Adopter 1 Name |
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Adopter 2 Name |
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Address |
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Adopter 1 Phone |
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Adopter 2 Phone |
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Adopter 1 Email |
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Adopter 2 Email |
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Adoption Fee |
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Donation |
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Payment Type |
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Dog Name |
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Dog Age |
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Dog Breed |
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Dog Color |
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Dog Gender |
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I am fully aware that I/we are adopting a dog that was rescued. All past health and behavioral history on the dog has been disclosed to the best knowledge of the organization. I agree to help work through any issue that may arise at my cost. |
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I agree to care for the adopted dog in a humane and responsible manner, as a member of my family, and to assume full responsibility for the dog’s well-being for the rest of its life. I agree to provide well-balanced diet, sufficient water and all necessary veterinary care including vaccinations and annual physical examinations. I understand that the cost of any veterinary care following adoption is entirely my responsibility. |
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I agree to provide sufficient shelter for the dog, and to allow the dog to reside indoors and to sleep inside my home at night (not limited to the garage or outdoors). |
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If the dog has not been spayed or neutered upon release from PAWS AND AFFECT, the adopter agrees to have the dog spayed or neutered by a date which is within 14 days of adoption per Illinois state law. |
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I understand that intestinal worms can be an ongoing condition and agree to provide follow-up care by my personal vet approximately six weeks post adoption. PAWS AND AFFECT only provides up to date deworming treatment to date of adoption. |
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The adopter agrees to provide proper veterinary care for the dog which includes regular vaccinations, heartworm testing, monthly heartworm preventative, and flea and tick protection. |
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Vets recommend a minimum of three distemper/parvo vaccines to ensure safety against these infections. Dogs are at risk until minimum of three has been received. PAWS AND AFFECT provides vaccines to date of adoption. Adopter may be responsible to provide additional vaccines at their expense to finalize this booster. |
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I agree to fully and completely release PAWS AND AFFECT, its officers, volunteers, and representatives, from any liability of any kind whatsoever arising from any health or temperament issues the dog may have or may develop, and/or from any and all claims relating to my adoption, ownership or possession of the dog. |
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I agree to return the adopted dog to Paws and Affect if for any reason I cannot or do not
want to keep the dog. Return must be made to Paws and Affect by the adopter. I
understand that there will be no refund of any type should I return the dog to
Paws and Affect. Acceptance of returned animal is to the discretion of the board. |
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If there is an uncontrollable issue that requires the adopter to return the dog, after every possible effort has been made to rectify the situation, including but not limited to training, vet care and/or behavioral consult, you may have 3 months to adopt another dog, as credit, if the PAWS AND AFFECT Board of Directors deems the situation a valid reason for return. Return must be made to PAWS AND AFFECT by adopter. I understand that there will be no monetary refund of any type should I return the dog to PAWS AND AFFECT. |
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I understand if my dog needs to be returned to PAWS AND AFFECT, I will give sufficient notice so that a foster home may be appointed. This could take time depending on the needs of the dog and the available foster homes. |
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I agree to indemnify and hold harmless PAWS AND AFFECT, its officers, volunteers, and representatives from any and all losses, fines, claims or damages, including reasonable attorneys’ fees, arising out of or relating to my adoption, ownership or possession of the dog, including any claims for injury or damage to persons or property caused by the adopted dog. |
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There is a $35 return check fee. If payment and fee are not made in full within 30 days of adoption date, PAWS AND AFFECT may take possession of the animal. |
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PAWS AND AFFECT reserves the right to an ongoing review of this adoption and to follow up on any complaints or reports to protect the welfare of this dog. If the terms of this contract are not satisfactorily kept by the new owner, and/or if any misrepresentations have been made to PAWS AND AFFECT, in order to obtain the dog, PAWS AND AFFECT reserves the right to void this contract and demand the immediate return of the dog by the new owner. |
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I understand that this animal is a rescued animal and that no claims, representations, or warranties are made or implied by PAWS AND AFFECT as to this animal’s age, breed, physical or mental characteristics, prior experiences, current or future health, behavior or temperament. |
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Adopter 1 Signature |
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Adopter 2 Signature |
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