Driver's License State * Driver's License Number *
Initials*I agree to the anticipated length of the foster care period, the objectives of the placement, and any other restrictions, requirements and expectations provided by Fixing the Unbroken.
Initials*I ensure this animal will be treated in a humane manner at all times and will live in a healthy and safe environment. I agree to provide daily food and fresh water at all times. I agree this animal will live indoors only and be sheltered from extreme temperatures and weather conditions.
Initials*I agree this animal will live inside my home and will not be isolated from all members of the household. In the event a crate is necessary, I agree this animal will not be kept in a crate for longer than 8 hours a day, unless medically necessary. I agree the crate must be large enough for this animal to comfortably stand up, turn around, and lay on its side.
Initials*I agree to administer all medication(s) and treatment(s), if applicable, as directed by Fixing the Unbroken.
Initials*I agree to return this animal to Fixing the Unbroken when requested to do so, at any time, and for any reason. I agree to not promise this animal to anyone or imply I have the authority to approve a potential adoption. I agree not to transfer possession or custody of this animal to any other person at any time. I understand Fixing the Unbroken retains ownership of this animal and will make all decisions regarding this animal including, but not limited to, medical care and placement.
Initials*I agree to contact Fixing the Unbroken immediately in the event of any illness or injury to this animal. I agree to pay all veterinary costs not expressly approved by Fixing the Unbroken. I agree to provide Fixing the Unbroken with any medical records received for this animal while it is in my care.
Initials*I agree that euthanasia of this animal will be done only with approval by Fixing the Unbroken, veterinarian recommendation, and for one of the following circumstances: a. This animal’s terminal illness. b. Injury that cannot be medically treated. c. Old age accompanied by pain and suffering. If euthanasia is determined to be best for this animal in one of these cases, the euthanasia must be performed by a licensed veterinarian and must be approved by Fixing the Unbroken prior to being performed.
Initials*I attest that I am not obtaining this animal for use in any type of experimentation or for sale to any agency that experiments on animals.
Initials*If I decide, for whatever reason, I cannot continue to care for this animal, I will return it to Fixing the Unbroken immediately without any money being refunded. I will not give this animal to an animal shelter, have it destroyed, or abandon it. I understand that Fixing the Unbroken, at its discretion, may place this animal with another caregiver as soon as possible after receiving it.
Initials*I understand there is a monetary cost associated with pet ownership. In addition to routine vaccinations and health screenings, animals may require veterinary care for the treatment of illness or injury. Other costs may include charges for training, boarding, pet deposits, special devices or equipment, basic care, and damage to personal property. I attest I am both financially willing and able to accept full responsibility for this animal.
Initials*I confirm that I am making a long-term commitment to the ownership of this animal. I understand changes to my lifestyle or family composition do not relieve me of my responsibility to this animal.
Initials*I understand that Fixing the Unbroken cannot predict the behavior of this animal in its new environment and failure of this animal to meet my expectations does not relieve me of my responsibility to this animal.
Initials*I understand that Fixing the Unbroken is relying on the information provided in the adoption application. I understand this animal will not be given to or sold to another institution, organization, or individual without written permission from Fixing the Unbroken. I agree this animal will not be placed in an environment functionally different from the one described in the adoption application.
Initials*I understand that any medically unnecessary surgical procedures, such as declawing, defanging, debarking, or cropping/docking of the tail or ears are not allowed to be conducted on this animal at any time.
Initials*I agree to contact Fixing the Unbroken immediately in the event this animal is lost or stolen.
Initials*Unless otherwise arranged, I understand I am responsible for providing all food, litter, water, bedding, toys, leashes, collars, and any other supplies needed for this animal while it is in my care.
Initials*I agree to allow a Fixing the Unbroken representative to visit my home to check on the health and welfare of this animal, for the purpose of determining compliance with the terms and conditions of this contract, or for any other reason at any time.
Initials*I agree to provide transportation for this animal to and from veterinarian appointments, surgeries, adoption events, and meetings with potential adopters.
Initials*I affirm that no member of my household, including myself, has been convicted or charged with any animal welfare law violation, animal cruelty, neglect, abandonment, domestic battery, or sex crime.
