Adoption Contract

Date: ________________

Dog’s Name (if known): ________________________________________ Sex: __________________

Color/Markings: _____________________________________________ Adoption Date: _________

Spayed/Neutered: __________________________________________________________________

MEDICAL DATA:

DHLP_______Parvo:_______Rabies: _______Checked for Parasites:_______Heartworm Checked______

Next Vaccine Dates:

DHLP_______Parvo: _______Rabies________Check for Parasites: _________Check for Heartworm____

 

ADOPTOR AGREEMENT

The following terms and conditions constitute a contract for the adoption of the dog described above (hereafter referred to as "Yorkshire Terrier" or "dog" regardless of age or sex) between Yorkie Mannor and _____________________________. These terms and conditions are entered into and agreed upon by both Yorkie Mannor and the adopter and they acknowledge the moral and legal worth of this contract.

I (we), the undersigned agree to all of the following terms of this contract and understand that non-compliance with the terms of this agreement gives Yorkie Mannor representatives the right to reclaim this Yorkshire Terrier without refund of adoption fee.

Please Initial if in agreement:

_____ 1. If for any reason you are unable to keep this Yorkshier Terrier, you will notify Yorkie Mannor representative, which will work with you in finding an appropriate home for this Yorkshire Terrier. Appropriate homes to be determined by the Yorkie Mannor representative.

_____ 2. To notify a Yorkie Mannor representative immediately if this Yorkshier Terrier is lost, or stolen and to make every effort to locate the dog.

_____ 3. To NEVER take this Yorkshire Terrier to an animal shelter, pound or humane society.

_____ 4. To NEVER allow this Yorkshire Terrier to be used in animal research.

_____ 5. To treat this Yorkshire Terrier as a family pet, with affection, kindness and not subject this Yorkshire Terrier to abuse or cruelty at any time.

_____ 6. To provide regular veterinary care, including annual vaccinations, parasite checks and dental care as determined by your veterinarian.

_____ 7. To provide proper food, shelter, fresh water, adequate companionship at all times and to keep this dog on leash when dog is not on adopter’s property. Proper shelter means this Yorkshire

Terrier is to be an indoor dog, not to be left outside for long periods. Under no circumstances is this Yorkshire Terrier to be a "yard dog".

_____ 8. To not transport this Yorkshire Terrier in an open vehicle or in any way endanger the dog in transportation.

_____ 9. To immediately license, and place identification on the dog. Identification can be either tags with collar, tattoo on inner thigh, or microchip by a veterinarian.

_____ 10. To notify the Yorkie Mannor representative if I move and give the new address and phone number.

_____ 11. Under no circumstance, sell the adopted Yorkshire Terrier to pet dealers, pet stores, puppy mills, or benefit financially from this dog.

_____ 12. To not kennel this Yorkshire Terrier , except to provide for safety (i.e. when you are absent from the home and he/she is alone), transporting, or to sleep at night.

_____ 13. The above Yorkshire Terrier will not be euthanized in a non-emergency situation without notifying a representative by registered letter and giving 14 days to respond.

_____ 14. The adopter agrees to allow a Yorkie Mannor representative to periodically check on this Yorkshire Terrier to be assured of compliance with items #1 through #15.

_____ 15. Other: _______________________________________________________________________

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ENFORCEMENT OF CONTRACT

Any breach of this contract in part or whole requires that the adopter return the Yorkshire Terrier to the yorkie mannor Representative at the adopter’s expense without entitlement of any refund or damages of any kind.

ANY and ALL suits for the breach of or enforcement of this contract will be brought in (County)_______________________________ in the State of ____________________, and the laws of (State) ________________ will apply.

If the Adopter fails to meet ANY of the articles listed under "Adopter Agreement", a Yorkie Mannor representative reserves the right to repossess the Yorkshire Terrier and any papers that pertain to the Yorkshire Terrier . No compensation will be due adopter at the time of the repossession. Violation of ANY provisions of this contract will constitute damage to the reputation of Yorkie Mannor, and the Adopter agrees to relinquish ownership of the Yorkshire Terrier plus absorb the cost of any related court costs & shipping.

 

The undersigned adopter has been advised of these facts and agrees to accept all responsibility for the behavior of the Yorkshire Terrier chosen for adoption, and agrees to all conditions of this contract.

RELEASE OF LIABILITY AND INDEMNIFICATION:

In consideration Yorkie Mannor allowing me/us to adopt this Yorkshire Terrier as our pet, I/we promise and agree to be solely responsible for this animal and to indemnify and hold harmless Yorkie Mannor, Representatives, and Volunteers, of Yorkie Mannor, from any and all claims of liability for the conduct of this Yorkshire Terrier on or after the date of this adoption and agreement of contract.

This Contract is binding and enforceable by Civil Law.

SIGNATURE: _____________________ PRINT NAME: ____________

Street Address: __________________________ City: ________________________

State: _______ Zip: _______________________ Phone: _______________________

 

Yorkie Mannor Info

Name:________________________________________________________________________________

Address: ______________________________________________________________________________

City: _________________________________________________________________________________

Telephone Contact: _________________________________________

E-mail: ____________________________________________________

FAX: ______________________________________________________

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