How about this:
This Agreement is made and hereby entered into on _________________________________by and between ___________________________________________ and ________________________________ (hereafter referred to as “Adopter”).
The dog described below may hereafter be referred to as the “Dog" or (Name). The purpose of this contract is to ensure that adopter provides the Dog with the best possible care and treatment throughout its lifetime.
Name: _____________________ Weight: _______
Breed: ______________ Sex: ________(altered)
Color _____________________ Age: _________
Micro Chip: ___________________ DOB: _________
In consideration of a donation of $ ______ , (name) agrees to allow Adopter to take ownership of this Dog according to the terms set forth in this contract. (Name) warrants that as of the Agreement date and to the best of its knowledge the Dog Is current on all shots (for age), altered, heartworm negative, wormed, micro-chipped, and is in good health, and free of any diseases.
ADOPTER UNDERSTANDS THIS IS A BINDING CONTRACT, AND AGREES TO ABIDE BY THE FOLLOWING TERMS AND CONDITIONS OF ADOPTION
Adopter has taken physical possession of the Dog and from the date stated on this contract, is responsible and liable for all requirements and actions of the Dog, including but not limited to any costs of veterinary care, food, grooming, and housing.
Adopter agrees that ownership and possession of the Dog is not transferable and the Dog will not reside with anyone other than Adopter except for temporary boarding situations as necessary.
If at any time the Adopter can or will no longer keep and care for the Dog, Adopter must notify (name) and must then surrender the Dog to an appropriate rescue or a no-kill shelter.
Adopter agrees to provide the following to ensure a good quality of life for the Dog:
o Dog will not be allowed to run loose or be a nuisance or danger to itself or the community at any time;
o Dog will receive appropriate veterinary care as needed, and will be examined no less than annually by a DVM, at which time Dog will be tested for heartworm and tick-borne illnesses, and treated for such should the tests identify those diseases;
o Dog will wear identification at all times in the form of a collar tag or contact information on a collar; the information will be current and the Adopter will register the Dog’s microchip with the name of the Adopter’s veterinary clinic;
o Dog will be licensed according to any local ordinances;
o Adopter will provide Dog with a wholesome, premium dog food, and have fresh water available at all times.
Further, the Adopter agrees that the Dog’s known background and medical history have been discussed with her and are known to her prior to this Adoption.
I HAVE READ AND UNDERSTAND THIS ENTIRE AGREEMENT, AND DO HEREBY AGREE TO ALL THE ABOVE TERMS.
City: State: Zip:
Phone: (H) (W) (C)
Adopter’s Signature: Date:
Prior Owner Signature: _________________________________________________ Date_________________________