Cat / Small Animal Waiver Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail * I cost PhoneAddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDog Name *This letter is to make the (adopter/owner/transfer partner) aware that it is unknown how the animal named animals. " will cohabitate with cats or small I HEREBY RELEASE, DISCHARGE, AND CONVENANT NOT TO SUE, White Rose Sanctuary, its respective administrators, directors, agents, officers, members, volunteers, sponsors and other participants from all liability, claims, demands, losses or damages on my account. I further agree that despite this release and waiver of liability. I or anyone on my behalf makes a claim I will indemnify and hold harmless each of the parties claimed against from any litigation expenses, attorney fees, loss, liability damage or cost which anyone may incur as the result of such claims. Signature Clear Signature Date / TimeDateTimeWRS Representative Signature Clear Signature Date / TimeDateTimeSubmit
