SAMPLE ADOPTION CONTRACT: Adopter's Name:____________________________ Phone: ________________________________ Address: _______________________________ Former Owner's Name: _______________________ Phone: _______________________________ Address: ________________________________ Dog's Name: ________________ Breed: _____________________ Age:________ Sex:____ Color:______________________ Date of last Vet Check-up_________ DHLP_______ Rabies______ Heartworm Test________ Other: _______________ Next vaccinations & Heartworm check will be needed:_____________ Tatoo Number _______________ To the best of my (former owner) knowledge, this dog has no defects that would make it unsuitable as a family pet. I certify that this dog has never bitten or injured anyone. I (adopter) understand and agree to the following terms of this contract and understand that non- compliance with the terms of this agreement gives the adopting agent/former owner the right to reclaim this dog without refund of adoption fee. An adoption fee of $_________ will be collected at the time of adoption. This dog shall be kept and cared for as a family pet in a humane manner and given appropriate shelter and medical care for the duration of its life. I agree to abide by all state and local animal control and leash laws. I understand it is my responsibility to become familiar with these laws. I understand that ________( former owner/agent) ______makes no guarantees or warranties regarding the health or temperament of this dog. I agree to adopt this dog and to be solely responsible for this animal and any damages that may result from its actions. ___________ (former owner/agent) _____ shall not be held liable for the behavior of this dog or any damages it may cause. I understand that this a binding contract enforceable by civil law. Date of adoption: _____________________ _______________________________________________________ Adoptor's signature _______________________________________________________ Former Owner's Signature