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Crest-Care, Inc - Adoption Contract Dog’s Name (if known): ________________________________________
Sex: __________________ Color/Markings: _____________________________________________
Adoption Date: _________ Spayed/Neutered: __________________________________________________________________
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: CREST-CARE Your Crest-Care Committee Member/Representative: Name:______________________________________________ _____ Address: _________________________________________________ City: _____________________________________________________ Telephone Contact: _______________________________________ E-mail: ___________________________________________________ FAX: _____________________________________________________
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