Cliff's Coonhound Rescue & Trapping
525 Ballahack rd. Chesapeake, VA 23322
757-675-3662
ADOPTION CONTRACT
Please complete and submit form once the adoption of your new pet is finalized AND adoption fee has been paid
Name
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First Name
Last Name
Email
*
example@example.com
Email
*
Signed contract will be emailed to this email you provide for your records
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Animal's Name:
Please only use the name CCRT gave the animal
Age:
Breed:
The above-described animal is being released to me for adoption. I understand and agree to the following conditions of this adoption.
ALL ADOPTED ANIMALS ARE ALTERED BEFORE ADOPTION IS FINALIZED IF NOT ALREADY ALTERED BEFORE ADOPTION DATE.
Please initial the following:
I will provide adequate food, water, shelter, space, care, transportation, training, grooming, and veterinary treatment for this animal.
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I will comply with all state/city animal license and rabies requirements and will maintain the animal in a healthy manner.
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I will not allow this animal to run at large in violation of local animal control ordinances.
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I will not chain, tether, or cage the animal (crate training is permitted)
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l will not have any inhumane procedures or acts done to the animal.
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I accept the animal in its current condition and with all its faults, conditions,or any other issues, if any and I acknowledge the releasing agent has no further responsibility to me or any other party for the conditions, faults etc.
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I agree not to have ears cropped, tails docked (unless medically necessary), or declawed. Penalty of $500.00 –Paid to Cliff’s Coonhound Rescue & Trapping
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I will agree to provide dogs with monthly heartworm prevention and proper flea/tick medications
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I agree to not leave the animal unattended outdoors if I am not on the property even if in a fenced area
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I understand that no further guarantee of any kind can be given regarding the condition/behavior of the animal I am adopting except as stated in health records. I understand all medical bills incurred will be my sole responsibility.
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I understand that CCRT does not give any refunds for returned animals. I am certain I am committed to this animal for its entire life. If for any reason I cannot keep the animal at any point in time I am to notify CCRT immediately to return animal.
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I understand that I am responsible for any damages and or injuries to person or property caused by this animal.
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I will not have the animal euthanized for any reason other than an end-stage injury or illness where the animal is suffering, nor will I surrender the animal to Animal Control, any shelter, any organization, or an individual.
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I acknowledge that this is a binding contract,and by accepting this agreement, I hereby release the agent and/or representatives from any responsibility for any injuries, illness, or damages/costs incurred as a result of the adoption of this animal.
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If I am unable to keep the animal, I must notify Cliff’s Coonhound Rescue & Trapping and arrangement will be made to return the animal to CCRT. Rehoming is NOT permitted, the animal must come to CCRT.
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I agree to take adopted animal to veterinarian of my choice WITHIN 30 days of adoption for a wellness check. I will send proof of visit to CCRT
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I will agree to provide dog with monthly heartworm prevention, proper flea/tick medications, annual exams including vaccines, fecal parasite check, heartworm and tickborne screenings. Provide the dog with veterinary care immediately, if he/she becomes injured or ill.
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If the animal gets loose, runs away, is lost/stolen, or passes away I must notify Cliff’s Coonhound Rescue & Trapping
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If I move to a different address I will notify Emma with CCRT as well as any phone number changes.
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I agree to keep the adopted dogs microchip emergency contact section information registered to CCRT 757-675-3662. I agree to keep my animals microchip information up to date. The animal will wear a collar with identification incase he or she needs to be reunited.
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In the event the terms of this contract are not satisfied by me, or if the releasing agent is dissatisfied at any time with the care and treatment which the animal receives while in my custody, I agree that Cliff’s Coonhound Rescue & Trapping has the right to come onto my premises, with warning, where the animal is kept for the purpose of retrieving the animal
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Any breach of this contract will result in a fine of $500.00 on top of any other fines that result from the breach, is to be paid to Cliff’s Coonhound Rescue & Trapping. This also includes if the animal is picked up by animal control and is not claimed and brought home.
Adopter's Signature:
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Date
*
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Month
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Day
Year
Date
CCRT Signature:
Date
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Month
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Day
Year
Date
Submit
Should be Empty: