Adoption Form

Current Owner's Name

Current Owner's Address

Current Owner's City Current Owner's State Current Owner's Zip Code

Current Owner's Phone

Adoption Animal Description

Dog/Cat Animal Breed Animal Sex

Animal Name Animal DOB Animal Color

Is Animal Fixed

Animal's Distinguishing Marks

I, , hereafter referred to as the adopter, hereby agree that the above described animal is being adopted by me solely as a pet for myself .I agree that I will not sell, give away or otherwise dispose of said animal to any person(s), dealer, retailer, auction, institute or any other entity for any reason. If at a later date I am unable or unwilling to keep this pet, I agree to contact Angel's on earth rescue Inc. and give them the option to reclaim said pet at no charge. I hereby agree to care for the above described pet in a humane and responsible manner and to provide it with clean and adequate shelter, food, water and veterinary care. I further agree that said pet shall reside inside my home and shall not be allowed to roam freely. I hereby agree that this pet shall wear a collar or harness with identification tags at all times.

I hereby agree that the adoption fee of $ to cover the current rescue's expenses for medical and of raising and caring for the animal and is not refundable. I hereby understand and agree that the current owner makes no representations or warranties, expressed or implied, about the above mentioned animal's temperament and is hereby absolved from any liability for future damages or injuries caused by said animal. I also understand and agree that the rescue further gives no guarantees, expressed or implied, of the suitability of the animal to the adopter and/or his family.

Adopter's Name
Entered Above

Adopter's Email

Adopter's Address

Adopter's City Adopter's State Adopter's Zip Code

Adopter's Phone

I certify that all statements made by me on this adoption agreement are true and correct. I agree that the current owner has the right to confiscate the above described animal in the event that any statements made by me are found to be false and/or my check for the adoption fee is returned for insufficient funds.

Adopter's Signature

Adopter's Name (printed)
Entered Above

(Entering your name is a legal signature.)

Date

1. Current Owner is defined here as the person who originally held the above described animal in their possession.

2. Adopter is defined here as the person who accepts for adoption the above described animal.

3. Animals may exhibit varied behavior in diverse environments. The adoption agency and original owner shall not be held liable for any actions displayed by the animal within in custody of the adopter or within the adopter's residence.

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