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Name of dog ____________________
Sex____
D.O.B. ______
Breed/Description__________________________
Color______________
Adopter’s Information:
Name:____________________________ Home Phone:_______________
Address: __________________________Work or cell: _______________
City:______________ State:___ Zip:______EMail:___________________
In assuming ownership of this dog that
I wish to adopt, I agree never to abuse nor neglect it, nor violate any
animal cruelty laws. I further agree not to chain, tie or tether it while I
am not present. I will not use any form of choke collar except within the
confines of formal training classes. I agree to use positive behavior
modification and training and never to use ‘punishment’ techniques. I agree
to provide it with a loving home, a balanced diet, disease preventatives and
necessary veterinary care including annual shots and physical examination.
I agree to accept this dog as a member of my family and I will allow him/her
to have access to the inside of the house when I am at home including both
during the day and at night (not in garage or laundry room). I agree not to
"debark" this adopted dog. I further agree to not crop the ears or "dock"
the tail or remove dew claws, or in any way unnecessarily surgically alter
the dog.
I give my permission for an adoption agent to visit my home in the future
and to accept that if this contract is breached, including neglect or
cruelty, the rescue reserves the right to remove said dog, where deemed
necessary for the safety of the animal, from my premises. Such entry shall
not constitute trespassing upon the premises occupied by me or upon the
location of the dog in question.
I agree that this dog will wear an identification tag, which includes my
name and phone number at all times. If required by law, I agree to obtain a
license for this dog in the city or county that I live in. I agree to
notify Carol Sacher, (870) 508-4814 , email:
ozarkdogs@suddenlink.net (www.ozarkdogs.org)
within 3 days should this dog become lost, stolen or critically injured.
I agree that I
will never relinquish this dog to anyone else, including an animal shelter
or unauthorized rescue or re-home this dog, or have it euthanized without
first getting permission from Carol Sacher/ Ozarkdogs. Should permission be
denied, and Carol Sacher/ Ozarkdogs agrees to take the dog back, I agree to
transport the dog myself to the designated rescue personnel or I will keep
this dog for at least 2 weeks at my own expense, until arrangements can be
made to have it picked up.
Signed______________________________________________Date_____________
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