This ADOPTION AGREEMENT  is entered into this __________day of ________________,
  between the HUMANE SOCIETY OF GRANVILLE COUNTY (hereinafter referred to as
  HSGC) and__________________________________________________________hereinafter
  referred to as "Adopter").

  The Adopter agrees to adopt the following pet from the Humane Society of Granville County.

  Species:_______________________________       Age:_______________________

  Sex:      Male_____Female_____                          Color______________________

The HSGC want you to enjoy your new family member.   The HSGC is interested both in
your satisfaction and in the welfare of the pet.  To ensure the pet's needs are met, the
HSGC and the Adopter jointly agree to the following:

The Humane Society of Granville County agrees:
1. Dogs - To provide (a) the initial inoculation against distemper,  parainfluenza, parvovirus,
    and Adenovirus Type 2; (b) a routine de-worming; (c) a heartworm test for dogs six
    months or older; and (d) a rabies shot for dogs, if four months or older when adoption becomes final.
2. Cats - To provide initial (a) Classic 4 (rhinotracheitis, panleukopenia, chlamydia psittaci and calici virus,
    (b) feleuk; and (c) rabies, if 4 months or older when adoption becomes final; and testing for FeLeuk.
3. To spay/neuter all pets at our expense, if the pet is not spayed/neutered at time of adoption.

In return, as Adopter, I (We) agree to the following;
1. To provide adequate fresh food and water, clean and dry shelter and daily exercise.
2. Not to keep the pet on leased or rented property where a "No Pets" policy is in force.
3. To obey all applicable laws governing the control and custody of pets.
4. To provide a safe collar with a rabies tag and an i.d. tag with the Adopter's address and
    telephone number.
5. To prevent pet offspring by spaying/neutering the pet by______________________(date). I
    undertand that the adoption is conditional and not final until the pet described above is
    spayed/neutered.
6  To provide all medical care and treatment needed by the pet.   This includes medical checkups,
    routine vaccinations and preventative heartworm medications.  The next booster vaccine is due
    on___________________________. The heartworm preventative is next due on
    _____________________________. State Law requires that all cats and dogs receive a
    rabies vaccine by age sixteen (16) week.  Rabies vaccine due on ________________________.
7. To adopt the pet only as a personal pet and companion and not as a gift, not as a working pet
    or chained guard dog, and not ever to be used for research purposes.
8. To allow the HSGC to visit my premises to ensure that the terms of this agreement have been
    honored on a mutually agreed upon date as needed.
9. To return the pet to the HSGC rather than to abandon or sell it.  I (We) agree to give the
    HSGC three (3) weeks notice to take the pet back into their Foster Program.
10. To pay the adoption fee in full. I (We) further understand I (We) have the pet for a trial period
    (typically one week) and that I (We) may return the pet within the trial period, if I so choose, and
    receive a full refund.  The trial period is agreed to end _____________________(date).
11. To accept the liability for and to prevent any damaging pet behavior.  While in the care of the
   HSGC, the pet displayed the following behaviors:
 
 
 
 
 

          The above description does not guarantee the pet will always exhibit such behavior or that it will
          not develop new behaviours; it is simply meant to describe the pet's exhibited personality while
          in the HSGC's care.  Volunteers who are not professionals nor certified pet behaviorists or
          trainers documented the behaviors.

If the adopter does not meet the requirements of this agreement as stated above, ownership
of the pet shall revert back to the Humane Society of Granville County upon demand.

Adopter verifies that he or she is 18 years of age or older, and fully understands the contractual
obligations set above.

_______________________________________       _________________________________________
ADOPTER (PRINT)                                                     ADOPTER'S SIGNATURE

_______________________________________       _________________________________________
ADOPTER (PRINT)                                                     ADOPTER'S SIGNATURE

_______________________________________   _________________________________________
Address                                                                   City                           State                     Zip
 
 
 

_______________________________________    _________________________________________
Home Phone                                                              Business Phone

_______________________________________    _________________________________________
OFFICER (PRINT)                                                   OFFICER'S SIGNATURE

Please keep in touch with us!  We would love to hear from you about your pet's progress and growth.  We too
have grown attached to your pet and love to report success stories in our newsletter.

Have you considered joining The Humane Society of Granville County?

HSGC/Revised 11/99