Adoption Form → Oreo's Animal Rescue

Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
- Phone*
- Email*
Pet Information
I hereby acknowledge receiving from Oreo's Animal Rescue and West Dakota Veterinary Clinic the following adopted pet.
- Type*
  - Dog
  - Cat
  - Other
- Pet's Name*
- Pet's Age*
- Breed(s)*
- Color & Markings*
- Microchip ID Number
Agreement Contract
- Consent*
  I agree to provide proper and adequate food, water, housing, exercise, grooming and humane treatment at all times.*
- Consent*
  I agree to provide veterinary care in the form of annual vaccinations, preventive heart worm medications as appropriate, and such veterinary care as is necessary to prevent and/or treat accidents and illness.*
- Consent*
  I agree to obey local licensing and animal confinement laws.*
- Consent*
  I agree that upon adopting this pet, I am entering a long-term commitment and understand that it is my responsibility to provide for this pet's needs.*
- Consent*
  I agree not to sell, give away or use this animal for experimental purposes, to engage in dog fighting or to pursue any guard dog or attack dog training.*
- Consent*
  I agree if it is determined this pet has not been spayed or neutered, to have it spayed or neutered before it reaches six months of age if it is not an adult, or within two months if it is an adult at the time of adoption.*
Acknowledgement & Release
- Consent*
  I acknowledge*
  I acknowledge that all animals can from time to time carry and transmit diseases, some of which affect people, including bacteria, viruses, parasite and ringworm, and that these diseases may be undetectable in what appears to be a healthy animal at the time of adoption.
- Consent*
  I acknowledge*
  I acknowledge that pets may exhibit normal but potentially undesirable behaviors including, but not limited to, aggression, house soiling, biting, scratching (people, woodwork, furniture), barking, digging, mounting, urine marking or urine spraying. I additionally acknowledge that these normal behavior patterns may be difficult to manage, and I hereby acknowledge that the pet I am adopting may exhibit one or more of these behaviors. I will not hold Oreo’s Animal Rescue, West Dakota Veterinary Clinic, its agents or assigns responsible for damages or loss incurred due to any behavior resulting from my adopted pet.
- Consent*
  I acknowledge*
  I acknowledge that Oreo’s Animal Rescue and West Dakota Veterinary Clinic are in no way responsible for any damage which the animal may inflict on another person, my property or the property of another. No attempt will be made by me to hold Oreo’s Animal Rescue or West Dakota Veterinary Clinic responsible.
- Consent*
  I acknowledge*
  I acknowledge that it usually costs between $250.00 to $750.00 per year to feed, house, train and provide veterinary care for a pet, and that I am financially able to meet these expenses for my adopted pet.
- Consent*
  I acknowledge*
  I accept the animal as it is at the time of adoption and understand that Oreo’s Animal Rescue and West Dakota Veterinary Clinic are not responsible for any medical conditions not readily detected prior to or at the time of this adoption or discovered after such adoption.
- Consent*
  I acknowledge*
  I acknowledge that I have read this agreement and hereby release Oreo’s Animal Rescue and West Dakota Veterinary Clinic from any present or future liability associated with my adoption of this animal.
- Consent*
  I acknowledge*
  By completing and submitting this form, I agree to all the conditions herein and understand I will be asked to sign the submitted contract before the adoption process is finalized.
Signature*

Adoption Form

Pet Information

Agreement Contract

Acknowledgement & Release