RUBY RANCH HORSE RESCUE

							                   RUBY RANCH HORSE RESCUE
                         (A 501c3 Non-Profit Oranization)
                       36785 Ramah Rd. E., Ramah, CO 80832
                                  719-541-3642

Animal Donation Acknowledgment

Name/s__________________________________________________________

Address__________________________________________________________

City____________________________State______________Zip____________

Phone_________________________ Email_____________________________

I (We), ___________________________________, as sole owner(s) hereby relinquish

ownership and all claim to the animal(s) named _____________________________

_____________________________________________________________________

Breed ____________________________ Age ____________, Sex ________________

Description ____________________________________________________________

_______________________________________________________________________
to Ruby Ranch Horse Rescue. I understand that the future use of the animal(s) is at
the sole discretion of the Board of Directors of RRHR. In the event the animal(s) is
(are) not adoptable according to the American Association of Equine Practitioner’s
guidelines due to chronic illness, severe lameness or persistent dangerous behaviors, it
(they) may be humanely euthanized. I hereby relinquish all rights or claims to the
animals named herein to Ruby Ranch Horse Rescue and its agents.

Date ________________ Owner/s___________________________________________

Donation Value $___________________            __________________________________
                                                    Ruby Ranch Horse Rescue

Ruby Ranch Horse Rescue cannot put a value on donated animals. This should be
done by the owner/s prior to donation.



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