Arf-Anage Adoption Contract
Thank you for adopting from Arf-Anage Dog Rescue - please read the entire contract before submitting. By submitting this form, you agree to all of the terms within. 
Sign in to Google to save your progress. Learn more
Email *
Please choose one of the following *
Untitled Title
Date of Adoption *
MM
/
DD
/
YYYY
Adopter Name *
Adopter Driver's  License State and Number *
Adopter Street Address (physical location of pet) *
City *
State *
Zip Code *
Phone Number *
Dog Name *
Colors *
DOB/Age *
Breed *
Sex *
If not altered; date of sugery
MM
/
DD
/
YYYY
I hereby swear and attest that the following information is true and that the following listed items will be followed to the best of my abilities regarding the adoption of the pet listed above. (Hereafter referred to as “the pet”). *
I am the legal owner of my residence or have obtained the required permission from my landlord to have this pet on the property  
*
I am able to provide a safe and secure environment for this pet. 
*
I am adopting the pet solely as a domestic pet for myself and/or my family. I will not use the pet for any illegal activity including dog fighting.  
*
I will be responsible for the training and socializing of the pet.  
*
 I will not physically abuse, neglect, starve, or harm the pet in anyway. I will make sure that the pet has adequate food, water, and shelter and will maintain a healthy weight.  
*
 I understand that the pet is NOT to be an “outside only pet” and no crating for more than 6 hours at a time without a potty break and outside play time.  
*
I understand that the pet must be altered and vaccinated on the date(s) set by Arf-Anage Dog Rescue. Failure to comply will void this contract and the pet must be surrendered to the rescue with no refund. An additional $50 charge will be incurred for any missed appointments. I will continue to keep the pet up to date on all vaccinations yearly and/or as needed.
*
It is my responsibility to license my new pet in the county in which I reside.
*
If for any reason I choose to return the adopted pet, I understand that a refund of 80% of the original adoption fee will be issued when the pet is returned within the first 5 days. After 5 days, a refund will not be issued, and the pet MUST be returned to the Arf-Anage Dog Rescue ONLY. The rescue will then have 30 days to reacquire the pet.
*
If the pet is returned to Arf-Anage Dog Rescue after 6 months. I will agree to pay a surrender fee of $50.00
*
I understand that in the event an Arf-Anage Dog Rescue Representative feels that the home environment is not safe for the pet, the adoption will become void and Arf-Anage Dog Rescue will refund 80% of the adoption fee within the first 30 days.
*
I will allow an Arf-Anage Dog Rescue Representative to complete an in-home visit of my residence to ensure a safe environment.
*
I understand that the Arf-Anage Dog Rescue is not liable for any action taken by the pet.
*
Medical Agreement
I understand that NO guarantee is made regarding the health or temperament of this pet. However, Arf-Anage Dog Rescue does offer a free fecal exam if needed.
*
From the date of adoption forward, the pet's health is the full and sole responsibility of the adopter. Adopter will arrange for immediate veterinary care in the event of serious illness or injury. The Arf-Anage Dog Rescue cannot guarantee the health of any animal and shall not be held responsible for any medical expenses which may be incurred, hereby excluding any implied or expressed warranties of merchantability or fitness for any purpose, including, but not limited to, any warranties regarding health, temperament or whether the animal has been housebroken.
*
Should the pet become ill within the first 14 days, Adopter agrees to allow Arf-Anage Dog Rescue to treat the pet and/or acquire any additional medical treatment if needed. Arf-Anage Dog Rescue will only treat if the pet is returned to their care. When the pet has been treated and recovered, the pet will be returned to the Adopter. For treatment purposes only, Arf-Anage Dog Rescue will remain the co- owner of the pet for 15 days for any medical treatment to be obtained.
*
Arf-Anage Dog Rescue will not pay for any medical procedures or veterinary care that is not authorized by us in advance, or one of our participating approved veterinary clinics.
*
If for any reason Adopter chooses to humanely euthanize the adopted pet, Arf-Anage Dog Rescue will not reimburse the adoption fee, nor pay for ANY of the expenses.
*
I fully understand that I am not permitted to alter (dock) my pet in any way, specifically ears or tail unless deemed medically necessary.
*
I will register my pet's microchip at www.my24pet.com within the next 5 days. *
FOR PETS NOT YET ALTERED - SPAY & NEUTER AGREEMENT
Only complete if your pet is not yet altered.
I am aware that the pet I am adopting is not yet altered. I a will take my pet to the appointment scheduled by Arf-Anage Dog Rescue.
Clear selection
If requested to do so, I will call the pre-selected clinic on the first business day after adoption and schedule the earliest available appointment.
Clear selection
I understand alteration and rabies must be completed within 30 days of adoption. I will send proof of sterilization and vaccination, along with microchip number, to arfanangerescue@gmail.com. Failure to do so will result in my pet being repossessed by Arf-Anage Dog Rescue and I will not receive a refund. 
Clear selection
I understand the rescue will not cover alterations or vaccinations at my personal vet.
Clear selection
I understand the rescue will cover the cost of alteration, rabies, and microchip, but will not cover additional pain medicine or cone. If I chose to purchase those it will be at my own expense.
Clear selection
TO BE COMPLETED BY ARF-ANAGE REPRESENTATIVE
I have been up front with the adopter about any known health and/or temperament issues the pet may have. I have made no misrepresentations regarding temperament, age, or medical status of the pet as sometimes pets behave differently in new environments.  [WRITE NAME BELOW]
*
Adoption Fee Amount *
Payment Made Through *
Trial Start Date
MM
/
DD
/
YYYY
Trial End Date
MM
/
DD
/
YYYY
Additional Information
Current Food
Current Medications *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy