ and currently residing at _______________________________________________after having been duly sworn to in accordance with law, hereby depose and state that:

1. I am turning over the custody over the animal/s described below to the PAWS Animal Rehabilitation Center (PARC) and the Philippine Animal Welfare Society (PAWS):

Species Number of Animals Name Description

2. I hereby abandon, waive and forever relinquish any claim or right which I may have with respect to the animal, and I hereby authorize both the PARC and PAWS to take custody over the aforesaid animal/s and to take such measures in their discretion as may be appropriate with respect to the aforesaid animal.

FURTHER, AFFIANT SAYETH NAUGHT.

IN WITNESS WHEREOF, I have hereunto affixed my signature on this _____day of ___________at ___________________________________.


__________________________________
Affiant

ACKNOWLEDGMENT

Republic of the Philippines)
Quezon City, Metro Manila) S.S.

BEFORE ME, a Notary Public for and in _________, on this ___ day of ____________, personally appeared the following persons:

Name  Community Tax Cert. No. Date/Place of Issue


known to me and to me known to be the same person who executed the foregoing Release, Waiver and Quitclaim composed of ____  (   ) page/s including the page on which this Acknowledgment appears, and acknowledged to me that the same is their free and voluntary act and deed.

WITNESS MY HAND AND SEAL on the date and place first above written.

Doc. No.
Page No.
Book No.
Series of _______.