ANIMAL ADOPTION CONTRACT
OZARK HUMANE SocIETY, INC.
P.O. Box 542, HARRISON, AR 72602

                                                        Family Information

Name:___________________________________________________________________________________________

Adopted from us before?________ If so, do you still have pet?________  If  no, explain._________________________

 ________________________________________________________________________________________________

Do you have other pets?______________________  Any recent pet deaths?___________________________________

If yes, give reason pet died___________________________________________________________________________

Children under 6 years? _________________ Fenced Yard?____________________Is this your first pet?___________

If this is to be an outside pet, what type of shelter?_______________________________________________________

Address or directions to where pet will be kept__________________________________________________________

Rent/Own?_________ How long at this address?_________________________ Employer_______________________

 I (we) acknowledge adoption of the above described animal and agree to the following conditions:

1.        To care humanely, feed properly, provide clean, fresh water daily, and provide comfortable sleeping quarters.

2.        To not keep the dog tied or chained up outside after the first 2 weeks, unless the restraint system is designed so that the dog has adequate exercise room, free access to water and shelter at all times, and cannot become entangled in the equipment.

3.        That the animal will receive regular veterinary care, including annual rabies and distemper combination vaccines.

4.        That the Ozark Humane Society may examine or inquire about this animal at any time, and if not satisfied with the conditions under which it is kept, or the animal has not been spayed or neutered according to this contract, may enter upon my premise and take the animal and such entry shall not constitute trespass.

5.       The Ozark Humane Society tries to place animals of good health and disposition as will make a satisfactory pet, but cannot guarantee the health or disposition of any adopted animal or be responsible for any subsequent medical expenses or personal / property damage inflicted by this animal.

        6.        I (we) do not own any interest in this animal until (s)he is spayed o neutered.

SPAY/neuter policy

If your pet is not already spayed/neutered, the surgery will be scheduled as soon as possible.  Spay/Neuter surgery must be done before you take your pet home. You may pick up your pet following surgery.  If the pet you select is too young to spay or neuter, it must remain at the shelter until spayed or neutered.

Signed                                                                                                           Print Name________________________________________

Address                                                                                                             City/St                                                           Zip________

Driver’s License No.____________________Telephone #___________________________

Donation: Cash_________________ Check__________________Approved by Shelter Representative_________________________

 Return to Adoption Information