Adoption Contract

I have completed the Voluntary Release and Indemnity Waiver*

YesNo

Please complete the

Voluntary Release Waiver and Indemnity Agreement

Waiver and Adoption Contract are both be required for adoption. One waiver must be completed every 12 months. Return to the adoption contract after completing the waiver.

Adopton Date*

Date

Animal Name used by Fur and Tails Rescue*

Include BOTH names if you are renaming the animal. Example; Fluffy/Albert

Type of Animal*

Canine (dog)Feline (cat)Other

If Other, Please explain

Age of Animal *

Breed*

Color*

Weight*

Animal Sex*

Microchip number

Microchip Registery Company

Adoption Fee

Adoption fee varies, please enter the agreed upon amount.

Adoptor Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email*

example@example.com

Phone Number*

Drivers License Number*

Please upload an image of your Driver’s License, State Issued Identification Card or other identification documents, such as Passport.

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Emergency Contact 1*

First NameLast Name

Emergency Contact 1 Phone Number*

Emergency Contact 2

First NameLast Name

Emergency Contact 2 Phone Number

If this animal has not been sterilized prior to this adoption due to age or physical condition, you agree to enter into this Sterilization agreement and agree to have the animal spayed or neutered. Proof of Sterilization must be forwarded to Fur and Tails Animal Rescue. Puppies or kittens must be spayed or neutered before 6 months of age. Other animals will be discussed.*

YesNo

If the Animal is found to be pregnant, You agree all offspring will be transferred to Fur and Tails Animal Rescue at approximately 6 weeks of age, per veterinary direction.*

YesNo

You agree that this animal is being adopted as a family pet and will be given extensive house privileges; i.e. sleep inside the house, be allowed freedom of the house when the family is home and will not be permanently restricted to the outside at any time.*

YesNo

You agree to provide the Animal with fresh water, wholesome food, adequate outdoor exercise, affection and shelter.*

YesNo

You agree that the Animal will not be used a guard animal, or for a purpose other than a companion animal, a friend to you and your family.*

YesNo

You agree to no alterations to the animal's appearance, such as docking of ears and tails. Regular grooming is required.*

YesNo

You agree that your ownership and financial responsibility begin when you take custody of the animal.*

YesNo

You agree to have the animal vaccinated for Rabies, Core Vaccines and Bordatella Canine Core Vaccines at or under 16 weeks- Rabies, Single dose at 3 months of age, re-vaccinate in 1 year or as required by state, Distemper, Parvovirus and Adenovirus; at least 3 doses between 6 and 16 weeks of age. Feline Core Vaccines: Rabies single dose as early as 3 months of age depending on the product, re vaccinate in 1 year or as required by state. Feline Distemper, Feline Herpesvirus, Calcivirus as early as 6 weeks of age then every 3 to 4 weeks until 16 weeks. Bordatella, non core vaccine Canine- Depends on vaccine type, usually 2 doses are necessary for protection. Feline-at 8 weeks and then 2-4 weeks later.*

YesNo

You agree if the adoption fee/ donation includes veterinary services, such as vaccinations, de-sexing or any other service-veterinary or otherwise, all appointments will be scheduled by Fur and Tails Animal Rescue at the location and time of their choice. All efforts will be made to determine a mutually agreeable time, however flexibility is limited due to the need to bring multiple animals in together to reduce costs. It is the responsibility of the adopter to arrange for drop off and pick up of their pet. Each pet must include written identification with the name of the pet (If the name is changed, BOTH names must be on the documentation). Your contact information should also be included. If you decide to use your own veterinarian all of those associated costs will be your responsibility and you will not be given a refund. Donations will be used to provide care for other animals at the rescue.*

YesNo

Adopter agrees to provide obedience training for the Animal if recommended by Fur and Tails Animal Rescue at their cost. Proof of training must be presented to Rescue within 3 months after the adoption date for Animals 4 months and older. For pups younger than 4 months old, proof of training is required within 4 months of adoption date. Note: We agree that if the training is not complete on any Animal being returned to us, Adopter will be financially responsible for the cost to complete training.*

YesNo

You agree that this animal is being adopted as is, without evaluation of behavioral issues, (i.e. biting, destruction, escapism, fearfulness, dominance, etc) and to follow the recommendations in resolving any issues as an effort to maintain custody of the adopted animal. Any damages (financial, physical or personal) due to behavioral issues is the sole responsibility of the Adopter.*

YesNo

Where applicable, adopter will provide a secure fenced yard or area, with ample room for outdoor exercise. If fencing needs repair or modification to ensure the safety and well-being of the Animal, you agree to make any necessary repairs prior to allowing Animal access to the yard. You agree to maintain the security of the fencing in the future to further secure the Animal. Adopter understands that gardeners,contractors and utility workers are not responsible for the safety of the Animal, therefore the Animal must be kept indoors when workers access to the yard. NOTE: Many Animals are sensitive and scared of loud noises, and you hereby agree to keep the Animal indoors or in a safe and secure environment on holidays such as July 4th and New Years Eve.*

YesNo

You agree that the animal will always have an identification tag with 2 current telephone numbers when outside the home.*

