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Adoption Contract
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Email
*
Your email
Date of Adoption
MM
/
DD
/
YYYY
Pet’s Name
Your answer
Pet’s Breed
Your answer
Pet’s Age
Your answer
Markings/Color
Your answer
Pet Type
Dog
Puppy
Cat
Kitten
Clear selection
Gender
Male
Female
Clear selection
Your Name
Your answer
Your Address
Your answer
City, State, Zip
Your answer
Your Phone Number
Your answer
Alternate Phone
Your answer
Email Address
Your answer
Your Age
Your answer
Statement of Adoption: I acknowledge receipt from the Cottonwood County
Animal Rescue of the pet described
above. I accept the pet with the following
understanding:
Please initial each statement.
1. I agree to care for this animal in a responsible, loving manner. This pet will
be cared for by me or
someone I
reside with, and will be retained by me.
If a situation should arise where I cannot keep
the animal at my home,
I
will not give it to a third party, but will instead return it to CCAR. I further
agree that the CCAR can retrieve said
pet listed if any terms of this
agreement are not met.
Your answer
2. Should you decide that you are unable to provide care for the pet within
thirty (30) days after the
adoption,
the fee paid will be refunded in full.
Your answer
3.
If at any time I desire to relinquish the pet or CCAR demands its return, for
any reason, I agree to
immediately
return the animal to CCAR, making no
charge of any kind for licensing, care, food,
medical fees, or other
services.
Your answer
4. I agree to provide this animal with proper boundaries, shelter, food, water,
veterinary care,
current
identification and loving humane treatment at all times.
I agree to allow CCAR the right to
see the animal at any
time.
Your answer
5. I agree that I will bring no claim or action against CCAR, or its board and
volunteers, for any
reason and I
accept full responsibility and its actions.
Your answer
6. CCAR makes no claim as to the mental or physical condition or behavior of
this animal.
I accept all medical
responsibility for this pet’s care on and after
the date of this contract.
Your answer
7. IMPORTANT INFORMATION for CAT adoptions: If you have other cats you
may want to have the
cat tested
for Feline Leukemia, FIV and /or FIP.
Your answer
What is the Applicants age?
Your answer
I have read and understand this contract and agree to be legally bound by its
provisions. Failure
to abide by
these terms can result in the CCAR retrieving
the animal, with or without legal process.
I agree that the above information is correct. Please type your signature here.
Your answer
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