I certify that I am the finder/authorized owner of the feral/community cat(s) located at the above address. Further, I certify that I have unrestricted and complete authority and grant authorization to have cat(s) sterilized. If cat(s) are deemed adoptable or are too ill or injured to be released, I grant authorization to surrender ownership of the cat(s) to Medina Meow Fix (MMF). I understand that upon surrender, MMF is now the owner of the cat(s), and the cat(s) may be placed in a new home or euthanized, if necessary due to illness or injury. I certify the information written above is true, and I am not surrendering cat(s) under false pretenses.

I understand that surrendering ownership of the cat(s) does not relieve me from any legal or financial responsibilities including the possibility of criminal prosecution for violation of humane laws. I hereby release MMF, its employees, staff, agents and/or representatives from any claims or demands that I have, or may have, that may be connected with the cat(s) that: (a) may arise out of the care of cat(s); or (b) may arise out of euthanizing cat(s).