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Shiba Inu Rescue
S.O.S. Save Our Shibas
Adoption
Contract
Name of
Dog:_____________________________________________
Age: ______
Sex: M F
(all dogs are either spayed or neutered)
Description of dog:
Coat color:
_______________________ other_______________________
Chip #:
__________________________ tattoo #: _____________________
Name of new
owner: _________________________________________________
Address:
___________________________________________________________
City/State/Zip:
______________________________________________________
Phone: home (
)________________ work: ( )_________________
I have considered this
Shiba Inu/Shiba mix, and wish to adopt it into my home. I understand that:
_____________________________________, the S.O.S. rescue volunteer who is
placing this dog, desiring that it have a kind and loving home for the remainder
of its natural years, has stated the following conditions:
1.) This Shiba
Inu/Shiba mix is not to run loose, or otherwise be a nuisance to the
neighborhood. When exercising this dog, I will restrain it within a fenced area
or on a suitable long line or leash.
2.) This Shiba Inu/Shiba mix is to be
taken to a veterinarian of my choosing for examination and administration of
necessary vaccinations at my earliest opportunity but not less than ten days
from this date.
3.) I will obtain any necessary municipal licenses in order
to prevent this Shiba Inu/Shiba mix from being in violation of city
requirements.
4.) I will allow the above named S.O.S. rescue volunteer, or
any other S.O.S. assigns, to examine and inquire about this Shiba Inu/Shiba mix
at any time, and I will relinquish this dog without recourse immediately should
I violate the preceding conditions.
Further, I understand and agree that
______________________________________, as an individual and the Shiba Inu
Rescue (S.O.S.), cannot guarantee the health, temperament, training or
suitability of this Shiba Inu/Shiba mix for any particular purpose. In the event
that, at any time, I become unable to care for and keep this dog, I agree to
contact the above named volunteer, and return this Shiba Inu/Shiba mix to that
volunteer. Finally, I understand that I may contact the volunteer at any time
should I have questions about this dog, including but not limited to its care,
training, and behavior.
By my signature, I signify that I have read these
stipulations, have received a copy, and I understand and accept the rights and
obligations involved in taking this dog into my life and
home.
_________________________________________________________
(Signature
of new owner) (Date)
I am donating $___________, payable to S.O.S., Shiba
Inu Rescue, to help with the cost of rescuing and placing Shiba Inu/Shiba mixes.
