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Adoption Contract
Adoption Contract
Animal Name
*
Breed
*
Color
*
Age
*
Sex
*
Male
Female
Altered
*
Yes
No
I hereby adopt the animal described above, and release Renee’s Rescues, from all claims for personal injury and/or property damage to myself or others associated with this adoption. The welfare of this animal will be my sole responsibility. I AM NOT ADOPTING THIS ANIMAL FOR ANOTHER PERSON. This animal will not be used for breeding, medical or experimental purposes.
HEALTH
*
After adoption, this animal’s health becomes my full responsibility. I will provide necessary veterinary care upon sickness, disease, or injury. In addition, the dog will be treated by a licensed veterinarian in order to assure and maintain the health of the dog. The dog will receive a rabies vaccination and be licensed in accordance with state and local ordinances. The dog will be tested for heartworm, and a heartworm preventative will be administered as prescribed by a veterinarian.
Adopter understands and agrees to have the dog seen by a licensed veterinarian within 15 days of the date of this contract.
CONTROL
*
I will keep this animal in a private residence only. The dog will be kept on a leash or in a fenced-in yard when outside.
TRANSFER OF OWNERSHIP
*
If I can no longer keep this animal, I MUST contact Renee’s Rescues by telephone or email immediately to arrange for re-adoption. I will never abandon this animal or give him or her to a shelter, organization or another person. I will insure that this animal is never sold, given up for experimentation, or exchanged in any form. I will abide by the terms of this contract and allow sufficient time to arrange for re-adoption or foster care.
RESERVATION OF RIGHTS
*
I understand that I may be contacted for further verification of the animal’s welfare and will cooperate by providing whatever information is requested which could include a visit into my home.
RELEASE
*
I do not hold Renee’s Rescues responsible for errors in the information provided to me about this animal. Further, I understand and agree that Renee’s Rescues CANNOT GUARANTEE THE HEALTH, TEMPERMANT, and TRAINING OR SUITABILITY of this dog for any particular purpose. The undersigned adopter does hereby release and covenant to hold harmless Renee’s Rescues from any claims, damages, costs or actions incurred as a result of Thank you for saving a life! this adoption or caused by the actions of the dog transferred herein. I accept all responsibility and liability for the animal at the date of adoption.
ADOPTION FEE/DONATION
*
I understand that the donation made as part of this contract is a gift and not a payment for a value received. This donation is not refundable after 24 hours.
Donation Amount
*
Payment Method
*
Online Credit Card via PayPal
Cash or Check
Total
$0.00
This adoption was coordinated by:
*
Additional Information / Comments
Adopter Signature
Adopter Name
*
First
Last
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darrussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
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Mayotte
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Myanmar
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Niger
Nigeria
Niue
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Norway
Oman
Pakistan
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Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
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Samoa
San Marino
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Serbia
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Sierra Leone
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Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
US Minor Outlying Islands
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country
Email
*
Phone
*
Mobile
*
Signature
*
Date
*
Name
This field is for validation purposes and should be left unchanged.