Colville Pet Refuge Adoption Contract

**Colville Pet Refuge Adoption Contract**
Registered Name (if available): _______________________		AKC Number (if available): ____________________	Call Name: ___________________
Sex: __________	Age: _________	Coat Color/Markings: ____________________	Eye Color: ______________________

Adopter's Name:		Adopter's Name:
Address:		Address:
City:	State:	City:	State:
Home Phone:	Zip:	Home Phone:	Zip:
Email:		Email:
Work Phone:		Work Phone:

I/we, the undersigned adopting party, understand and agree to the following terms and conditions of this contract in the acquisition of the above-described animal , hereinafter referred to as "dog":

1. To return the dog to the Refuge Program if unable to keep the dog. To never abandon the dog or surrender, sell, or give the dog to a shelter, pet dealer, or a laboratory.

2. To notify the Refuge Program if the dog is lost or stolen and to make all reasonable efforts to locate the dog.

3. To never allow this dog to be trained for or used for protection or as an attack dog.

4. To treat this dog as a family pet with affection and kindness, never subjecting this dog to abuse or cruelty.

5. To provide regular veterinary care, including annual shots, heartworm preventative, and parasite checks.

6. To always keep this dog within a fenced yard (not on a chain), on a leash, or safely within the home.

7. To not transport this dog unconfined in an open vehicle.

8. To regularly check the tightness of any collar. To affix any licenses and tags to the collar and to never leave a choke chain on the dog when not attended.

9. To notify the Refuge Program of the dog's annual progress.

10. To allow the Refuge Program to periodically check on this dog.

11.To contact the Refuge Program, a veterinarian, or an obedience trainer when problems arise so that the problem may be eliminated or alleviated.

I/we further understand and agree that:

1. Non-compliance with any of the above terms and conditions may result in the immediate forfeiture of the dog and that the Refuge Program may reclaim this dog without payment of compensation to me/us. Initials:_________
2. The Refuge Program has explained the typical characteristics and temperament of the
dog Initials:__________
3. The Refuge Program has advised me/us that the dog can sometimes dig, chew, soil, and exhibit other undesirable traits unless properly supervised, confined, and trained. Initials:__________
4. The Refuge Program has advised me that this dog may have been neglected, mistreated, or abused and that special care or precautions may be required. Initials:__________
5.Any notices required to the Refuge Program required by this contract will be sent first class mail to: Colville Pet Refuge, 1250 N. Hwy 395, PMB 266, Colville, WA. 99114 initials:__________
6. The Refuge Program has provided me/us with the above-mentioned dog. Initials:__________
7. If the Refuge Program coordinator does not believe that the placement of this dog with me has been successful, the Refuge Program may reclaim the dog. Initials_______________

In consideration of the adoption of this dog, I/we agree to assume full responsibility for the conduct of this dog upon the date of this contract. I/we further agree to hold harmless the Refuge Program, its board of directors, its officers, its volunteers, and any individuals associated with the Refuge Program and to indemnify such organizations or individuals for any damages or costs resulting from liability, known or unknown, anticipated or unanticipated, as a result of the dog's conduct after the date of this adoption contract. I/we agree to accept responsibility for any and all future costs incurred for treatment or prevention of any illness in the dog. I/we understand that the dog may have been exposed to any infectious disease.

Signed this ________________ day of ________________, 20_______

Signature____________________________________________________

Adoption Donation:___________________Facilitator______________________________