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Canine Kids Relocation Program Adoption Contract
This agreement is made by and between the Canine Kids Relocation program
representative, hereinafter referred to as "rescuer", and
__________________________________, hereinafter referred to as the "adopter".
The adopter hereby understands, promises, and agrees that in receipt of
this dog to forever release, discharge and covenant to hold harmless rescuer and
by other person, firm, or organization charged or chargeable with responsibility
or liability, their heirs, administrators, executors, successors, and assigns
from any and all claims, damages, and costs, expenses, loss of services, actions
and causes of action belonging to the said adopter, arising out of any act or
occurrence from the present time and particularly on account of the adoption of:
Name: _______________________
Breed: _______________________
Sex: _________________________
Color: ________________________
Date of Birth/Approximate Age: ________________hereinafter referred to
as "this dog" or the "dog".
The adopter hereby declares that no representations about the nature of the
adopted dog, nor any representations regarding the nature and extent of legal
liability, or of financial responsibility have induced the adopter to sign this
contract.
Canine Kids Relocation Program acknowledges receipt of an adoption fee in the
amount of $_________ to aid with reimbursement of veterinary and other expenses
from the adopter.
The adopter hereby acknowledges the following provisions as defined:
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SPAY / NEUTER AGREEMENT This is a contract of MANDATORY
Spay/Neuter as defined herein.
This spay agreement is an agreement that the female dog will not produce a
litter of puppies, either as purposely bred or by accidental breeding. The
rescuer's female dog, adopted as a puppy, will be spayed prior to adoption. If
the dog's health does not allow this agreement to be honored, permanent
ownership by the adopter is contingent upon a veterinary statement. This
statement will be by the veterinarian that has seen this dog, examined this dog
and has evaluated this dog as not yet in emotional and/or physical condition for
spay. Based on this situation, rescuer, not the adopter, and the veterinarian
will extend the length of time to be spayed immediately after the dog's
condition has improved.
Verification of sterilization by the veterinarian is to be mailed to rescuer
within fourteen (14) days of the spay. It is the responsibility of the adopter,
not the veterinarian, to be sure that rescuer has received this statement. If
this agreement is not honored, the adopter will acknowledge and agree that the
contract has been violated, and the adopter will transport the dog back to
rescuer with no refund.
The rescued male dog shall be neutered prior to adoption. Proof of
sterilization by the veterinarian must be provided to rescuer and given to
adopter. If the health of the dog delays the neuter, the veterinarian that has
seen this dog, examined this dog, and evaluated this dog must provide a
statement to inform as to why neutering cannot be done and when it can. Rescuer
will then reidentify the guidelines based on the dog's condition. It is the
responsibility of the adopter, not the veterinarian, to be sure that rescuer has
received this statement. If this agreement is not honored the adopter will
acknowledge and agree that the contract has been violated, and the adopter will
transport the dog back to rescuer with no refund.
ADOPTER'S ACKNOWLEDGMENT OF TERMS
The undersigned adopter hereby acknowledges receipt of the above described
animal and therefore agrees to the following terms:
1. The dog will not be allowed off leash except within adequate fencing.
2. The dog will not be chained to a doghouse, or chained outside to any type
of object or outbuilding. 3. The dog is not to live in a garage, doghouse,
or any type of outbuilding. 4. The dog will wear a collar or harness with an
ID tag when outside of it's home. 5. Shelter from weather must be provided
for the dog at any time that the dog is outside, if the weather is extreme heat,
extreme cold, or any other weather condition that may endanger the health of the
dog. The dog is not to remain solely in a crate while indoors, only while
adopter is not at home, if at all, and not for more than eight (8) hours a day.
6. The dog is not to be left with small children at anytime when unattended
by an adult. 7. The adopter must keep the rescuer informed with the name of
the dog's veterinarian. 8. The dog must remain on heartworm preventative all
year round, receive annual shots and other proper veterinary care. 9. The dog
is to have adequate food, water, and shelter at all times. 10. The adopter
shall refrain from physical abuse of the animal and from otherwise treating the
animal in an inhumane manner. 11. If for some reason the adopter no longer
wants the dog to contact Canine Kids Relocation Program. 12. Canine Kids
Relocation Program makes no guarantees about the dog's temperament, behavior
and/or health. 13. All fees are non-refundable.
CHANGE OF ADDRESS AND NOTIFICATION The adopter agrees to
notify 24 petwatch no less than ten (10) business days prior to change of
address. If you fail to keep this up to date we reserve the right to not return
lost or stolen pets.
Signed this ________ day of ________, in the year ____
Adopter's Signature(s): ___________________________
Adopter's Address: _____________________________
City: _________________________________________
State & Zip Code: _______________________
Home Phone: ___________________________
Work Phone: ___________________________
Date of Birth: ___________________________
Rescuer's Signature(s): _______________________
MicroChip ID #:______________________________
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