YesNo

If the animal is a dog, you will walk the Animal on a leash when on public streets or in parks or other unfenced areas and will never allow the Animal to roam free unsupervised. The Animal will be walked using a collar or harness, and will not be walked with the leash attached to the Animal’s identification tag. Adopter understands that the identification tag is not a secure restraint. Also, the Animal will not be tied up unsupervised on your property or elsewhere. Adopter understands that restraining a Animal by tying it to a fixed post or wire run is unsafe and may cause theft of the Animal, unpredictable behavior and random aggression. You will not leave the Animal crated and/or otherwise confined for extended periods of time (more than 5 hours). If the animal is a feline or other, you will transport the animal only in an approved carrier.*

YesNo

You agree that the Animal will be properly restrained while in a moving vehicle, preferably using either a secured crate or seat harness when transported in any vehicle. Adoptee will never be transported in the back of an open vehicle or pick-up truck. Adoptee should not be allowed to ride with his/her head outside the window of a moving vehicle.*

YesNo

You agree to make an immediate and serious effort to find the Animal if it becomes lost, by (a) filing lost reports with the local police, animal control authorities, animal shelters, SPCAs and local veterinarians and pet stores, (b) post lost Animal signs (c) place lost Animal ads in your local paper (d) contact us for additional support and advice. Furthermore, Adopter understands that if the loss was the result of negligence or failure to comply with the covenants of this Agreement, Fur and Tails Animal Rescue reserves the right not to return the Animal and to place adoptee into a new home*

YesNo

You agree that if at any time in the future you cannot continue to provide proper care for the Animal, you will not abandon, give or sell the Animal to another person, company, organization, medical research, pound or animal shelter. You agree to do one or more of the following: A. Obtain approval from Fur and Tails Animal Rescue to transfer the ownership of the Animal to a friend or relative. Rescue must approve the new adopter who will be required to sign an agreement similar to this one. B. Agree to cover the costs to board Adoptee for an agreed-upon time, allowing Rescue to actively seek a new home and then relinquish the Animal to Rescue when a home is found. Note: Boarding costs are $75.00 per day. C. Return Adoptee to Rescue.*

YesNo

You Agree that adopting an animal is a lifetime commitment. If you decide to not keep the Animal, Adopter hereby agrees to return the Animal to Fur and Tails Animal Rescue. Importantly, You agree to give Fur and Tails Animal Rescue ten working days to secure a kennel, foster or location for the animal and you will provide safe and loving care of the Animal until it is returned. Adopter agrees to safely transport the Animal to the determined kennel or veterinarian facility and will return any/all paperwork and supplies provided by Fur and Tails Animal Rescue at that time*

YesNo

You agree that you will not euthanize the Animal except in the case of the Animal’s terminal illness or injury, or old age accompanied by pain and suffering and in that case, the euthanasia must be performed by a licensed veterinarian.*

YesNo

You agree to notify Fur and Tails Animal Rescue of all changes of address and/or telephone within 30 days after the change. Communications should be mailed to: Fur and Tails Animal Rescue, 17070 Kentara Way, Fort Myers FL, 33918.*

YesNo

You understand and agree that Fur and Tails Animal Rescue reserves the right to reclaim the Animal if any of the above conditions are not met to the satisfaction of the Rescue. You further understand and agree that any expenses incurred by Fur and Tails Animal Rescue in exercising its rights under this provision will be paid by Adopter in addition to any liquidated damages required by other provisions of this Agreement..*

YesNo

Fur and Tails Animal Rescue makes no warranty as to the temperament or physical condition of the Animal. The Adoptee is being adopted "as is". Financial responsiblity begins when the animal is transferred to your custody.*

YesNo

You Agree that all warranties with regard to the Animal, including any implied warranty of merchant-ability and fitness for a particular purpose, where they are applicable, are hereby specifically disclaimed*

YesNo

Adopter hereby releases Fur and Tails Animal Rescue from any and all liability for personal injury, property damage, legal fees, veterinary care, or any other expense or liability incurred by Adopter as a result of this adoption. Adopter agrees to indemnify Fur and Tails Animal Rescue from any and all such claims and to pay, without limitation, any costs related to such injury, damage, or liability, including, in the case of litigation, any attorney fees incurred by Fur and Tails Animal Rescue in its defense*

YesNo

In the event that you do not comply with the terms of this Agreement, or the Animal is abused or neglected, we hold the right to recover the Animal from you upon demand, and the Animal will be surrendered to us immediately. In addition, without waiving any of our rights under this Agreement, if you do not surrender the Animal to us or comply with this contract you will owe up to $2,500, agreed between us as just and reasonable liquidated damages to compensate us for our costs and expenses in connection with your breach of this Agreement and we reserve our rights to reacquire the Animal.*

YesNo

To assist us in continuing our rescue work, Adopter agrees to make a non-refundable donation/adoption fee. Actual amount will be determined. We do not distinguish between adult, babies, or breed or mixes. This donation is immediately used to pay the ongoing costs of rescuing stray and shelter animals, food, veterinary care, kenneling costs, behavior training, and etc.*

YesNo

You agree that this electronic form is legally binding. You agree to your electronic signature below, is legally acceptable. By clicking submit you agree that this form is filled out to the best of your ability and is truthful. *

Clear

Animal Adoption Contract

239-404-6539

Fur and Tails Animal Rescue is a 501c3 registered charity and is recognized by the state of Florida. This Adoption Contract is binding and valid as proof of pet ownership as shown above.