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Central Illinois Sheltie Rescue
Adoption Agreement/Contract
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Central
Illinois Sheltie Rescue
SAMPLE Adoption
Contract and Agreement
This Agreement is made and hereby entered into, on _____________by
and between Central Illinois Sheltie Rescue (hereafter may be
referred to as “CISR”), and __________________________hereafter
referred to as “Adopter”). The dog described below may hereafter be
referred to as the “Dog" or Rescue Sheltie. The purpose of this contract is
to ensure that adopter provides the Dog with the best possible care and
treatment throughout its lifetime.
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Name: |
____________ |
Weight:
_________ |
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Breed: |
Sheltie______ |
Sex: |
_____ (altered) |
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Color |
Sable & White |
Age: |
________ |
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MicroChip: |
xxx-xxx-xxx |
DOB: |
____________ |
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Current Photo of dog / date
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In consideration of a donation of $
____________, CISR agrees to allow Adopter to adopt this Rescue
Sheltie according to the terms set forth in this contract. CISR warrants
that as of the Agreement date and to the best of its knowledge the Dog:
___x__ Is current on all shots, altered, HW negative, wormed,
micro-chipped.
___x__ Is in good health, and free of any diseases.
______ Other:
Adopter understands and agrees to abide by these following terms AND
CONDITIONS of adoption:
1.
Adopter completed an adoption application which is attached and incorporated
herein as a part of this Agreement.
2.
As of this date of adoption, Adopter agrees to take ownership of the above
Dog. This includes all medical / Vet care, medication, food, grooming, and
housing care.
3.
If, within one month, for any reason you decide the Dog is not right for you
or your family, you may return the Dog to CISR for a refund of your
donation. After one month, there is no refund available, but you must
still return the Dog to CISR should you no longer want to keep this dog.
4.
At this date of adoption, to the best of our knowledge, the Dog has no
medical needs that have not been treated or disclosed above. However,
should a medical need arise, either a new issue, or one that we missed,
Adopter agrees to 1) let us know of the issue right away, and 2) either pay
for the vet care himself, or return the Dog to CISR for a refund of the
adoption donation (as outlined in the paragraph above). CISR does not
pay for, nor reimburse for any veterinary services performed outside of our
program.
5.
The Adopter agrees that ownership and/or possession of the Dog is not
transferable, and the Dog will not reside with anyone other than Adopter
except for temporary boarding while Adopter vacations (see bold items
on page 2). Adopter agrees that if for any reason he/she is unable or
unwilling to house and care for the Dog, or if he/she should no longer want
to retain ownership of the Dog, that Adopter will immediately, at Adopter’s
expense, return the Dog to CISR in McLean County, Illinois. It is the
Adopter's responsibility to transport the Dog back to CISR in a safe and
approved manner.
6.
Adopter MUST register this new sheltie with its Microchip Company within 5
days of taking the Dog.
Paperwork to do so is included in your adoption folder. Adopter must
notify CISR when this has been done.
7.
Adopter shall treat this animal in a humane and loving way at all times,
and to make sure that anyone temporarily caring for the Dog will do the
same. Failure to do so will be a breach of this Agreement.
8.
The Adopter shall provide the Dog with proper veterinary care as is
recommended by his or her veterinarian, for the rest of the Dog’s life. This
includes yearly vaccinations and prevention of parasites, and fleas and
ticks. Adopter shall keep the Dog on a monthly heartworm prevention and flea
control program throughout the Dog’s entire lifetime. Adopter shall take
the Dog to his/her veterinarian for a routine check up at least once every
year, and to follow the advice of his veterinarian. Adopter shall give CISR
permission to verify this care by contacting and talking with the Dog’s
veterinarian.
9.
Adopter shall immediately have an ID tag made, and attach it to the Dog’s
collar. Adopter shall make certain the Dog wears its collar with ID tag
at all times. The information on the tag should include your at least
Adopter’s phone number. Adopter agrees to make certain ID tag always has
Adopter’s current information.
10.
Adopter shall license the Dog according to any local ordinances.
11.
Adopter shall feed a wholesome, premium dog food, and have fresh water
available at all times. Generic dog food, store brand dog foods, or no-name
dog foods are not considered premium food.
12.
The Dog is being placed with the strict understanding that it is going to a
private home, to live as an indoor pet. Adopter understands and shall cause
the Dog to reside in the home of the Adopter, not outside. An indoor pet
shall mean the Dog will be inside adopter’s home except for supervised
playtime outside and for purposes of urination and bowel movements. The
Dog may never be left outdoors if Adopter is not home.
13.
This dog is never to be allowed to run loose in an unfenced yard.
14.
Adopter understands that CISR will never place a known biter. However,
Adopter is fully aware and does understand that any dog may bite if
provoked, or if scared, sick or injured.
15.
The dog’s known background and medical history have been discussed with
Adopter. Adopter understands that CISR has made no representation
concerning the health, condition, training behavior, or temperament of the
Dog.
16.
CISR reserves the right to enforce
this contract in order to protect the welfare of the Dog. Adopter
understands that CISR may examine and make inquiries about the Dog at any
time. Refusal to cooperate with inquiries of the Dog shall be considered a
breach of contract.
17.
Adopter hereby agrees that if, at any
time, ANY of the terms and conditions of this Adoption Agreement are
violated, CISR reserves the right to terminate this Agreement, and to ask
that the Dog be returned to them (at the CISR location in McLean County,
Illinois) within 72 hours. Adopter agrees to pay the minimum sum of damages
to CISR in the amount of (i) $2,500.00 (Twenty-Five Hundred and NO/100
Dollars) plus (ii) actual roundtrip travel costs incurred from the City of
Bloomington in the State of Illinois to the Dog’s location for both the Dog
and a CISR representative and (iii) actual costs incurred for veterinary
fees to return the Dog to its health as of the date of this Agreement.
Failure of Adopter to pay the above described damages shall allow CISR to
pursue any and all remedies of law available including damages for the time,
paperwork, and hours spent investigating and pursuing the breach of the
Agreement.
18.
Adopter hereby waives any challenge to venue and agrees that the appropriate
venue of this matter is the State of Illinois, and the County of McLean.
Furthermore, Adopter agrees to accept service of process by certified mail,
return receipt requested, to the address provided in the Agreement, and
Adopter specifically waives any right to receive personal service of any
legal action or otherwise.
19.
A non-breaching party of this
Agreement shall be entitled to reasonable legal fees in addition to any
other damages described herein. Legal fees shall include but are not
limited to attorneys’ fees and court costs.
20.
The terms of this Agreement shall
survive the transfer of the Dog to the Adopter and said terms and conditions
shall be enforceable for the life of the Dog and after the death of the Dog
if there is a reasonable determination that the Dog’s death is due in part
to the Adopter’s violation of the terms and conditions of this Agreement.
I have read and understand this entire agreement, and do hereby agree to ALL
the above terms.
Name:
Address:
City:
State:
Zip:
Phone:
(H)
(W)
(C)
Driver’s License # / State:
/ ______
Adopter’s Signature:
Date:
CISR Representative’s
Signature:
Date:
Checks returned by the
issuer’s bank for any reason shall be a breach of this Agreement and shall
be subject to the terms of this Agreement and subject to the maximum
penalties under the laws of the State of Illinois.
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