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Connor & Millie Dog Rescue Adoption Contract

Adopter’s Name: _____________________________ Home Phone: #________________Alt: #__________________ Address________________________________________________________________________________

City_________________________________________State_____________Zip_______________________

Email: __________________________________________________________________________________

Connor & Millie Dog Rescue (CMDR) would like to thank you for adopting a CMDR dog. Please review the following terms carefully and initial after reading.

Adopted Animal Name and Description: ________________________________________________

Microchip # _______________________________________________________________________

_______(Initial) I hereby authorize my LOST/FOUND dog to be immediately released to a representative of CMDR in the event I cannot be reached for immediate reclaim of my adopted dog.
_______(Initial) I agree to provide care for my adopted dog, including, but not limited to, spay/neuter at the CMDR Veterinary Provider, if adopter prefers to choose their own Veterinarian for procedure they will pay the full amount, providing adequate high quality food, water, a clean shelter within a comfortable temperature range, and provide necessary medical treatment and veterinary care, including yearly vaccinations. The dog will be treated as a family member with loving care, affection and respect.

________(Initial) I agree to keep an identification tag attached to a properly fitted collar which will remain on the adopted dog at all times, whether inside or outside the home, and to obtain all licenses required by local authorities. I will abide by all state and local laws regarding animal ownership. Dogs must be registered and licensed within your county of residence.
________(Initial) I agree to have the dog under control when he/she is not within the confines of the property. The adopted dog shall not be chained or tied. The adopted dog will not be an “outside” dog. I will not keep this dog outdoors for extended periods of time and I understand that this dog is an indoor companion. I will provide inside housing at all times.
________(Initial) I agree to never strike or otherwise physically or emotionally abuse this dog. I further agree NOT to declaw, debark, crop ears/tail, or otherwise mutilate this dog. I understand that CMDR cannot guarantee the health, temperament, or training of the adopted dog and hereby RELEASE CMDR from all liability once the dog is in my possession. If a health problem develops within the first 48 hours, I will notify CMDR.
________(Initial) I understand that my adopted dog will need time to adjust to their new home. This could last a few days or a few weeks. During this time, the dog may exhibit behavior that he/she will not otherwise exhibit after he/she adjusts to their new life. This may include housetraining accident; escape attempts, excessive barking, and chewing among others. I understand a consistent routine will give my adopted dog security and help him/her adjust quicker. I will seek out the help of a professional trainer if I need help with these issues, and upon request, CMDR will provide adopter with information on low cost training.
________(Initial) I will transport this dog inside an enclosed vehicle.
________(Initial) CMDR may inquire about or examine the dog at any time. If the examiner is not satisfied with the conditions of the dog and/or this agreement has not been fulfilled, CMDR may reclaim the dog.
________(Initial) If the adopted dog becomes lost, I will notify CMDR within 24 hours. If I fail to make such notification, and CMDR recovers the dog, the dog may not be returned. I acknowledge that I only have three (3) days to reclaim the dog from a public shelter, after three (3) days, the dog will be at high risk of being euthanized.
________(Initial) I agree that this dog is a rescue animal, and understands that CMDR cannot make any representations or warranties as to this dog’s health, physical condition, prior medical history, pre-existing conditions or age. CMDR will provide adopter with one (1) wellness examination by a licensed veterinarian chosen by CMDR.
________(Initial) If for any reason I cannot keep the adopted dog, I will notify CMDR and agree to surrender the dog back to CMDR (contact info provided below). Under no circumstances, will I surrender the dog to ANY public shelter. ________(Initial) I hereby release CMDR from all liability for legal fees, veterinary care expenses or any other expense or liability incurred as a result of this adoption.
________(Initial) In consideration of this dog, the adopter agrees to a donation of $________________________

Signature: _________________________________ Date: ____________________________ CMDR Representative: _________________________________________

CMDR Contact: Linda Gilliam, phone: (702) 238-4453, Email: llg0911@yahoo.com