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Crest-Care, Inc  -  Adoption Contract

 Dog’s Name (if known): ________________________________________ Sex: __________________

 Color/Markings: _____________________________________________ Adoption Date: _________

 Spayed/Neutered: __________________________________________________________________

Incoming District: ____________________
Fostering District:
____________________

 MEDICAL DATA:

 DHLP_______Parvo:_______Rabies: _______Checked for Parasites: _______Heartworm Checked______

 Next Vaccine Dates:

DHLP_______Parvo: _______Rabies ________Check for Parasites: _________Check for Heartworm____

 ADOPTER AGREEMENT

                The following terms and conditions constitute a contract for the adoption of the dog described above (hereafter referred to as “Chinese Crested” or “dog” regardless of age or sex) between Crest-Care, Inc. and _____________________________.   These terms and conditions are entered into and agreed upon by both Crest-Care, Inc. and the adopter and they acknowledge the moral and legal worth of this contract.

                 I (we), the undersigned agree to all of the following terms of this contract and understand that non-compliance with the terms of this agreement gives CREST-CARE representatives the right to reclaim this Chinese Crested without refund of adoption fee.

 Please Initial if in agreement:

 _____ 1.  In the event I am no longer able to care for this Chinese Crested, I agree to notify Crest-Care Inc. immediately and arrange for the dog to be returned to a Crest-Care Inc. Representative.

_____ 2.  To notify a CREST-CARE representative immediately if this Chinese Crested is lost, or stolen and to make every effort to locate the Chinese Crested

_____ 3.  To NEVER take this Chinese Crested to an animal shelter, pound or humane society.

_____ 4.  To NEVER allow this Chinese Crested to be used in animal research.

_____ 5.  To treat this Chinese Crested as a family pet, with affection, kindness and not subject this Chinese Crested to abuse or cruelty at any time.

_____ 6.  To provide regular veterinary care, including annual vaccinations, parasite checks and dental care as determined by your veterinarian.

_____ 7.  To provide proper food, shelter, fresh water, adequate companionship at all times and to keep         this dog on leash when dog is not on adopter’s property.  Proper shelter means this Chinese

Crested is to be an indoor dog, not to be left outside for long periods.  Under no circumstances is this Chinese Crested to be a “yard dog”.

_____ 8.  To not transport this Chinese Crested in an open vehicle or in any way endanger the dog in      transportation.

_____ 9.  To immediately license, and place identification on the dog.  Identification can be either tags with collar, tattoo on inner thigh, or microchip by a veterinarian.

_____ 10.  To notify the Crest-Care representative if I move and give the new address and phone number.

_____ 11.  Under no circumstance, sell the adopted Chinese Crested to pet dealers, pet stores, puppy mills, or benefit financially from this dog.

_____ 12.  To not kennel this Chinese Crested, except to provide for safety (i.e. when you are absent from the home and he/she is alone), transporting, or to sleep at night.

_____ 13.  The above Chinese Crested will not be euthanized in a non-emergency situation without  notifying a representative by registered letter and giving 14 days to respond. 

_____ 14.  The adopter agrees to allow a CREST-CARE representative to periodically check on this Chinese Crested to be assured of compliance with items #1 through #15.

_____ 15.  I agree to notify my Crest-Care Representative on the above dogs progress after I have owned the dog for one month, three months, and the first year mark.

ENFORCEMENT OF CONTRACT

Any breach of this contract in part or whole requires that the adopter return the Chinese Crested to the Crest-Care Representative at the adopter’s expense without entitlement of any refund or damages of any kind.

ANY and ALL suits for the breach of or enforcement of this contract will be brought in (County)_______________________________ in the State of ____________________, and the laws of (State) ________________ will apply.

If the Adopter fails to meet ANY of the articles listed under “Adopter Agreement”, a Crest-Care representative reserves the right to repossess the Chinese Crested and any papers that pertain to the Chinese Crested.  No compensation will be due adopter at the time of the repossession.  Violation of ANY provisions of this contract will constitute damage to the reputation of Crest-Care, Inc., and the Adopter agrees to relinquish ownership of the Chinese Crested plus absorb the cost of any related court costs & shipping.

               The undersigned adopter has been advised of these facts and agrees to accept all responsibility for the behavior of the Chinese Crested chosen for adoption, and agrees to all conditions of this contract.

RELEASE OF LIABILITY AND INDEMNIFICATION:

                In consideration Crest-Care, Inc. allowing me/us to adopt this Chinese Crested as our pet, I/we promise and agree to be solely responsible for this animal and to indemnify and hold harmless Crest-Care, Inc., Representatives, and Volunteers, of Crest-Care, Inc., from any and all claims of liability for the conduct of this Chinese Crested on or after the date of this adoption and agreement of contract.

This Contract is binding and enforceable by Civil Law.

SIGNATURE: _____________________ PRINT NAME: ___________________________________

Street Address: __________________________ City: ____________________________________

State: _______ Zip: _____________ Phone: ____________________ Email: ________________________________

Drivers License Number and state of issue OR in the event you do not have a drivers license, Social Security Number:
Drivers License Number: ______________________________  State: ________
_____
Social Security Number: ______________________________

CREST-CARE

Your Crest-Care Committee Member/Representative:

Name:______________________________________________ _____

Address: _________________________________________________

City: _____________________________________________________

Telephone Contact: _______________________________________

E-mail: ___________________________________________________

FAX: _____________________________________________________