Dog Adoption Agreement

Dog Adoption Agreement

This is a legally binding agreement and will be upheld to its full extent.
Name of Animal:*
MaleFemale
Breed:*
Estimated DOB/Age:*
Adoption Fee:*
Tax & Processing Fees Added at Checkout
Adopter's Information
Name of Person Adopting:*

First NameLast Name
Phone Number:*
Format: (000) 000-0000.
Name of Co-Adopter (if applicable):

First NameLast Name
Full Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email:*
Adoption Information
Date of Adoption*

MonthDayYear
Date
MNWI
I AGREE THAT ALL STATEMENTS I HAVE MADE ON THIS FORM ARE TRUE. IF IT IS FOUND THAT ANY STATEMENTS I HAVE MADE ON THIS FORM ARE NOT TRUE, THE ADOPTED ANIMAL CAN BE CONFISCATED. I HAVE READ AND FULLY UNDERSTAND THE TERMS AND CONDITIONS OF THIS AGREEMENT, AND AGREE THAT IT IS NOT ARBITRARY AND THAT THE PROVISIONS HEREIN ARE COMMON IN A PET ADOPTION AGREEMENTS. I UNDERSTAND THAT IF I FAIL TO COMPLY WITH ANY OF THE TERMS SPECIFIED HEREIN, COCO'S HEART DOG RESCUE HAS THE RIGHT TO RECLAIM THE DOG AND PURSUE ANY LEGAL CHANNELS TO DO SO AT MY EXPENSE. (COURT FEES, ATTORNEY, PARALEGAL FEES AND ADMIN FEES).
I understand Coco's Heart cannot accept cash or check at this time and the adoption fee must be paid through our online payment portal.The animal listed on this agreement, hereinafter referred to as the animal, is being transferred to the adopting owner with the understanding that the adopter is taking possession of the animal to be responsible for it as their own animal immediately.I agree that the animal is being adopted for myself and will not be sold, adopted, or given to another party.I agree that the animal will not be allowed outdoors without proper supervision. When taking my animal outdoors, they will be on a secure harness and wear proper ID. I further agree that my animal will not be outdoors while I am away from the home or unsupervised.I agree that this animal is to be a companion animal, not a guard animal.. The animal will live inside my home, not outdoors. We do not consider a garage a home environment.I agree to care for the animal in a humane manner and be a responsible animal guardian. This includes supplying adequate food, water, shelter, attention and medical care.I agree that if at any point I cannot keep the animal, I will return him/her to Coco's Heart Dog Rescue without requesting a fee or refund. Adoption fees cannot be transferred to other animals. No exceptions.I understand and agree that if for any reason the animal needs to be returned to Coco's Heart Dog Rescue, I am responsible for transporting the dog back (M-F) to Somerset, WI at our Coco’s Heart location. Furthermore, Coco's Heart has at least 72 hours to 2 weeks to find a foster placement once a formal request has been made to the CHDR staff. A $100 surrender fee will be implemented and due at the time of surrender. Please refer to additional addendum for more information.I understand Coco's Heart makes no guarantees about the animal in any way- including behavioral, medical, breed (including what is listed on the website or records), or age.I understand and agree that Coco's Heart Dog Rescue makes no guarantees about the animals temperament and is not responsible for future damages or injuries caused by the animal. If any medical problems including any pre-existing conditions, test results that have come back after an adoption has taken place, or a difference in diagnosis from veterinary clinics should occur after adoption, Coco'sHeart Dog Rescue is not liable for any medical bills. Adjustment periods are common and do not always go smoothly. Please be prepared to provide patience, structure, routine and time when integrating your new dog into your family and life.I give Coco's Heart Dog Rescue permission to call my home and schedule a time to visit my home at any reasonable time to assure the animal is being properly treated and cared for.I agree to keep Coco's Heart Dog Rescue informed of my current home address and phone number at all times.I have received and reviewed veterinary records provided to me via email from Coco's Heart Dog Rescue OR from the foster family at the time of adoption. I agree I will provide these records to my veterinary clinic within 30 days of adoption.I have received the microchip number for the animal I am adopting. I agree to transfer the animal I am adopting into my name once I receive instructions on how to do so from the CHDR staff.A penalty charge of $50 plus all applicable bank fees will be assessed for payments that are returned NSF or stopped payments. We also have the right to immediately confiscate and pursue legal channels to do so at your expense. (Including but not limited to; court fees, attorney, paralegal fees and admin fees)I, as the adopter, understand the below statements and am choosing to pursue the adoptionknowing the risks involved as stated below:
At Coco's Heart, we value high quality veterinary care. That is why we perform a variety of healthscreening tests on incoming dogs which may include:
- Heartworm test (age dependant)
- Lyme/Ehrlichia/Anaplasmosis tests
- Fecal tests
- Blood panel tests
- Complete Blood Counts
- Brucellosis screening (source dependant)
While we do the best we can to screen for any potential contagious diseases, it is possible for some diseases to go undetected. This can happen for a variety of reasons and does NOT mean a test was inappropriately administered. There is a known risk of "false negative" testing. Without concurrent clinical symptoms that may correlate to a specific disease, Coco's Heart does not routinely re-test negative results. Adopters will need to discuss prudent re-testing with their own veterinarian based on each individual animal.
Obedience Course Requirement Addendum

