Brookhaven Animal Rescue Alliance Ltd
501 (c) (3) Tax Exempt Corporation
Medford, New York 11763
Ph# (631) 295-7949 Fax# (631) 654-3293
Contract Date: ______________
Member of the PETCO Foundation since 2009
TRAP AND RELEASE AGREEMENT
Brookhaven Animal Rescue Alliance agrees to trap and release cat(s) and Kitten(s) at below address.
Address: ___________________________________ City: _____________________________
State: ________________ Zip Code: ____________
Number of Trappings: _____________
Person requesting the TNR: ___________________________________ Ph# ________________________
I the undersigned agree to allow Brookhaven Animal Rescue Alliance or it representative to enter my premise
to perform the agreed upon trap and release service as outlined below under service description for a donation
fee of SIXTY Dollars per cat or kitten IS TO COVER THE COST OF THE SPAY OR
NEUTER, TRAPPERS TRAVEL, RECOUP TIME AND FOOD.
Service Description:
The trap and release contract is for trapping a cat(s) or kitten(s) over two months of age and transporting the
cat(s) or kitten(s) to Brookhaven Animal Rescue Alliance Ltd Veterinarian to have the cat(s) or kitten(s)
medically examined, spayed or neutered and a rabies vaccine and returned back to the above trapping site.
I the undersigned agree to have the cats or kittens that where trapped on my property to be returned back to my
property. I also agreed that there will be no abuse or abandonment on my part after the animals have been
returned to my property by and from Brookhaven Animal Rescue Alliance Ltd representative after being
altered.
The only responsibility Brookhaven Animal Rescue Alliance Ltd or BHARA representative have is to trap,
recoup and release cat and/or kitten back to the trap site and will be held harmless in this Trap and Release
Agreement. Brookhaven Animal Rescue is not a vet.
Property Owner or Authorized Representative:
Print: _________________________________Sign:_____________________________ Date: _____________
Brookhaven Animal Rescue Authorized Representative:
Print: _________________________________Sign:_____________________________ Date: _____________