Spay/Neuter Transport Info/Release FormPlease enable JavaScript in your browser to complete this form.Today's Date Pet Owner's Name *FirstLastI hereby freely and voluntarily provide my consent for Hoosier Fix volunteers to take possession of my animal(s) and transport to IndyHumane's Clinic at 456 N. Holmes Avenue, Indy 46222 for the purpose of having my animal(s) spayed/neutered and vaccinated.YesNoI hereby freely acknowledge and understand that accidents may occur while transporting my animal(s) and it is possible that my animal(s) may escape or be injured and also that permanent loss or death of my animal(s) may occur. I freely and voluntarily accept this risk and will not hold Hoosier Fix or its volunteers or any agent thereof responsible for the loss, injury or death of my animal(s) during their lawful possession thereof, especially while transporting my animals to and from the spay/neuter facility.YesNoI understand that I need to be ready for my pet to be picked at the designated morning time (between 6:40 a.m. and 7:15 a.m.) and/or be available to drop off at approximately 4-4:30 p.m YesNoI understand that I need to have my pet contained in a carrier (cat) or on a leash (dog) when the volunteer is set to arrive for morning pickup. YesNoI have carefully read this waiver of liability agreement and fully understand and agree to the contents thereof. Please type your full name in the box below. *Submit
