Adoption Contract

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GOLDEN BEGINNINGS GOLDEN RETRIEVER RESCUE, INC. (“GBGRR”) ADOPTION CONTRACT

Name (hereinafter referred to as “ADOPTER”)*
First Last
Email*
Phone (cell)*
Address*
Street Address Address Line 2 City State ZIP Code
I/We, the ADOPTER(s), enter into this Adoption Contract and acknowledge receipt from GOLDEN BEGINNINGS GOLDEN RETRIEVER RESCUE, INC. (hereinafter called “GBGRR”) of the dog named and described as follows:
Dog's Name*
Dog's Sex:
- Male
- Female
Dog's Age (approx.):*
Dog's Color:*
Dog's Microchip ID#:*
GBGRR always stays in place as owner so that if your dog ever becomes lost and is found by a good Samaritan, animal control, or another agency, GBGRR will be notified.
Dog's GBGRR Tag ID#:*
TERMS AND CONDITIONS
GBGRR and Adopter agree to the following terms and provisions. Please read all of the information below. Your signature at the bottom of this contract confirms that you agree with all statements listed in this section.
1) Adopter understands that the adoption fee is only refundable if, within fourteen (14) days from the date of this Contract, Adopter personally returns the living dog to GBGRR and releases GBGRR of any and all liability.

2) Adopter agrees to take the dog to a licensed veterinarian within 14 days from the date hereof for a check-up.

3) It is agreed and understood by Adopter that, while GBGRR endeavors to provide an accurate history and assessment of a dog, GBGRR makes no representations or warranties regarding the dog’s health, breed, history, behavior, or temperament. It is further agreed and understood that environmental changes may affect and change the temperament of the dog and that GBGRR shall have no liability or responsibility of any nature regarding defects with the dog, or injuries or damage to any person or property which may be caused by the dog.

4) Adopter agrees to provide this dog with a safe home, proper care and attention, and humane treatment in accordance with all applicable current and future state, county, and local laws. Adopter further agrees that the dog will be a household pet residing primarily inside Adopter’s home (not in a yard or pen) and that the dog will be kept indoors when the adoptive family is away from home. The dog will not ride loose in the back of trucks, nor be chained or tied-out, or allowed to roam loose. The dog will not be used for breeding, fighting, or exclusively as a hunting or guard dog, nor will it be used in experiments or research of any kind.

5) Adopter understands that there are costs involved in maintaining a dog, and agrees to assume full responsibility for the food bills, health care and licensing of the dog.

6) Adopter agrees to take the dog to a licensed veterinarian at least once a year for an examination and routine vaccinations and tests, and to provide the dog with necessary veterinary care upon sickness, disease, and injury. Adopter agrees to provide – at a minimum – the following vaccinations and tests at the intervals required by law and/or advised by their veterinarian: physical examination; Rabies and Distemper/Parvo vaccinations; fecal (internal parasite) test; and an annual heartworm test, followed by a regular course of heartworm preventative. Even though a dog may test negative for heartworms initially upon intake, there is no guarantee or warranty made that the dog has not already acquired a heartworm infestation immediately prior to intake. Despite GBGRR’s efforts to supply an accurate test result, there remains a slight chance that a dog may have become infected immediately prior to intake. Due to the physiology of heartworm disease, the testing done may or may not be indicative of future heartworm status.

7) Adopter grants permission to GBGRR to obtain any and all medical records for this dog from Adopter’s veterinarian at any time for any reason, and agrees to indemnify and hold GBGRR and any veterinarian harmless from any and all liability regarding the release of such medical records to GBGRR. 8) Adopter agrees that whenever the dog is allowed outdoors, the dog will wear a collar (with the GBGRR identification tag affixed to the collar). GBGRR has microchipped and registered the dog and is listed as the primary contact on the chip registration information. The GBGRR tag as well as the microchip are essential to your dog’s safe return should it become lost or separated from you. If the dog becomes lost or separated from Adopter, Adopter shall notify GBGRR immediately.

