I certify that I am the finder/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 I grant authorization to surrender ownership of the cat(s) to Medina Meow Fix (MMF); or if deemed ill or injured, to surrender ownership of the cat(s) to the Medina County Society for the Prevention of Cruelty to Animals (MCSPCA). I understand that upon surrender, MMF or the MCSPCA are now the owners 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 and the MCSPCA, 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).

I agree if the cat(s) are found to be too unsocialized/feral to be adopted, that they can be released back on my property. I will, therefore, retain ownership and will be responsible for food and shelter of cat(s).

I agree that once I surrender any adoptable or ill cat(s) to the MCSPCA that I give up all rights to receive updates on the cat’s condition and adoption status. I also understand that neither I nor any of my friends or relatives will be able to adopt cat(s) at a future date unless prior approval is given by the Director of the MCSPCA at the time of surrendering cat(s).

I AGREE THAT I WILL NOT CALL OR EMAIL THE MCSPCA ASKING FOR UPDATES AND UNDERSTAND THE STAFF/VOLUNTEERS ARE CARING FOR NUMEROUS OTHER ANIMALS THAT REQUIRE THEIR ATTENTION.