Date:_________________           ID Tag # _________________

Agreement made between adoptee, and adoptor: ____________________________

Description of animal (name, sex, weight, age, color):_______________________________

No warranty or representation of any kind is made as to the health, disposition, or suitabilty as a domestic animal or specifically, as to any hazard the animal may present to known or unknown adults or children.

Adoptor agrees to provide for the animal all reasonable life care, including adequate food, water, shelter, annual veterinary examinations and vaccinations and further veterinary care in the event of illness or injury.

Adoptor agrees to keep the animal under his/her supervision when outside so as not to let the animal roam unattended. Adoptor also agrees not to chain the animal.

Adoptor understands and acknowledges that because of the tremendous overpopulation problem, breeding of this animal is strictly prohibited and this provision is essential to this contract. Adoptor therefore agrees not to breed the animal or allow it to be bred. It is agreed that this animal must be spayed/neutered within thirty (30) days of the date of this contract, or when the animal reaches 6 months of age, whichever is sooner.


I, the adoptor, hereby bind myself and assigns to the fulfillment of this contract and intend to be legally bound hereby.

Other terms and conditions:

Price $ _____________

Driver's License Number: _____________________


Printed Name:______________________________


City, State, Zip:____________________________

Telephone: ________________________________

Signature: _________________________________

Date: __________________