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THIS CONDITIONAL ADOPTION AGREEMENT is made this __ day of ____ 2007, by and
between _____________________________ (Hereinafter "THE OWNER"),
and _______________(hereinafter "THE ADOPTER", who resides at
____________________________________, (SSN__________)
telephone number ____________________
email address _____________________________________________
FOR AND IN CONSIDERATION OF THE COVENANTS AND AGREEMENTS CONTAINED HEREIN,
INCLUDING THE FULL AND CONTINUOUS COMPLIANCE WITH THE TERMS AND CONDITIONS
OF THIS AGREEMENT BY THE ADOPTER, THE PARTIES AGREE AS FOLLOWS:
THE OWNER does hereby deliver to THE ADOPTER and THE ADOPTER does
hereby adopt as an indoor pet, the following described Chinese Shar-Pei
dog (hereinafter the "Dog"):
AKC Number :________________________ Name:_________________________________
Sex: MALE or FEMALE
Approximate Age or Date of Birth (if known): _________________
Color: _____________________________ Coat:_________________________________
Markings: DILUTE - MASK - MIXED - OTHER: ______________________________
Sterilized: YES or NO date completed: _________ If NO, please refer to
article #6 for detailed requirements.
Microchipped: YES or NO Chip Name & #: _______________________________
THE ADOPTER ACKNOWLEDGES AND UNDERSTANDS that the temperament, pedigree
and health of this Dog may not be fully known, and does hereby assume full
responsibility for any and all actions of, and for any personal injuries
and/or damages that may be caused hereafter by the Dog, and hereby remises,
releases and forever discharges THE OWNER from any claim, loss or liability
whatsoever arising from or relating in any way to the Dog. THE ADOPTER AGREES
to indemnify and hold harmless THE OWNER from and against any and all claims,
damages, losses, fees or costs arising from or relating to any and all claims
relating to the Dog, including claims for personal injuries or damages caused
by the Dog.
THE OWNER makes no warranty, expressed or implied, regarding the Dog or the
health, condition, age, pedigree, personality or temperament of the Dog.
THE ADOPTER shall provide a secure fenced yard for the Dog, proper grooming,
nutrition, exercise and necessary veterinary care for the Dog. THE ADOPTER further
agrees that the Dog shall be a house dog, allowed to sleep indoors and protected
from inclement or adverse conditions and shall not be housed or kept in a yard or
chained. The Dog will not be allowed to roam free or unsupervised. THE ADOPTER
shall treat the Dog as a household pet, companion and family member and never use
the Dog as an aggressive "guard dog" or for dog fighting or any other "sport"
in which one animal is pitted against another, including hunting of any kind.
The Dog shall not be transported unsecured, in an open area of any truck or
utility vehicle.
THE ADOPTER shall comply with any and all local, county and state regulations
and laws relating to the ownership, care, feeding and sheltering of the Dog, and
shall at all times maintain a current license for the Dog.
If the Dog has not been sterilized prior to this adoption, THE ADOPTER AGREES
to neuter/spay the Dog upon the reaching of its sexual maturity, but in no event
later than _____ and to bear any and all expense for same. The Dog will not be
bred, whether accidental or intentional, prior to being sterilized.
THE ADOPTER UNDERSTANDS that said dog may have been utilized in breeding and/or
showing activities prior to the execution of this agreement, and that THE ADOPTER
shall have no residual rights with respect to any of said dog's produce/get or
showing activities.
THE ADOPTER AGREES to notify THE OWNER in writing in the event that THE ADOPTER
plans to relocate to a different place of residence, and agrees to provide THE OWNER
with a forwarding address.
THE ADOPTER AGREES to permit THE OWNER, upon reasonable notice and at reasonably
convenient times to visit THE ADOPTER's home, or such facility wherein the Dog is housed,
for the purpose of verifying that the Dog is in healthy condition, and in compliance
with all of the terms and conditions of this Agreement. In the event THE ADOPTER
does not comply with the terms of this Agreement, or the Dog is abused or neglected,
in the reasonable opinion of THE OWNER, THE OWNER may revoke the adoption and recover
the Dog. Promptly upon demand by THE OWNER, THE ADOPTER shall surrender the Dog to
THE OWNER, and THE ADOPTER authorizes THE OWNER to enter THE ADOPTER's property and
residence to recover the Dog.
THE ADOPTER may not abandon, give away, gift, sell, transfer to a shelter or
otherwise transfer the dog, and shall notify THE OWNER immediately at any time
you determine you no longer want to, or no longer can, keep the Dog, so THE OWNER
can take the Dog back or arrange another adoption. In the event that THE ADOPTER
for any reason is unable to provide a home for the Dog, the dog must be returned
to THE OWNER, at THE ADOPTER'S expense. The Dog may not be euthanized except in
the case of the Dog's terminal illness or injury, or old age accompanied by
pain and suffering and with the concurring opinion of a licensed veterinarian.
A licensed veterinarian or veterinarian technician in a private clinic or
hospital must perform the euthanasia.
THE OWNER requires a $____ adoption fee for the adoption of a the Dog.
Within 30 days of the date of this Agreement, THE ADOPTER may return the Dog to
THE OWNER for any reason and the adoption fee will be refunded to THE ADOPTER.
No refunds will be made for any costs incurred by THE ADOPTER during this 30-day
period, i.e., food, leash/collar, vet bills, etc. After 30 days, the Dog may be
returned to THE OWNER, but the adoption fee will not be refunded. THE ADOPTER
shall have the Dog examined by a licensed veterinarian within 30 days of the
date of this Agreement to ascertain the Dog's health and condition and purchase
heartworm preventative. A copy of this receipt must be mailed to THE OWNER no
later than 45 days after the date of this Agreement. THE ADOPTER shall have
the Dog examined by a licensed veterinarian not less than yearly thereafter
and keep all vaccinations current and administered heartworm preventative as
required by the veterinarian. In the case of illness or injury, THE ADOPTER
shall seek prompt veterinary care for the Dog.
(Additional terms or conditions, if any) _________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
________________________________________________
This Agreement is the entire agreement between the parties and may not be
changed or modified except by a writing signed by both parties. In the event
that any part of this Agreement is determined to be invalid, the rest of the
agreement shall remain in full force and effect. This Agreement shall be
binding upon the parties and their respective heirs, executors,
administrators and assigns.
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