1. I agree that I will not be sold, given away or otherwise dispose of said animal to any person(s), dealer, retailer, auction, institute or any other entity for any reason. If later, I am unable or unwilling to keep this pet, I agree to first contact Rustic Rover Rescue and Lodge Inc. and give them the option to reclaim said pet at no charge.
2. I hereby agree to care for the above described pet in a humane and responsible manner and to provide it with clean and adequate shelter, food, water and veterinary care.
3. I further agree that said pet shall reside inside my home and shall not be allowed to roam freely nor be left outside for more than an hour unsupervised.
4. I hereby adopt without any health guarantee and take full responsibly for any financial needs of such animal.
5. I hereby agree that the adoption fee of $ _________ helps to cover the rescue’s expense of raising and caring for the animal and is not refundable after a trial period of 14 days.
6. I hereby understand and agree that the current owner makes no representations or warranties, expressed or implied, about the above-mentioned animal's temperament and is hereby absolved from any liability for future damages or injuries caused by said animal. I also understand and agree that the current owner further gives no guarantees, expressed or implied, of the suitability of the animal to the adopter and/or his family.
7. I also certify that the information contained in this application is correct to the best of my knowledge.
8.I understand that to falsify information is grounds for refusing to adopt to me.
I authorize any person, organization or company listed on this application to furnish you all information concerning veterinary medical records and pet ownership. I also authorize you to request and receive such information.
Approved Animal being adopted micro-chip# _______________________________________________
Proof of ID: ____________________________________________________________________
I certify that all statements made by me on this adoption agreement are true and correct. I agree that the current owner has the right to confiscate the above described animal if any statements made by me are found to be false and/or my check for the adoption fee is returned for insufficient funds. If check is returned for ISF additional fees and court cost may apply and would be submitted to the Knox county court house.
ADOPTER’S SIGNATURE_________________________________
DATE: ___________________________
WITNESS SIGNATURE___________________________________
DATE: ___________________________
Check/Cash/Paypal (circle one)
CK# ________
Amount Paid $ ______________
Adoption fee collected by __________________________
Foster Parent ____________________________________
* Current owner is defined here as the person who originally held the above described animal in their possession, Rustic Rover Rescue and Lodge Inc. of Knoxville, TN.
*Adopter is defined here as the person who accepts for adoption the above described animal.
NOTES by RRR&L