Gulfstream
GUARDIAN ANGELS
Rottweiler Rescue
A Non-Profit 501c Organization
Gulfstream
GUARDIAN ANGELS
Rottweiler Rescue
A Non-Profit 501c Organization
RELEASE
AND INDEMNITY AGREEMENT
IN CONSIDERATION of the payment of the sum of $150.00 dollars
donation, the receipt of which is hereby acknowledged, the undersigned Adopter(s)
so hereby forever release, discharge and covenant to hold harmless Gulfstream
GUARDIAN ANGELS Rottweiler Rescue (hereafter referred to as RESCUER), and
any other person, firm or corporation chargers or chargeable with responsibility
or liability, her/their heirs, administrators, executors, successors and
assigns, from any and all claims, damages, cost, expenses, loss or services,
actions, and causes or action belonging to the said Adopter(s) arising out of
any act or occurrence from the present time and particularly on account to the
adoption of: Name of
rescue dog __________________ Breed _________________
Age ________ Sex/neutered or spayed
hereinafter referred to as the RESCUE DOG.
The adopter(s) hereby declare(s) that no representations about the nature
of said dog, nor any representatives regarding the nature and extent of legal
liability or financial responsibility have induced the Adopter(s) to make this
Release and Indemnity Agreement. In
determining the amount of the said sum, there has been taken into consideration,
age, health, veterinarian service and care of the said RESCUE DOG, up to the
present time. Gulfstream Guardian Angels Rottweiler Rescue declares. The
breeder of the rescue dog is unknown/known/ and origin (former owner or
circumstance is unknown/known, with relative facts having been revealed to
ADOPTER(S).
THE
UNDERSIGNED hereby further agree(s) to abide by the “Term of Adoption”
listed below:
1.
FEE. The fee involved is to help defer expenses involved and is
payable upon receipt of the RESCUE DOG.
2.
PAPERS-AKC papers will not be received with the RESCUE DOG since
the dog cannot be used for breeding purposes.
3.
NEUTERING The RESCUE DOG will be neutered or spayed before
adopting
4.
RETURN-IF, for some valid reason, the adoption is not satisfactory
to adopting party, or if the Adopter(s) fail(s) to comply with all the terms and
conditions of this agreement, or if any misrepresentations have been made by the
Adopter(s) during the entire lifespan of the RESCUE DOG, it MUST be returned to
RESCUER. If return takes place
prior to 30 days from the adoption and the RESCUE DOG is in as good or better
mental and physical condition as on the date of adoption, there will be
conditional, pro-rate refund of the adoption fee subject to the RESCUER’S
decision or contingent upon availability or suitable
dog, and exchange will be made. If
return of the RESCUE DOG becomes necessary after 30 days, there will be no
refunds or exchanges. Further, if
for any reason during the entire lifespan of the RESCUE DOG, the Adopter(s) are
unable to care for or keep the RESCUE DOG, it MUST BE RETURNED TO THE RESCUER.
5.
TRANSFER OF OWNERSHIP. The RESCUE DOG may not be transferred to
any other person, firm corporation or organization for any reason whatsoever.
6.
TRAINING. Under NO circumstances will the RESCUE DOG be, protection
or attacked trained, agitated in any manner, or be allowed to be used as a
guard dog for any agency, firm, corporation or organization.
7.
MANNER OF KEEPING. The
RESCUE DOG shall NEVER be maintained outside as a yard dog, and shall NEVER be
staked out or chained. The primary
function of a RESCUE DOG is that of a house pet.
Adopter will provide adequate food, fresh water, shelter, indoor sleeping
quarters, exercise and veterinary care. The RESCUE DOG will not be transported in an open pickup
truck or boat.
8.
HEALTH PROGRAM. The
RESCUE DOG will be placed on an inoculation and daily/monthly heartworm
preventive program established by the Adopter(s) veterinarian, in order to
guarantee its health. Annual rabies
vaccine and license is required by state law.
9.
MICROCHIPPING/INDENTIFICATION.
The RESCUE DOG will, at all times, wear a buckle collar or harness with
current rabies tag and ID tag. Further,
The Adopter will have the RESCUE DOG microchipped with a RESCUER approved
microchip within the next ____days/months.
10. ADOPTER
agrees to telephone RESCUER immediately if the RESCUE DOG becomes lost or
stolen.
11. RESERVATION
OF RIGHTS. The RESCUER reserves
the right to follow up on this adoption in order to protect the welfare of the
RESCUE DOG. If the terms and
conditions of this agreement are not upheld by the Adopter(s) and/or any
misrepresentations have been made to the RESCUER by the said Adopter(s), the
RESCUER reserves the right to terminate this agreement and the adopting party
must return the RESCUE DOG to the RESCUER.
12. ATTORNEYS
FEES AND COURT COSTS. Should it
become necessary for the RESCUER to take legal action to recover the RESCUE DOG
or otherwise enforce the provisions of the Agreement, the undersigned Adopter(s)
agrees to pay all court cost and reasonable attorneys fees.
13. CHANGE
OF ADDRESS. Adopter(s) agree to
notify the RESCUER prior to any change of address.
14. Adopter(s)
further agree as follow(s):
a) Take RESCUE DOG through basic obedience.
b)
Fence property within_____days, and will keep secure on a lead at all times
RESCUE DOG is outdoors until fencing is complete.
c.
Other:
THE
UNDERSIGNED understands that the parties hereby released admit no liability of
any sort by reason of the said adoption and that payment is made to terminate
further controversy, and any and all claims for damages the said Adopter(s) have
hereto fore asserted or might personally or through personal representatives
hereafter assert because of said adoption.
SIGNED
AND WITNESSED this_____day of ___________20_____, in the presence of :
_______________________________
Print
Adopter’s Name
__________________________________
Adopter’s Signature_____________________________________
Adopter’s
Address and where RESCUE DOG will
reside.
_________________________ City _________________State ___Zip Code
______
Home Phone #________________ Work Phone # _______________
Email
Address ___________________________________
BY______________________________________
GRACE ACOSTA, RESCUE CHAIRMAN
Gulfstream GUARDIAN ANGELS Rottweiler Rescue, Inc.
http://www.ggarr.org
Edited 12/2004
Send to: Cathy Crespo, 7870 NW 5 Place, Plantation, FL 33324 - Phone (954) 463-6363