Hearts of Valor Rescue Adoption Contract
Please complete all sections to finalize your adoption. This contract outlines your responsibilities as an adopter and collects required information for Hearts of Valor Rescue.
Adopter Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Animal Name
*
ID/Description
*
Species/Breed
*
Approximate Age
*
Sex
*
Male
Female
Adoption Terms & Responsibilities
I understand that I am adopting this animal as a companion and family member. The animal will reside primarily indoors and will not be used for breeding, fighting, or any illegal purpose.
I agree to provide appropriate food, fresh water, shelter, exercise, mental enrichment, and kind treatment at all times.
I agree to provide routine and emergency veterinary care as needed, including vaccinations, parasite prevention, and prompt treatment of illness or injury.
I will comply with all local laws and ordinances relating to animal ownership, including leash laws, licensing, and rabies vaccination requirements.
Cats: I understand that declawing is not permitted for any cat adopted from Hearts of Valor Rescue. I agree that I will not declaw this cat in the future.
Dogs: I will not allow this dog to roam freely unsupervised and will take reasonable steps to prevent escape or injury.
I agree that I am adopting this animal for myself and my household, and that I will not transfer ownership, sell, or give the animal away without written consent from Hearts of Valor Rescue.
If at any time I am unable to keep this animal, I agree to contact Hearts of Valor Rescue and return the animal to the rescue if requested. I will not surrender the animal to a shelter, rescue, or new home without approval.
I understand that Hearts of Valor Rescue has provided all information known about this animal's history and behavior, but cannot guarantee temperament, health, or future behavior.
I agree to contact Hearts of Valor Rescue promptly if serious behavioral or medical concerns arise, so we can work together on solutions whenever possible.
No Warranty / Limitation of Liability
I understand that this animal is adopted "as is" and that Hearts of Valor Rescue makes no guarantees regarding long-term health, behavior, or temperament. I accept full responsibility for the animal upon signing this contract, and I release Hearts of Valor Rescue, its volunteers, and representatives from any liability for damage or injury caused by the animal after adoption.
Adoption Donation Amount (USD)
Date Paid
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Method of Payment
*
Cash
Check
Card
Other
If 'Other' payment method, please specify
Adopter Signature
*
Signature Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Adopter Printed Name
*
Rescue Representative Signature
*
Signature Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Rescue Representative Printed Name
*
Submit Adoption Contract
Submit Adoption Contract
Should be Empty: