Adoption Agreement

On this _________ day of ________________, ______, Puget Sound Rescue (PSR)
                                                                         
releases the following:

Name	Rescue Dog	
Breed*		
Sex		
Age*		

to the custody and care of:

Name 	Adopter	
Address		
City, State Zip		
Phone		
E-mail		

for the nonrefundable** and tax deductible*** amount received:

Amount	Cash		
	Check 	#	

Adopter agrees:

1.	To keep this dog in my personal possession, provide proper and sufficient food, water, shelter, grooming, veterinary care, and humane treatment at all times.
2.	Not to sell, trade, transfer ownership, abandon or dispose of this dog in any way, and to notify PSR if I must relinquish custody of the dog.  This includes, but is not limited to transferring dog to family members.
3.	To ensure that when outside and unattended, the dog is in a securely fenced yard with adequate shelter from the elements. To never allow dog to run loose in public without adult supervision.
4.	To never chain or tie this dog in a public or private area without being in attendance and to never transport this dog in the back of an open truck.
5.	To provide dog with a current ID tag secured to a collar, which will be worn at all times.
6.	To obey all Animal Control regulations governing the area in which I live, and to license this dog according to such regulations.
7.	To allow a PSR representative to examine the dog and its living conditions at any time, and to surrender to said representative custody of the dog immediately if the conditions are found unsatisfactory or if the terms of this agreement are not kept.
8.	To be committed to this dog for his or her entire life and treat him or her as a family member. This dog will NOT be an outside only dog.

* Many of our dogs come to us with no history and require us to estimate the breed(s) and/or age. It is especially difficult to determine the breed(s) of puppies.  PSR is not responsible for determining the exact age, breed(s), or personality/behavioral traits of your dog.  	

________ (initial)	

**There will be no refund of the adoption fee unless there is an untreatable illness or disease found upon examination by a veterinarian within 7 days of adoption.  There will be no refund of adoption fee due to dogs not getting along with other dogs, problems with children, problems with cats or other pets, allergies, behavioral issues, disputed breed or age, or any other excuse.	

________ (initial)	
		
If the dog is ill and requires veterinary care within 7 days of adoption, the adopter is required to contact Puget Sound Rescue prior to taking the animal to any veterinarian.	
________ (initial)	

PSR is not responsible for any veterinary bills or other expenses after the dog is released into adopter’s custody and care.	
________ (initial)	
									
The transition of the dog to his or her new home is a traumatic one for the dog and returning a dog is not to be taken lightly.  It takes time for a dog to settle in and understand that they are in their permanent home.  All adoption fees received by PSR are directly applied to ongoing expenses of rescue activities.

I understand and have read the above conditions.

Signed ___________________________________________Adopter ____________Date

Signed ___________________________________________PSR Representative ___________Date

Puget Sound Rescue
1606 7th St SE
Puyallup, WA 98372
(253) 569-6983	pugetsoundrescue@hotmail.com
http://www.pugetsoundrescue.org
UBI: 602-898-403, EIN: 27-0950705	
*** Puget Sound Rescue is a nonprofit 501c3 organization and all adoption donations are tax deductible.  This contract will serve as your receipt.  We appreciate your support!