A HUMANE SOCIETY OF CENTRAL FLORIDA PET RESCUE, INC.
ADOPTION CONTRACT
Name_________________________________________________________EMAIL______________________________________________
Pet Name_______________________________________________________________________
Breed or description___________
I affirm that all application information is true. I realize that this is a lifetime commitment to this animal and 1 will endeavor to give this pet a happy & healthy home. IF THERE ARE PROBLEMS WITH THIS PET, I WILL IMMEDIATELY CONTACT MY ADOPTER FOR ASSISTANCE. OR IF I MUST EVER GIVE IT UP. I WILL RETURN IT TO MY ADOPTER. Initial_______
Initial_______ FOLLOW-UP AGREEMENT: I agree to allow A Humane Society of Central Florida Pet Rescue, Inc. to visit prior to adoption, and as a follow up, if desired, to investigate the premises where the animal is kept, and to reclaim the animal, if in the judgment of AHSCFPR, Inc. the animal is not being adequately cared for, the terms and conditions of this adoption contract have not been met, or if I have misrepresented any facts to AHSCFPR, Inc. during the adoption process. agree to designate AHSCFPRI through a mutual “friend,” to provide for my pet(s), should anything happen to me. I will keep AHSCFPRI informed of these preparations. Initial_______
NO WARRANTY OR GUARANTEE: I understand that every effort is made to offer for adoption, only healthy, even-tempered animals. However, animals are only available for observation by AHSCFPR, Inc. for a short time, and therefore, no guarantees, nor implied / expressed warranties with regard to this animal are made. I understand and agree that it is my responsibility to carefully choose the animal I am adopting and that no guarantees are made regarding the health, temperament, or training of animals for adoption. The animal is adopted "AS IS". I understand and agree that AHSCFPR, Inc. won’t be liable, in whole or in part, for any personal injury or property damage caused by this animal, or for any injury or illness of this animal, once possession is assumed by the Adopter. The Adopter, hereby, agrees to assume all liability for the animal's care and any injury or damage done by the animal. Initial ______
Initial ______ Due to the time limit, AHSCFPR, Inc. usually gives only one general de-wormer. Most pets should be wormed monthly to keep the worm population to a minimum. To be a knowledgeable owner, we would like to email you updated over-vaccination information. I understand that it is recommended that I have a veterinarian perform a follow-up microscopic fecal exam, to see if my new pet needs additional de-wormings. Initial _______
Listed below are some services that are recommended, but may NOT be included in the adoption fee:
heartworm prevention; additional de-worming for- tapeworms, whips, etc; flea and tick prevention; fecal exam; any additional testing; annual exams, a dental cleaning. Initial: ______
Other _________________________________________________________________________Initial_______
By my signature below, I swear that I have read and understand the terms of this adoption contract, and all of my obligations and responsibilities pertaining to adopting this animal. I enter into this contract of my own free
will and agree to all the terms and conditions contained herein, for the welfare of this pet.
______________________________ ________________________________ _____________________
(ADOPTER SIGNATURE) (FOSTER WITNESS) (DATE)
(FOSTER WITNESS) (DATE)NOTE: Your donation has helped to save one or more animals from demise. However, the cost of vet visits, medications, vaccinations, spay/neuter, care, etc, often exceeds the donations asked. If you would like to increase the donation, in order that we may save more animals from death, please help others by adding to your gift. Thank you for your thoughtfulness in adopting a rescued pet. You are making it all possible!
A HUMANE SOCIETY OF CENTRAL FLORIDA PET RESCUE, INC.
ADOPTION APPLICATION
Our counselors will ask you many questions to determine which pet will do well in your home and which will not. This way we can be sure the pet you get will be the pet you want, to love for its lifetime. Please, understand that we deal with homeless or unwanted animals. Many of our animals come from unknown backgrounds. The adoption process may seem time consuming, but we wish to maximize an animal's chance for a successful, permanent adoption. Adopting a companion pet is a major consideration and responsible pet ownership demands a considerable commitment. Thank you for your interest in our fostered animals.
Names____________________________________________________________ Over 18 yo?_______________
Address_________________________________________________________City__________________________________
Phones______________________________________________________________________________________________
How long at this address. If less than 3yr, previous address______________________________
. If less than 3yr, previous address______________________________Own home?Rent? ______A statement from the landlord, with address, and phone number is required.)
Rent? ______A statement from the landlord, with address, and phone number is required.)Do you or spouse work? ________________________Does anyone in your household have allergies to dogs or cats?______
Children, grandchildren in the home? How many & what ages?_________________________________________________
Occupation?________________________________________Place of employment_________________________________________
Would you consent to a pre-adoption and post-adoption home visit? _____________
What breed of pets have you owned before?
What, specifically, happened to them?_____________________________________________________Over >
What animals do you own now?____________________________________________________________________________________________________
All spayed / neutered?_________________________________Do your pets tolerate other animals?_______________
Your veterinarian office?_____________________________________
Are you financially prepared to take your pet to the vet without waiting until it is too late or to provide the necessary care for your pet Including: proper food, vaccinations, parasite control (fleas, tides, worms, etc.), licensing, adequate shelter, and veterinary care for yearly check-ups, or an after-hours medical emergency or illness, which could cost $1000 or more ?______
Will your pet spend all or most of the daytime indoors?__________night?__________________________
Are you willing to COMMIT yourself and your energies to this pet for its lifetime?__________________________
What do you consider a good reason to give up your pet?________________________________________________________________
FOR DOGS: Have you ever used a crate to train a pet?______. Crates should be a useful item if not used all of the time, would you crate i.e. to prevent unwanted behavior (chewing electric cords, furniture] or health problems that might occur; for further house breaking of a pet; to medicate, urinary tract infection, etc.)? _________.
Is your yard fenced "SMALL dog secure" ?If not, how will you "potty" your dog?
If not, how will you "potty" your dog?Have you trained a dog in basic obedience in the past?
If needed for better control, would you be willing to take your dog through a basic obedience class?_______
About how many daytime hours, per day, will you be able to be at home with your pet?_____________________.
How will you provide for your pets’ care if you are no longer able? _______________________________________________________________________________________________
_______________________________ _______________________________ _______________
_______________ (ADOPTER SIGNATURE) (FOSTER WITNESS) (DATE)
(FOSTER WITNESS) (DATE)
