High Plains P.A.W. Brachycephalic Release Form

High Plains P.A.W. Brachycephalic Release Form
Potential Adopter,

Thank you for choose to adopt a High Plains PAW dog to add to your family. As the dog you have chosen to adopt is a Brachycephalic breed please understand that there are some additional conditions that we need to agree to in order to adopt. These topics are discussed below.
Basic Applicant Information

This is for 1 residence, please add name and phone number for ANYONE who lives in the dwelling that will house the animal in question.
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Email associated with the Adoption Application
example@example.com
Name

First NameLast Name
Phone Number

Area CodePhone Number
Name

First NameLast Name
Phone Number

Area CodePhone Number

Brachycephalic Release Conditions
Brachycephalic Release Condition #1
Due to the dogs predominant breed being a brachycephalic breed we are looking for a home with brachycephalic breed experience. If you do not have breed experience and you have been approved to adopt that means we believe that you have done significant research and have prepared yourself appropriately for this breed of dog.

We take this VERY seriously, if you are not properly prepared for this breed, you're not aware of the significant differences between these breeds and others, than PLEASE let us know IMMEDIATELY.
By initialing below you agree that you have this brachycephalic experience or you have done the proper research.
Initials*
Initials
Brachycephalic Release Condition #2
All our brachycephalic dogs MUST vet and an AAHA certified vet, due to their high maintenance vet needs. Brachycephalic dogs are extremely expensive dogs to upkeep so please bare that in mind when applying and make sure you're in a finanacial place to take this dog on. If you feel your vet is experienced and knowledgeable enough to care for the breed and you're not willing to change vets for this new fur family member please talk to us IMMEDIATELY.
By initialing below you agree that the new Brachy fur family member in question will go to an AAHA certified vet or that we have previously approved your current vet.
Initials*
Initials
Brachycephalic Release Condition #3
All our dogs are inside family members however this is vitially important for all our brachycephalic dogs. These dogs may NOT be kept outside while your at work or ever outside unsupervised. They are not a breed group that can handle extreme weather temperatures or a lot of exercise. If you're looking for a hiking companion this is NOT the dog for you. These dogs are highly in demand and thus are at a great risk for theft. We again must reiterate the importance of the dog not being left outside unsupervised.
By initialing below you agree that the dog will be kept inside only and will not be left outside unsupervised.
Initials*
Initials
Brachycephalic Release Condition #4
We try to be as open and honest as we can about our dogs health concerns. By adopting a brachycephalic breed we have made you aware of any current health concerns and or any that they may have in the future. This includes, Btachycephalic Obstructive Airway Syndrome, heat stroke, shallow eye sockets, watery or dry eyes, dental and gum issues, facial fold infections, heart concerns, IVDD, DDD, allergies, just to name a few. We do our best to disclose any concerns we have at the beginning of the adoption process as well as through the process.

We require that if a medical concern presents that you are not able or prepared to provide treatment for, High Plains PAW will be contacted IMMEDIATELY.
By initialing below you agree that you understand the high maintenance medical care associated with this breed. That any health concerns have been discussed with you and that you understand if a health concern is beyond your ability that HPPAW will be immediately contacted.
Initials*
Initials
Brachycephalic Release Condition #5
By adopting a Brachycephalic dog from High Plains PAW you AGREE to get the dog insurance within 30 days of adoption and agree to provide proof of insurance yearly.
By initialing below you agree that you understand the high maintenance medical care associated with this breed. That any health concerns have been discussed with you and that you understand if a health concern is beyond your ability that HPPAW will be immediately contacted.
Initials*
Type a question
Type a question
By signing below you agree to all the above policies regarding the High Plains P.A.W. Brachycephalic Release Form

I understand that by voluntarily signing this agreement, I am entering into a legal and binding contract with High Plains P.A.W. Breach of any term(s) of this agreement is deemed actionable by High Plains P.A.W. I also understand that if it is determined, at any time, that the adopter is in violation of the the High Plains P.A.W. Brachycephalic Release Form as agreed to above that the animal will need to be IMMEDIATELY returned to High Plains P.A.W. without question or delay. In the event there is a violation of the agreement, I agree to pay a minimum of $1000.00 in damages in addition to the animals return. Damages will be levied in Cheyenne County Nebraska the registered location of the organization. The fine will be assessed via the same method used to pay the adoption fee.
Initials*
All adults taking ownership of said animal (significant others, roomates etc) MUST sign below:
Signature*

Clear
Date*

MonthDayYear
Date
Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

High Plains P.A.W. Brachycephalic Release Form

Potential Adopter,

Basic Applicant Information

Brachycephalic Release Conditions

Brachycephalic Release Condition #1

Brachycephalic Release Condition #2

Brachycephalic Release Condition #3

Brachycephalic Release Condition #4

Brachycephalic Release Condition #5

By signing below you agree to all the above policies regarding the High Plains P.A.W. Brachycephalic Release Form

All adults taking ownership of said animal (significant others, roomates etc) MUST sign below: