Veterinarian Records Release I grant my permission for the above veterinarian to release all medical records pertaining to this dog to Carolina Boxer Rescue, Inc. and hereby give him/her my permission to discuss all medical diagnoses and treatments while said dog was in my care. Owner Surrender and Liability Release By signing my name, I certify that I am the person identified in this application and that this will be considered my electronic signature. I certify that I am the rightful owner of the above-named dog, and that there is no other person who has right of property in such dog, or (ii) I certify that I am a rightful co-owner of the above-named dog and that I am authorized on behalf of all the co-owners to release such dog, surrender all property rights in such dog, and transfer ownership of such dog, to Carolina Boxer Rescue. If the dog was found as a stray, I am the party that found them, and I took ownership at the end of the dog’s stray hold, in compliance of any city, county, or state laws. I hereby voluntarily relinquish all claims and ownership of said dog to Carolina Boxer Rescue, Inc. I understand I cannot reclaim this dog once the dog is in the possession of the rescue. I certify that all information provided herein is true and correct and that Carolina Boxer Rescue, Inc. or its agent will not be held liable or chargeable for any false information or misrepresentations. I certify that the above-named dog is not possessed of any dangerous or vicious behaviors and that I have not failed to disclose any information about the dog that might indicate such behaviors. I hereby release, discharge and agree to hold harmless and indemnify Carolina Boxer Rescue, its board of directors, officers, members, agents, representative and volunteers from all claims, demands, actions, cause of action or liability of any kind whatsoever arising as a result of or in connection with the adoption or any other disposition of the above-named dog.