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<br />PAGE 2: DOG NAME <br /> <br />E' . .. " <br /> <br />Where will the dog spend the da'9? <br /> <br />. Where will the dog spend the night? <br /> <br />How man~ adults live in ~oU1' home? <br /> <br />How man1J children and what ages? <br /> <br />'Are the other parties in the household in agreement with gettihg a dog? <br /> <br />Do '9OU have other pets? <br /> <br />If yeg what kind? <br /> <br />Are YOW' other pets spayed or neutered? <br /> <br />If not.please explain why not <br /> <br />Haw many dogs have 1jou owned in the last five years? .' <br /> <br />If you 40n't have those dogs now, what happened to them? <br /> <br />Veterinarian Name <br /> <br />Phone number <br /> <br />IMPORTANT! I I understand that if this dog is not already altered. that it must be altered D'9 the date listed in the agreement below and that <br />this is the respoMibili~ of the new adopter; Also that if the dog is not altered D'9 such date and proof mailed pack to the shelter. that Homelest <br />Hounds can and will relinquish own~ship of the dog. Also that unless otherwise noted in the comments above. this dog is to be an inside dog. <br />living with the family in the house and not chained or in a kennel- for extended period,g of time. (Initial) , <br /> <br />ADOPTION AGREEMENT' <br /> <br />I acknowledge receipt of the animal described abwe. Although I understand that this 'animal has been inspected by MLC Animal Control, I <br />recognize MLC Animal Control makes no ,guarantee regarding previous ownership; condition temperament. or health and that MLC Animal <br />Control can give me only such informatibn that it is aware of or has received. I understand tl1at unless otherwise noted, that this dog has <br />NOT been inspected bl:}' a veterinarian. I agree to be personall1j responsible for the humane care of this animal, including future vaccinations <br />and heartworm preventative. This animal may be inspected at any time b'9 the shelter. I unde:stand that MLC Animal con:~at at its sole <br />option, reassert ownership of this animal if this contract is violated or if the animal has not been sterilized on or before tV;. te) <br />, Proof of sterilWation must he mailed back to the shelter within one week of the sterilization due date. <br />ALL MEDICAL AND OTHER COSTS INCURRED AfTER ADOP:I'ION OF THIS ANIMAL ARE THE SOLE RESPONSIBLILlY OF THE NEW OWNER. <br />RETURN POLICY: , If 1jOU are unable to keep this animaI it must be returned to the shelte~. NO REFUND OF MONEY WILL BE GIVEN. however, <br />~ou may choose another animal of equal or lesser value within 6 months of the return date. The shelter must be called in advance of any <br />return to, allow for arrangements. <br /> <br />Name L~U~yr& on J:? tf/c:lfl,l! <br />I ' . <br />"-'J r;;' .. 5 I-- -./ <br />Address . /7/t.7/l / ,/1 C/)Cf f./l' <br /> <br />City ,'kef: ,'111 ) (</ <br />Email address UC/. , <br /> <br />Adoption Fee <br /> <br />/75- .sJd.. <br />Phone 7ti7. i' .- (:YVl-7-3 a/ <br />Zip 55303 <br /> <br />JVW. <br /> <br />Signat~ . 6~ .~ Date /o/(Ij~7 <br />We want to t Jrik you for adopting a dog from us. Please feel free to call if you have any questions. <br />Please remember that the dogs we acquire have been through so'me trials and tribulations so please <br />give them ample time to adjust to new home. We'would LOVE to have you send us pictures and update <br />.. '. h f Th k . f .. b d d d h t I'f 111111111111111111111111 <br />stones In t e uture. an you agam or giVing an a an one og a new c ance a Ie........................ <br />@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@~ <br />~a~~~~~~~~~~~~~~~~~~~~~~~~~~e~~~~~~~~~~~~a <br />12 <br /> <br /> <br />State /;1~ <br /> <br />r C!. () dJ <br />