UTH Adoption Contract

First Name*
Last Name*
Email of Adopter*
example@example.com
Phone Number of Adopter*

Area Code Phone Number
Street Address 1*
Street Address 2
City*
State*
Zip Code
Animal Information
Pet Name*
Species*
Breed*
NOTE: If your animal's breed (or potential breed) requires breed evaluation/breed-specific license in your area, let us know and UTH will cover the cost. Reply to your original adoption email for more information.
Approx. Birthdate*
Sex*
Altered?*
Microchip #*
NOTE: After finalizing the adoption, you will receive an email from Found Registry with instructions on how to transfer their microchip into your name. UTH will be listed at the permanent rescue contact should anything happen to {petName} and you can't be reached.
Profile picture URL (included as a hidden field for output to PDF)
Medical Information
Rabies 1 year
Rabies 3 year
Distemper 1 year
Distemper 3 year
Heartworm Test
Bordatella
Other information about {petName}

Is there anything that you would like to share CONFIDENTIALLY with UTH?

Adoption Fee/Trial
Adoption Fee (included as a hidden field for output to other fields)
Trial period (included as a hidden field)
Calculated Adoption Fee (included as a hidden field for output to other fields)
Adoption fees are part of how we continue to help other animals like {petName} to find homes. We want to set you and {petName} up for success as much as we can, so all of our adoptions include the following:
- Recent veterinary exam for {petName}
- Current vaccinations
- Spay/neuter
- Microchip with free registration
- A free hour long behavior session with any of our training/behavior partners*
- Lifelong sliding scale fee behavior services for your new family member!**
The adoption fee for {petName} is ${adoptionFee}.
Trial period:

Yes, I would like the two week trial period (full behavior support, 50% refundable adoption fee within the first two weeks)No, I would like to skip the trial period and take $50 off my adoption fee
Would you like to make an additional donation to help support our mission?
This amount will be added to your adoption fee
Please choose how you would like to pay the adoption fee for {petName}:*

Venmo (@untilhome)Facebook Donation (https://www.facebook.com/untilhome.org)Credit Card

NOTE: Adoption fee will not be charged to your credit card until the form is submitted.
Please mail check or money order to:

Until They're Home

PO Box 467

Fort Collins, CO 80522
I acknowledge that I have paid the adoption fee of {adoptionFee} through the above method.*
* Good if redeemed within the first year after adoption date. Email behavior@untilhome.dog to set up an appointment.
** Until They're Home offers lifelong sliding scale fee services for all of our adopted animals ($0-$70/hour)

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Terms of this Agreement - Post-Adoption
ADOPTER RESPONSIBILITIES
1. Adopter agrees to pay UTH an adoption fee of ${adoptionFee} ($50 off if Adopter chooses to decline trial period)
2. Adopter understands and agrees that UTH is only transferring such interest and title in the animal as it may have.
3. Adopter agrees the animal is to be a family companion and agrees to provide the animal with a safe home, adequate food, water, proper care, exercise, love, and attention. Adopter agrees not to violate any laws or ordinances with the animal. {petName} is not to be used as an attack or protection trained animal and will not be used for commercial guard work.
4. Adopter agrees to keep a buckle collar on the animal with ID tag and current rabies tag.
5. Adopter agrees to refrain from using pain to train animal, including but not limited to choke, prong, pinch and shock collars, hitting, kicking or choking the animal.
6. Adopter acknowledges that training and behavior advice are available through UTH.
7. Adopter agrees to keep the animal safe from danger, including but not limited to aggressive animals and traffic. If at any time the animal is lost, stolen, hurt or killed, the Adopter is to notify UTH by email or phone immediately.
8. Adopter agrees that the animal will be effectively but humanely confined inside the home or in the yard when no one is at home. When the Adopter is to go away for a prolonged period of time or vacation, Adopter is to prearrange proper care for the animal.
9. {petName} is not to ride loose in the bed of pickup trucks, convertibles or to be left in a car when air temperatures exceed 70 degrees.
10. Adopter agrees to have a clean, secure fenced area for the animal. If a fenced enclosure is not available, Adopter agrees to leash walk the animal.
11. Adopter agrees not to release the animal to or make the animal available to any experimental laboratory or similar organization.
12. Adopter agrees to have the animal examined by a licensed veterinarian at least once each year and provide all vaccinations and treatments necessary to ensure good health. If euthanasia becomes necessary, Adopter agrees to have it performed by a licensed veterinarian.
13. Adopter agrees to release UTH and its members or representatives of any and all possible claims arising from injury or damage caused by the animal to any person or property. Adopter accepts this animal as is with all defects, either observable or unobservable, and assumes all risk for the animal upon signing of this contract.
14. Adopter will allow UTH to conduct home visits and phone check-ins at their discretion after adoption in order to check on the animal’s welfare. UTH agrees to provide 24 hours notice for such a visit.
15. Adopter understands that animals, while up-to-date on vaccinations, are still at risk of contracting many viruses, parasites, and other illnesses. UTH has informed adopter of any current and past medical issues (see attached), but cannot ensure that future medical issues will not arise and need to be treated. Adopter understands this risk and agrees to treat animal/puppy for any future medical needs through his/her licensed veterinarian.
UTH RESPONSIBILITIES
1. UTH makes no guarantees or statements regarding the animal's age, breed, health, or temperament.
2. While UTH has made every effort to provide accurate history and assessment of the animal, UTH is not able to guarantee the animal’s age, breed, medical status, behavior or disposition.
3. UTH is available for consultation, advice and assistance pertaining to the health, training and compatibility of the animal.
4. UTH agrees to disclose any relevant behavior and medical notes that are currently in their posession.
In the event this contract, including all its covenants and conditions, is breached by Adopter, or UTH has concerns about the welfare of the animal for any reason, UTH has the right to rescind this contract and demand return of the animal. If Adopter fails to return the animal upon request, UTH has the right to seek a Court Order for return of the animal and seek liquidated damages from the Adopter in the amount of $750 plus any court costs or attorney’s fees. Payment of damages shall not excuse Adopter from returning the animal to UTH.

This agreement shall inure to the benefit of and be binding upon Adopter and UTH and their successors or beneficiaries. Both parties have fully read and understood all of the agreement, which sets forth all promises, conditions, and understandings, oral or written.
I acknowledge that I have read the Rabies Prevention Brochure found here: (https://www.colorado.gov/pacific/sites/default/files/RabiesPreventionBrochure.pdf)*
If for whatever reason I am unable to keep {petName} for their entire life, I agree to return {petName} to UTH. I agree not to give away, sell or dispose of {petName} without express consent of UTH. *
Adopter's Signature*

Clear
Date*

MonthDay Year
Date
REMAINDER TO BE FILLED OUT BY UNTIL THEY'RE HOME

(click the SUBMIT button above if you are finished)
Until They're Home Representative

Clear
Date

MonthDay Year
Date
Adoption record ID
Should be Empty:

Animal Information

Medical Information

Adoption Fee/Trial

Terms of this Agreement - Post-Adoption

REMAINDER TO BE FILLED OUT BY UNTIL THEY'RE HOME