Form

This Contract is made on *

Date

by The Pit Stop Rescue and *

Adopter's Name

hereinafter referred to as "Adopter(s)" regarding the adoption of the following dog, hereinafter referred to as the "adoptee" or the “dog”.

BLANK

Dogs Name *

Rescue's Given Name

ID #

Microchip # or Rabies #

Age

Approximate

Sex *

Male or Female

Description

Color, markings, etc.

PROPER CARE/ENVIRONMENT: Adopter hereby agrees to care for the dog humanely (including providing adequate food, water, shelter, love and attention). The dog shall reside indoors, in the adopter’s home, and live as a family member and companion only. The dog shall not be kept outdoors while the Adopter is not at home. When outdoors, the dog shall be maintained in an adequate enclosed area or on a leash at all times. The dog shall never be chained to any object or structure. The dog shall not be allowed to roam/run at will. *

Adopter's Initials

MEDICAL: Adopter agrees to have the dog vaccinated annually with necessary vaccinations (DHLPP) and vaccinated against rabies, as local ordinances require. Adopter agrees to provide essential veterinary care including having said dog continually on heartworm preventative. The Pit Stop Rescue reserves the right to check with the veterinarian at any time to verify that all the basic medical requirements are done. The Adopter agrees to allow their veterinarian to release any and all medical records relating to the adopted dog, at any time asked to do so. The signature on this contract will serve as their release and authorization. *

Adopter's Initials

COLLAR AND TAGS: Adopter agrees to keep the dog continually collared and tagged with rabies tag attached. If the dog becomes lost or stolen, Adopter agrees to notify The Pit Stop Rescue immediately. *

Adopter's Initials

TRANSFER OF OWNERSHIP: Adopter agrees not to sell, trade or dispose of the dog. Adopter further agrees that the dog shall not be used for medical or any other experimental purposes. If at any time, Adopter is unable or unwilling to care for the dog, Adopter agrees to contact The Pit Stop Rescue to discuss further options. *

Adopter's Initials

ILLEGAL USE AND TRAINING: Adopter agrees that the dog will not be used for any illegal purposes and will NEVER be fought in any way. If this clause is broken, Adopter understands that The Pit Stop Rescue will immediately confiscate the dog and all law enforcement agencies will be notified, as applicable. Adopter further agrees that under no circumstances shall the dog be trained or encouraged for the purpose of protection, aggression, or any aggravated display of behavior. Adopter certifies that adopter does not live in an area where “pitbulls” are banned. *

Adopter's Initials

CHANGE OF ADDRESS: Adopter agrees to notify The Pit Stop Rescue 7 days prior to any change of address or phone number. Furthermore, Adopter agrees to notify The Pit Stop Rescue of any change in the name, address, or phone number of the Veterinarian treating the dog. *

Adopter's Initials

HEALTH/TEMPERAMENT: Adopter understands that while The Pit Stop Rescue makes every effort to place only healthy dogs with good temperaments, The Pit Stop Rescue makes no guarantee or warranties regarding the health or temperament of the dog. The dog is adopted “as is” and adopter agrees to be solely responsible for the dog and to indemnify and hold harmless The Pit Stop Rescue from all claims of liability for the conduct of the animal on or after the date of this adoption. This Release of Liability and Indemnification shall apply to all known, unknown and unanticipated damages resulting from Adopter’s adoption, ownership and/or control of the dog. *

Adopter's Initials

THE PIT STOP RESCUE RESERVES THE RIGHT: The Pit Stop Rescue reserves the right to examine and make inquiries about the dog at any time. If not satisfied with the condition of the dog or the conditions in which it is kept, said dog can or may be removed immediately. Any veterinary services needed due to negligence, lack of care or lack of administering heartworm preventative will be the Adopter’s responsibility and payable to The Pit Stop Rescue *

Adopter's Initials

ADOPTION FEE: Adoption fees are due at the time of receiving the dog. This fee will be held until the adoption contract is signed. If the adoption does not work out after signing the contract, your fee is no longer refundable. The adoption fee is not a sales price, but rather a donation to offset the medical expenses incurred in the treatment of the dog and to enable The Pit Stop Rescue to continue its rescue efforts. *

Adopter's Initials

Adopter understands that this is a binding contract enforceable by law. Adopter understands that violation of any terms of this contract will subject the adopter to all expenses resulting from enforcement of this contract including attorney fees, and all court costs. By signing this contract, Adopter has read, understands, and agrees to all the terms of this contract. *

Adopter's Initials

Signature of Adopter *

Adopter's Full Name

First Name Last Name

Adopter's Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Adopters Email *

Phone Number *

- Area Code Phone Number

Driver's License *

PayPal

USD $150.00

Please upload a photo of you and your newest family member! This picture will go on our facebook page in the "Happy Paws" Adoption Folder!

Adoption Contract

Please initial the following