Adoption Contract
This Contract is made on
*
Date
by The Pit Stop Rescue and
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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.
Please initial the following
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.
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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.
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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.
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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.
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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.
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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.
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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.
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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
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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.
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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.
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Adopter's Initials
Signature of Adopter
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Adopter's Full Name
Adopter's Full Name
First Name
Last Name
Adopter's Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
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Armenia
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Austria
Azerbaijan
The Bahamas
Bahrain
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Belarus
Belgium
Belize
Benin
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Bhutan
Bolivia
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Botswana
Brazil
Brunei
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Burkina Faso
Burundi
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Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
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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
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Laos
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Macedonia
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Mali
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Mayotte
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Moldova
Monaco
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Montenegro
Montserrat
Morocco
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Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
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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
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Samoa
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Somaliland
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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
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Turks and Caicos Islands
Tuvalu
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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
Adopters Email
*
Phone Number
*
-
Area Code
Phone Number
Driver's License
*
PayPal
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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!
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