SAMPLE ADOPTION CONTRACT:
Adopter's Name:____________________________
Phone: ________________________________
Address: _______________________________
Former Owner's Name: _______________________
Phone: _______________________________
Address: ________________________________
Dog's Name: ________________ Breed: _____________ Age:________ Sex:____ Color:______
Date of last Vet Check-up_________ DHLP_______ Rabies______ Heartworm check________
Next vaccinations & Heartworm check will be needed:_____________
Tatoo
Number _______________
To the best of my (former owner) knowledge, this dog has no defects that would
make it unsuitable as a family pet. I certify that this dog has never bitten or
injured anyone.
I (adopter) understand and agree to the following terms of this contract and understand
that non- compliance with the terms of this agreement gives the adopting agent/former
owner the right to reclaim this dog without refund of adoption fee. An adoption
fee of $_________ will be collected at the time of adoption.
This dog shall be kept and cared for as a family pet in a humane manner and given
appropriate shelter and medical care for the duration of its life.
I agree to abide by all state and local animal control and leash laws. I understand
it is my responsibility to become familiar with these laws.
I understand that ________( former owner/agent) ______makes no guarantees or warranties
regarding the health or temperament of this dog. I agree to adopt this dog and
to be solely responsible for this animal and any damages that may result from
its actions. ___________ (former owner/agent) _____ shall not be held liable for
the behavior of this dog or any damages it may cause. I understand that this a
binding contract enforceable by civil law.
Date of adoption: _____________________
_______________________________________________________
Adoptor's signature
_______________________________________________________
Former Owner's Signature
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