Initials*For cats, I agree not to use a collar of any kind on this animal at any time. For dogs, I agree not to use any choke-type, prong, or shock collar on this animal at any time unless prior approval has been given by Fixing the Unbroken.
Initials*I agree this animal will never be transported in any open vehicle, including but not limited to, truck beds.
Initials*I agree to never physically abuse, mentally abuse, emotionally abuse or neglect this animal. I agree to never knowingly allow physical abuse, mental abuse, emotional abuse or neglect to occur to this animal.
Initials*I agree to notify Fixing the Unbroken immediately if any of my contact information changes such as address, phone number, or email address.
Initials*I understand that children are not fully capable of caring for an animal and the primary responsibility of this animal rests on the foster caregiver. I will provide appropriate supervision and instruction on proper handling of this animal at all times.
Initials*I understand that I receive foster care animals at my own risk and can decline to accept any animal for which Fixing the Unbroken has asked me to provide care.
Initials*I agree that if I am no longer able to foster this animal, I will return it to Fixing the Unbroken and will try to provide at least a 2-week period to allow Fixing the Unbroken to find another suitable foster.
Initials*I agree that foster services are voluntary and are without any expressed or implied promise of salary, compensation, or payment of any kind.
Initials*I agree to comply with all local and state laws regarding animal care and control.
Initials*I understand it is my responsibility, as the new owner of this animal, to see that the animal complies with all health regulations and applicable ordinances. This includes, but is not limited to, vaccinations to prevent rabies and local pet licensing laws.
Initials*I understand that Fixing the Unbroken does not necessarily know the nature of the animal or its characteristics. Fixing the Unbroken gives no warranties, expressed or implied, of temperament or health. I confirm I have been provided information on the animal’s past medical records, current health status, and any known pre-existing conditions. I understand this animal should be isolated for a period of time from my own animals to the extent possible, in the event this animal has been exposed to any type of illness. Initials*I relieve Fixing the Unbroken, including all members, officers, directors, employees, representatives and agents, of any liability and responsibility for damage or injury to persons, property, or other animals caused directly or indirectly by this animal and hold them harmless from liability. I agree that I will not hold Fixing the Unbroken, its past, current, or future board members, directors, employees, representatives, fosters, volunteers, agents, donors, any partners, associates, attorneys, or any other related people or entities, responsible for any illness or injury to this animal while it is in my possession.
Initials*I understand if I do not comply with the terms of this contract or if this animal is abused or neglected, Fixing the Unbroken holds the right to recover this animal from me upon demand, and this animal will be surrendered to Fixing the Unbroken immediately. Fixing the Unbroken reserves the right to reacquire this animal. Initials* I agree that Fixing the Unbroken retains title to this animal strictly limited to and for the sole purpose of ensuring this animal’s well-being. Fixing the Unbroken will only exercise its superior claim if it appears, in the sole discretion of Fixing the Unbroken, that the proper humane care as specified above is not being afforded to this animal. Should Fixing the Unbroken make such a determination, it may reclaim this animal through a Claim and Delivery proceeding or any other lawful means. I also agree to pay all costs and attorney fees if I am found in violation of any provision of this contract by a court of competent jurisdiction.
Initials*I understand this contract is between myself and Fixing the Unbroken and supersedes any prior understandings between us with respect to the subject matter of this agreement. No modification of this contract will be valid unless in writing duly signed by both myself and Fixing the Unbroken. This contract is binding upon myself and my heirs, assigns, successors, personal representatives and executors.
Initials*I agree to adopt this animal from Fixing the Unbroken under the terms of this contract. I acknowledge that live animals are unpredictable and that Fixing the Unbroken, its past, current, and future board members, directors, employees, representatives, fosters, volunteers, agents, donors, and any partners, associates, attorneys, and any other related people or entities (collectively, “released parties”) cannot and have not guaranteed the health, age, temperament, breed, behavior, training, or any other condition or characteristic of this animal. I understand that this animal may over time exhibit traits that may or may not be apparent at adoption and that none of the released parties can or has guaranteed anything about this animal’s breed. I release each and all of the released parties from all claims or liability relating to any alleged erroneous statements about this animal and all other claims or liability related in any way to this animal once s/he is in my possession. I agree to indemnify the released parties for any liability or claims relating in any way to this animal and arising from events at or after the time s/he enters my possession.