Adoption Contract

Adopter name * Adopter address * Dog description Microchip #

Init. — Provide food, water, shelter, and vet care Init. — Keep indoors/fenced; no chaining as primary housing Init. — Spay/neuter by date below if not done; send proof Spay/neuter deadline Init. — Will not sell/give away/surrender without contacting rescuer first Init. — Will contact rescuer first to return dog if unable to keep Init. — Update microchip within 14 days Init. — Allow follow-up contact Init. — Rescuer may reclaim dog if terms violated

Adopter date Rescuer printed name Rescuer date