Laserfiche WebLink
<br />PAGE 2 DOG NAME <br /> <br />E - .. " <br /> <br />Where will the dog spend the da~? <br /> <br />. Where will the q.og spend the night? <br /> <br />How man~ adults live in your home? <br /> <br />How man~ children and what ages? <br /> <br />, he the other parties in the household in agreement with getting a dog? <br /> <br />DQ you have other pets? . <br /> <br />If yes what kind? <br /> <br />he your other pets spayed or neutered? <br /> <br />. If not please explain why not <br /> <br />How many dogs have you owned in the lastfive years? .. <br /> <br />If ~ou don't have those dogs now, what happened to them? <br /> <br />Veterinarian Name <br /> <br />Phone number <br /> <br />IMPORTANTH J understand that if fuig dog is not already altered, that it mUst be altered by the date listed in the a~t below and that <br />this is the re~nsil>ility of the new adopter. Also that if the dog ~ not altered by such date and proof mailed pack to the shelter, that HomeleSl <br />Hounds can and will relinquish ownership of the dog. Also that unlesg otherwise noted in the comments abOV'e, this dog is to be an inside dog, <br />living with the famihj in tQe house and not chained or in a kennel. for extended periods of time. (Initial) , <br /> <br />ADOPTION AGRBBMBNT' . <br /> <br />I ackn~Iedgereceipt of the animal described abwe. Although [understand that this animal ha~ been inspected by mc Animal Contro1., [ <br />. recognize MLC Anunal Control makes no..guarantee regarding previous ownership;.condition temperament, or health imd that MLC Animal <br />Control can give me only such infonnatibn that it is aware of or has received. J understand that unless otherwise noted, that this dog hag <br />NOT been inspected by ~ 'Veterinarian. I agree to be persona1hj responsible for the humane care of this animal, including future 'Vaccinations <br />and heartworm preventative. This animal m.ay be inspected at any time b~ the shelter. J unde:stand that MLC Animal con:~~ at its sole <br />option, reassert ownership of this ~al if this contract is violated or if the animal has not been'sterilized on or before./Y.. te) <br />. Proof of sterilization InUst be mailed back to the shelter within one week of the sterilization due date. <br />ALf, MEDICAL AND. OTHER COSTS INCURRED AFTER ADOPrION OF THIS ANIMAL' ARE THE SOLE RESPONSIBf,IL'IY OF THE NEW OWNER. <br />RETURN POlJCY: If you are unable to keep this animal it must be returned to the shelte~. NO REFUND OF MONEY WILL BE GIVEN, however, <br />~ou Ina~ choose another animal of equal or lesser value within 6 months of the return date. The shelter must De called in advance of any <br />return to allow for arrangements. <br /> <br />/ ~ ~ I I <br />Name {?) l/UV v on . ,tI Crf t{, ~ . <br />. /. . <br />'ja' . Sl- cz{q.. <br />Address. 7 !t?f} .t'1/ . (/,,~ <br />City 'Ka''/1I{)' (- .../ <br />Email address LAC/- <br /> <br />Iv' uJ - <br /> <br />Phone <br /> <br />175-:-~ <br /> <br />7~1. -? -- (:;}V /-7:3 d/ <br />5S:3 03 <br /> <br />Adoption Fee <br /> <br />S1gnatuE:, .., r' , Ii' ,; . Date I <;1M ft <br />We. want to Jrik you for adopting a dog from us. Please f~el free to call if you hav"e 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 />stories in the future. Thank you again for giVing an abandoned dog a new chance at life!!!!!!!!!!!!!!!!!!!!!!!! <br />@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@~ <br />~~~~~~~~~~~~.~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ <br />-188- <br /> <br /> <br />State /n~ <br /> <br />Zip <br /> <br />(! (,) /l? <br />