Little Angels Rescue Adoption ContractThis agreement is made _____________, by and between the Little Angels
Rescue representative Diane Bolvin, hereinafter referred to as "rescuer",
and __________________________________, hereinafter referred to as the
"adopter". Name: _______________________ 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. Little Angels Rescue acknowledges receipt of a donation 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: FEE SPAY / NEUTER AGREEMENT 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. COLLARS AND TAGS A leash is required when the dog is taken out in a public area which enforces a leash law, any area which requires total control over the dog at all times, and any area which requires the dog to be leashed at all times when walking in a residential area. TRANSFER OF OWNERSHIP The dog adopted from rescuer must be returned to rescuer if for any reason the adopter can no longer keep it. Violation of this agreement will result in court costs and attorney fees payable by the adopter if necessary for the rescuer to redeem the dog. ENVIRONMENT The adopter is not to expose the dog to harmful objects, poisons, or other living creatures that may endanger the dog's life. The dog may be crated for no longer than eight (8) hours in a twenty-four (24) hour period of time. The crate must be large enough for the dog to lie comfortably on its side. An outside shelter, such as a doghouse, is not acceptable as residence, but can be used only when needed in extreme heat, cold, or rain when the dog is let out into the yard for short periods of time and only when the adopter is at home. HEALTH PROGRAM It is strongly recommended that all adopters sign up for the 2 free months of Sheltercare Pet Insurance provided by Petfinder immediately. The adult dog when adopted will be seen by a veterinarian within five (5) days of the adoption date to start the heartworm preventative program and to get a fecal test done to be sure the dog is free of parasites. Rescuer reserves the right to check with the veterinarian at anytime to verify that all the basic health requirements are being done. Renewal of rabies vaccine is required by law and therefore by the terms of this contract. IMPORTANT NOTICE - TEMPERMENT While the rescuer makes every effort to place only healthy animals, the rescuer cannot guarantee the health of any animal, and shall not be held responsible for any medical expenses which may be incurred, hereby expressly excluding any implied warranties of merchantability or fitness for any particular purpose, including, without limitation, any warranties regarding health, temperament or whether the animal is housebroken. REMEDY FOR NON-COMPLIANCE The adopter further agrees that if there is any breach or default of the terms of this contract, and the dog must be redeemed through a claim and delivery service, that the adopter will be held liable for all court costs and fees for the adopter's attorney and for rescuer's attorney. This has been read to the adopter and explained to the adopter. The adopter has read this, understands and agrees to this, and is signing this contract. COSMETIC SURGERY TRANSPORTATION ADEQUATE FENCING A kennel environment is not acceptable for housing, safety, or the emotional well being of the dog. If the dog should be able to jump over, or dig under, the fence it is no longer an adequate fence and must be repaired by raising it to six (6) feet or sealing any and all weak spots immediately. This decision on whether a home is adequately fenced will be made by rescuer, not by the adopter. While the fence is not serving the purpose, the adopter shall not leave the dog unattended in the yard at any time. RESCUER'S RESERVATION OF RIGHTS If the terms and conditions of this contract are not upheld by the adopter, and/or any misrepresentations have been made by the adopter, rescuer reserves the right to terminate this contract and the adopters will agree to allow a representative of rescuer to reclaim the dog without notice or refund. The adopter further agrees to pay liquidated damages, in the amount of fifty (50) dollars per day, for every day that the adopter fails to comply with the agreement terms, or willingly surrender the dog at time the incident has become knowledge to rescuer. Rescuer's reservation of rights also includes not adopting a dog into an area or environment that may endanger the life of the dog, which includes relocating with the dog after the adoption agreement. If the dog becomes lost, seriously injured, and/or permanently disfigured, or for any reason the dog dies, the rescuer must be notified within five (5) business days. Notification of rescuer is to include all veterinarian, animal control, legal, and other paperwork. 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.
CHANGE OF ADDRESS AND NOTIFICATION COSTS OF ENFORCEMENT CONFIDENTIALITY RIGHT OF OWNERSHIP 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): _______________________ Rescue Agency: Little Angels Rescue
EXTENDED PROVISION OF CONTRACT Puppies that have not received all DA2PP vaccinations are not required to attend obedience classes, nor is it advised. DA2PP vaccinations are given three (3) weeks apart until the full series has been completed. At this time, the above extended provision is required. Signature of Adopter(s): _________________________________________ Date signed:______________________________________ Signature of Rescuer: __________________________________________
Little Angels rescue requires a hard copy of this form, complete with signatures, certifying the above information. Please highlight, print and complete this form, and return to
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