9) Adopter consents to the examination of this dog by GBGRR at any time for any reason. Adopter consents and acknowledges that GBGRR has the right to reclaim the dog at any time for failure to comply with the terms of this contract or for any misrepresentations made by Adopter in the adoption application or in this contract. Adopter agrees to allow any GBGRR representative onto Adopter’s property to reclaim dog if necessary. Adopter agrees to relinquish custody of the dog to GBGRR immediately upon request without legal writ or order until the situation warranting the reclamation is rectified. In the event the dog should be returned to or reclaimed by GBGRR, Adopter agrees to be financially responsible for any untreated medical issues or overdue vaccinations. If the dog proves to be heartworm positive, Adopter agrees to pay GBGRR for all costs associated with treating the dog for heartworms.

10) GBGRR has a lifetime commitment to the dog. Adopter agrees that if for any reason, he/she cannot keep and/or properly care for this dog; the dog must be returned to GBGRR. Adopter understands that no refund will be given after the initial fourteen (14) day period provided for in Paragraph 1 above. The dog shall not be given away, sold, or exchanged without prior written consent of GBGRR. Adopter understands that any friend or family member who wishes to take ownership of this dog will be required to apply to GBGRR for the right to adopt it. It is strictly forbidden for any GBGRR dog to be surrendered to a shelter, animal control facility or any rescue facility or organization other than GBGRR.

11) If, for any reason, this dog has not been spayed or neutered prior to the execution of this contract, Adopter agrees to have the appropriate sterilization procedure performed on or before the date listed below and to provide documentary proof of sterilization. 12) Adopter agrees and understands the “Special Provisions” (if any) which will be added below.

13) Adopter understands that this dog has behavioral concerns (if any, as listed below) and acknowledges that Adopter has been informed of these concerns.

14) Adopter understands that this dog has medical concerns (if any, as listed below) and acknowledges that Adopter has been informed of these concerns.

15) Adopter agrees to immediately notify GBGRR of any change in Adopter’s contact information (i.e. address, phone numbers and email address).

16) Adopter agrees to pay GBGRR for any and all expenses, including court costs and reasonable attorney’s fees, incurred by GBGRR in enforcing the terms and provisions of this contract. Payment of these expenses shall not excuse Adopter from the obligation of returning the dog to GBGRR.

17) It is agreed and understood by Adopter and GBGRR that this written agreement sets forth all promises, agreements, conditions, and understanding between them, oral or written, and that both parties have fully read and understood all of this agreement.
Dog to be Spayed/Neutered by:
MM slash DD slash YYYY
Special Provisions (if none, type N/A)*
Behavioral Concerns (if none, type N/A)*
Medical Concerns (if none, type N/A)*
I/We have never been investigated, charged, or ticketed with cruelty to any animal. All information provided by Adopter in the Adoption Application filed with GBGRR is true and complete. Adopter understands that the adoption of the dog will not be complete until all funds for the adoption fee have been received by GBGRR and that GBGRR shall have the right to reclaim the dog if such funds are not received by GBGRR. If Adopter’s check for the adoption fee is not honored, Adopter shall pay, in cash or by money order, the adoption fee plus a returned check fee of $25.

Adopter hereby releases, indemnifies and holds GBGRR, its officers, directors, members, agents, and representatives and their heirs, administrators, executors, successors and representatives harmless from any and all liability and claims of any and every nature and cause, known or unknown, now or hereafter arising, directly or indirectly in connection with the dog.
Adoption Fee to be Paid*
- Adoption fee - $550 (Age of dog is under 8 years old)
- Adoption fee - $300 (Age of dog is over 8 years old)
- Other
Please Type Your Name and Sign Below
Adopter/Applicant Name*
First Last
Adopter/Applicant*
Please use your mouse or finger to sign.
Is there a Co-Applicant?*
- Yes
- No
Adopter/Applicant Name*
First Last
Co-Adopter/Co-Applicant*
Please use your mouse or finger to sign.
Adoption Date*
MM slash DD slash YYYY
Change of Address and/or Contact Information
- I/We understand that if any of our contact information changes, we will notify GBGRR.
GBGRR Foster
Foster Name*
First Last
Foster Signature*
GBGRR Board Member
Lauri Neale
President
After submitting this contract, you will be redirected to the adoption fee payment page. You will be able to select your payment method (credit card or check). The payment options will also be sent to you via email in case you accidentally close the page. You will also receive a copy of your contract via email.
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Adoption Contract

GOLDEN BEGINNINGS GOLDEN RETRIEVER RESCUE, INC. (“GBGRR”) ADOPTION CONTRACT

TERMS AND CONDITIONS

Please Type Your Name and Sign Below

GBGRR Foster

GBGRR Board Member