Adoption Contract
Dog Name: Sex: Estimated
Age:
Color: Breed:
Other Description:
Adopter’s Agreement
- I agree that I (or anyone in the household
where the dog will reside) have never charged or convicted in any case of
animal abuse or neglect. ______
(initial)
- I agree that the dog is being adopted for
myself and will not be sold, adopted, or given to another party without 72
hours notification to Viola Valley Dogs.
- I agree that this dog will not be allowed
outdoors without proper supervision.
When taking my dog outdoors, they will either be in a fenced in
area or on a secure harness with proper identification. ________ (initial)
- I agree that this dog is to be a companion dog,
not a guard dog. This dog will live
inside my home, not outdoors (unless approved by Viola Valley Dogs).
________ (initial)
- I agree that this dog will not remain solely in
a crate while indoors, only while the adopter is not at home or at night
time. If used, the crate must be
clean and of adequate size for the dog to stand up, turn around, and lie
comfortably on his/her side. ______ (initial)
- I agree to care for this dog in a humane manner
and be a responsible animal guardian.
This includes supplying adequate food, water, shelter, attention,
and medical care. ______ (initial)
- I agree to immediately take this dog to a
qualified veterinarian for a complete physical examination and current
shots (unless records are provided at the time of adoption). ______ (initial)
- I agree to provide both routine and emergency
care, especially as the dog ages.
This vet care will include annual examinations, necessary vaccinations,
worming (if necessary), heartworm checks and year round heartworm
preventative, and other care as directed by my veterinarian. ______
(initial)
- I understand and agree that Viola Valley Dogs
makes no guarantees about the dog’s temperament and is not responsible for
future damages or injuries caused by the dog. ______ (initial)
- I give Viola Valley Dogs the right to inspect
my home or call my home at any reasonable time, without notice, to assure
that the dog is being properly treated and cared for. ______ (initial)
- I agree to keep Viola Valley Dogs informed of
my current address and phone number at all times. ______ (initial)
I agree that all statements
I have made on this form are true. If at
any time it becomes the opinion of Viola Valley Dogs that these conditions are
not being met, I understand that Viola Valley Dogs may reclaim this dog
irrespective of any donation or other expenditures that I have made. I understand that this is a legal and binding
contract.
Should it become necessary
to take action to recover an adopted dog or otherwise enforce the provisions of
the adoption contract agreement, the undersigned adopter(s) will be responsible
for all court costs and all attorney fees representing either the adopter or
Viola Valley Dogs.
Name:
Phone No:
Address:
City, State, Zip:
Social
Security #: Driver’s License #:
E-mail:
_____________________________________ ____________________________________________
Adopter’s
Signature Signature
of Representative
_____________________________________ ____________________________________________
Date Date
**$100 NON-REFUNDABLE ADOPTION FEE**
Adoption Fee:
Method of Payment: Check #:
Donation Amount: Method of Payment: Check #:
P.O. Box 813
McMinnville, TN 37110
(931) 273-8527