The benefits of obedience classes go far beyond basic commands. The socializing, bonding and basic skills young dogs learn in these settings is priceless. We are hoping to set our dogs and adopters up for success, regardless if a member of the family has already attended a class in the past. If you need resources for trainers, please let us know!
I agree to complete a basic obedience course with a PROFESSIONAL FACILITY if I am adopting a dog under 2 years of age.I also agree to complete the entire course and provide proof of completion within 6 months of the adoption date if I am adopting a dog under 2 years of age.I understand if I am adopting a dog over 2 years of age that obedience courses are not required but highly recommended.
Trial Addendum

CHDR offers a one-week (7 days) trial for dogs aged one year and older. If you are given a one-week trial, you must reach out during the 7 day period if the dog is deemed not a fit for your home. After the week trial, the adoption is considered finalized and a formal surrender process must be followed. Please note- The trial run is only offered for dogs one year old and older.
I understand if my adopted dog is under 1 year of age at the time of adoption, I will not receive a one week trial period and the adoption is considered finalized.I understand if my adopted dog is over 1 year of age at the time of the adoption I will receive a one week trial period. When the 7-days concludes, the adoption is then considered finalized and no refund will be issued.I understand I am held to all of the terms of the adoption agreement during a one week trial period and will contact CHDR immediately if I determine the dog is not a fit.I understand if I need to return the dog to CHDR, I will need to bring him/her to Coco’s Heart Dog Rescue in Somerset, WI during the designated hours.I understand that a portion of my adoption fee will be refunded ($100 of the adoption fee is non-refundable) in the form of check, which will be processed within 30 days of the return if I have deemed the dog not a match during the week trial. Tax & Processing Fees not refundable.
Surrender/Return Process Addendum
Surrender/Return

Coco's Heart values a life-long commitment to each of our dogs. We have been able to uphold that commitment to all of our dogs in most cases, however in cases of aggression or reactivity, our options in rehoming or placing in our foster program again are limited. For that reason, we want to provide clear information at the time of adoption so that adopters can be prepared for what to expect during the return process- regardless of if shortly after adoption, or several years after adoption.

Timeline

Coco's Heart strives to welcome all dogs back to rescue within 2 weeks once a Surrender Inquiry is received. The Surrender Inquiry is therefore the time-stamp that provides us a 2-week notice. While our team works as quickly as we can, that 2-weeks is important to ensure we can move through our internal processes with returned dogs. If a dog is adopted and a Surrender Inquiry is received 3 days later, we still may need that full 2 weeks, regardless of the fact that it was shortly after adoption.

Aggression/bite history

Coco's Heart values our dogs, our adopters, and our community. We evaluate each situation individually, but in general cannot place dogs that are determined to be aggressive or have bite histories. What does this mean? This means that Coco's Heart may determine that they cannot welcome the dog back to rescue and/or recommend euthanasia. It is very sad, and we hope it does not come to that, but we want to be clear that histories of aggression need to be taken very seriously. If we cannot welcome a dog back to rescue, then we encourage adopters to pursue other options such as euthanasia instead of pursuing the surrender process. In those hard moments it is comforting for the dogs to be with their family, and not with strangers to them.
By checking this box, I agree to the terms above
By providing my signature here, I affirm that I have read and agree to the certifications and covenants above.
Signature of Adopter*

Powered by Jotform SignClear
Date of Signature:*

MonthDayYear
Date
Should be Empty:

Dog Adoption Agreement

Adopter's Information

Adoption Information

Obedience Course Requirement Addendum

Trial Addendum

Surrender/Return Process Addendum