Cat DOB

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ADOPTERS INFORMATION

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

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Veterinarian Phone

(###)

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Vaccinations and Vetting

I will take the animal to a licensed veterinarian when shots are due. I will provide all required and/or needed veterinary care including; rabies, annual booster, worming and prompt veterinary care in the event of accident, injury and/or illness. This animal is due for veterinary care by:

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Sterilized?

Yes

No

The parties hereto agree that the owners shall abide by the following conditions:

The above described animal is being transferred to the adopting owner with the understanding that the adopter is taking possession of the animal from Tails of Hope Rescue. The animal will be treated as a family member. I will ensure the animals safety and well being. I will provide a fresh supply of water at all times. I will provide a clean and appropriate litter box at all times. I will affirm that no member of my household has been convicted of any animal welfare violation such as neglect, cruelty, abandonment, etc. I agree to accept responsibility and ownership of the animal at my own risk and I release the previous owner, Tails of Hope Rescue, and its agents from any and all liability. I agree that I will assume complete and total financial responsibility for the animal at the time of this signed contract. The animals' known background and medical history have been discussed with me. I understand that Tails of Hope Rescue has no representation concerning the health, condition, training, behavior or temperament of the animal. I agree to permit Tails of Hope Rescue to make inquiry about and enforce any of the conditions and requirements included in this document at any time after adoption. This can include visits to my residence and contact with my veterinarian. I am adopting the animal for myself and agree not to give away, sell or trade the animal, even as a "gift" to a friend or family member. I will not abandon, turn loose/let out or surrender the animal to another shelter under any circumstance. I understand that I must notify Tails of Hope Rescue without delay if I can no longer care for the animal. In the event that I can no longer care for the animal I will provide Tails of Hope Rescue adequate time to rehome the animal and make them aware of any behavioral or health issues experienced outside of Tails of Hope Rescue. SECTION 162.20 OF IOWA CODE requires that persons adopting a dog or cat from an animal shelter must enter into and comply with a sterilization agreement, which provides that the dog or cat will be sterilized by a licensed veterinarian. Sec. 162.20 provides that a person who does not comply wit the provisions of the sterilization agreement is guilty of a simple misdemeanor. SECTION 162.20 OF THE IOWA CODE provides that the animal shelter, not the adopter, owns the adopted dog or cat until the dog or cat is sterilized by a licensed veterinarian and the terms of the sterilization agreement have been satisfied and, accordingly, custody of the dog or cat may be taken by the animal shelter if the sterilization agreement is breached by the adopter. Sec 162.20 (4) (b) provided that a person who fails to return a dog or cat upon receipt of a demand letter from the animal shelter is guilty of a simple misdemeanor. ***Checks returned by the issuer's bank for any reason are subject to the maximum penalties allowed under the laws of the State of Iowa.

First Name

Last Name

Date

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Tails of Hope Rescue Representative

First Name

Last Name

Date

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