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By submitting this form you agree to the following statement:

"I agree that I am voluntarily giving up ownership of this pet to Vaccinate Alter and Love Orphaned Rescues (VALOR). I understand that this agreement is final and even if the health of this pet improves. I will-not have this pet returned to me. With this agreement, I understand that any medical services and their fees that are involved from this point forward are not my financial responsibility, and that I won’t be contacted."