Adoption Agreement

No part of this form may be duplicated or reprinted in any media without the express written consent of Merlin's Refuge.

All information is confidential and proprietary to Merlin's Refuge

NOTE: This is a sample of the form that each adopter will be asked to complete and sign. You cannot complete and submit this form online. It is intended to review only and to give prospective adopters a chance to review the information we will require at the time of adoption.

Pet's Name:

Breed:

Color and Description:

Sex:

Age:

Neutered:

Date to Neuter: (mm/dd/yy)

Remarks:

Name of Adopter:

Phone Number:

Address:

City:

State:

Driver's License Number:

As the adopting party I agree to the following provisions:

I understand that only neutered animals are released for adoption
I agree to provide the adopted animal with necessary inoculations at the intervals advised by my veterinarian.
I agree to have the adopted animal under my control when it is not within the confines of my property. A secure, fenced area will be provided for dogs, including shelter from the elements. The adopted animal will not be tied or chained.
If for any reason I cannot keep the adopted pet, I agree to return him or her at my expense.
I agree not abuse or neglect the adopted animal, and I authorize Merlin's Refuge at its sole discretion, to determine whether or not the pet has been abused or neglected.
If I am adopting a cat, I agree not to de-claw it, which would render it defenseless.
I understand that Merlin's Refuge cannot guarantee the health, temperament, or training of the above described animal, and hereby release Merlin's refuge from all liability once the animal is in my possession. If a health problem develops during the first 10 days I will notify Merlin's Refuge to discuss the matter.

Remedy for noncompliance:

It is agreed the Merlin's Refuge retains superior title in said animal limited to and for the express purpose of assuring the animal's well-being and will only exercise its superior claim in the event it appears to Merlin's refuge that the proper and humane care as specified in the above adoption provisions is not being afforded to the said animal, in which case the animal may be taken through a Claim and Delivery proceeding.

Signature of Adopter:

Date:

Signature of Staff Member: