A Better Life Pet Rescue
Adoption Agreement Contract
 
Dog’s name: 			Foster #:   
Adopter’s Name: 
Address:  
Home Phone: 		Work: 			Cell# 
Email: 

A Better Life Pet Rescue Representative:
Name:   		 
Email:   				Date of Adoption:

Date of Reference Checks: 
Who Completed Reference Checks?	
Date of Home Visit: 
Who Completed Home Visit?  
Adoption Donation: 	  
(Adoption Donations are not tax deductible because the value of the dog and the vetting it has received exceeds the adoption donation amount.)

Information on dog being adopted:
Dog’s name:        	               Age               D.O.B                    Sex: 
FYR #: 	                                  Microchip Number: 
Health Status: 

It is the policy of A Better Life Pet Rescue that all dogs be altered before adoption. If the following medical procedures are not current, they become the responsibility of the new owner.
Is this pet altered?   	 	Date neutered/spayed: 
Dental/extractions:  

Veterinarian certificate provided?                 Dates of:   
Rabies:					      DHP/Parvo: 
HW Test: 
Fecal: 						      Microchip: 
Other Tests/Procedures: 
Blood Panel:					Nails:  
HW Preventative:				Brand: 
Flea Preventative: 				Brand: 

Name of Vet Clinic/Vet Where Records May Be Obtained: 

Records attached:  

 Evaluation of Dog: 

In the time this dog has been living with A Better Life Pet Rescue Foster parent awaiting adoption the representative has observed the following behavior that may have an impact on the dog’s ability to adjust and thrive in his new home or that may be of interest to the Adopter: 

Does this Agreement Have Conditions Attached to It?  Yes ____   No_____
If yes, they should be written on the back of the signature page and initialed by the Adopter.
 
1. Yorkies are typically affectionate, friendly and have sound temperaments. We will not place a dog known to have an unsound temperament. However, no one can predict how any dog will react in a given situation, especially without complete knowledge of the dog’s past. Therefore, adoptive owners are strongly urged to exercise caution when introducing the adoptive Yorkie into their home and to monitor the dog’s behavior until the dog has had sufficient time to become fully acclimated to its new environment and the adopter has had sufficient opportunity to become familiar with the Yorkie’s personality.
 
2. No Yorkie will be placed in a new home that does not provide a fenced area or an enclosed run, which can be entered through a door from the house. A Yorkie must never be allowed to run loose and should always carry identifying tags or microchip with an identifying name and number. Apartment dwellers must agree to walk the dog on a leash, as Yorkies have no regard for street traffic.
 
3. If the adoptive owner cannot, for any reason, keep the dog they must notify A Better Pet Life Rescue representative or Cira Leslie, and give ABLPR the option of reacquiring the Yorkie. The dog cannot be readopted or sold to someone else. It must be returned to A Better Life Pet Rescue.
 
4. The placement of a Yorkie in a home with another pet must be discussed with the FYR representative. As Yorkies often display dominant traits toward other pets, not all breeds of dog make suitable living companions. This is especially true for older Yorkies and pets.
 
5. A BLPR makes no representations or warranties regarding the temperament or physical condition of any adoptive Yorkshire Terrier. All veterinarian care and expenses are the responsibility of the new owners upon contract completion. All warranties, including implied warranties of merchantability and fitness for a particular purpose, where they are applicable, are hereby specifically disclaimed.
 
 6. ABLPR shall not be responsible for any bodily injuries or property damage caused by any adopted Yorkshire Terrier or by the actions of its adoptive owners. The adoptive owner hereby specifically assumes sole responsibility for, and agrees to hold ABLPR and its representatives harmless from, any and all loss and expense (including legal fees) by reason of liability imposed by law upon ABLPR and its Rescue representatives, because of bodily injuries to any person or persons including the adoptive owners, or any damage to property arising out of consequences of the placement of this Yorkshire Terrier, howsoever such injuries or damage to property may be caused, or may be alleged to have been caused by negligence of the aforementioned parties or any of their employees, agents, members or any other person. 
 
7. Follow-up home visits and/or inquiries may be done after adoption. If at any time, ABLPR determines that the information contained in the initial adoption application, given disclosed in interviews and/or pre adoption home visits to be false or to have substantially changed as to place in jeopardy the welfare of the adopted dog, ABLPR may retake the dog without refund of adoption donations. If any costs are incurred by ABLPR in the course of the retaking of the dog, the adopter will be responsible for payment of such costs, including, but not limited to court costs.

8. It is the new owner’s responsibility to register the pet’s microchip number. You will be given 7 days to do so. If after 7 days the microchip number is not registered, A Better Life Pet Rescue has the legal authority to reclaim the pet and you will forfeit your adoption fee. 
 
I have read the preceding and agree to the conditions set forth. 

Signature of Adopter:                                                               Date:

						             ______________________
                                                                                                                                                                  Signature of ABLPR Representative                                                  
 
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