By completing this information, I declare UNDER PENALTY OF PERJURY that I am the legal owner/agent of the animal(s) submitted. I have answered all the questions above to the best of my ability. I understand that once I surrender my animal(s) to the Humane Society of Southeast Texas, I relinquish all legal rights to said animal and to any information regarding the animal(s) surrendered and their disposition. I further understand that there is no time guarantee, or placement of the animal(s) surrendered and understand that the animal(s) shall be evaluated, and disposition determined at the discretion of the Humane Society of Southeast Texas.
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