6443 Oak Canyon
Irvine, CA 92618
I certify under penalty of perjury that I am:
I relinquish all interest in this animal to the Irvine Animal Care Center. I release the center from any claims, present or future, related to the disposition of this animal, which may include euthanasia if deemed necessary.
To the best of my knowledge and belief, this animal:
I understand this animal may be euthanized, if deemed necessary.
I understand providing false information may result in animal abandonment and/or other charges being filed against me.
The City of Irvine takes your privacy seriously. This form asks you to provide the City with certain personal information. Such information is being requested and will be utilized by the City for the specific and limited purpose of future City correspondence regarding the subject-matter of this form. Pursuant to Measure S, an initiative ordinance passed by City voters in 2008, all information provided on this form will be kept confidential. Unless you expressly indicate to us otherwise or unless compelled by a court order, it will not be shared with other agencies, businesses or individuals.