German Shepherd Rescue of Central Texas, in consideration of the sum of $____________, the receipt of which is acknowledged by
_______________________________________, release the full responsibility and ownership for ___________________________________
(dog’s name) to the undersigned adopter.
The undersigned adopter does hereby release and covenant to hold harmless German Shepherd Rescue of Central Texas and its
members and officers from any claims, damages, costs or actions incurred as a result of this adoption or caused by the actions of
the dog transferred herein. The agreement relates to the following German Shepherd and adopter.
Description of German Shepherd
Name of Dog _________________________________________________
Gender Male________ Female_________ Approximate Age _______ Wks ______ Mos _______ Yrs _______
Color _________________________________________________ Distinguishing Marks ______________________________________________
Microchip#______________________________________ Microchip Reg Name _____________________________________________________
Name ________________________________________________ Address __________________________________________ Zip______________
Home Phone# __________________________ Cell Phone#___________________________ e-Mail_______________________________________
I, _________________________________________, understand and agree to accept the following conditions and restrictions in order
to be eligible to adopt the German Shepherd (hereafter referred to as the "dog" described above).
_______ 1.) Non-breeding: If the dog has not been spayed/neutered at the time of adoption, I agree to have this dog spayed/neutered by ____________ (date). I will provide German Shepherd Rescue of Central Texas with written evidence of this surgery within ten (10) days after it is performed. The spay/neuter deposit of $________ will be refunded at that time. It is understood that the dog will never be used for breeding.
_______ 2.) Health: The dog will be placed on an inoculation program as prescribed by a licensed veterinarian in order to assure and maintain the health of the dog. The dog will receive rabies vaccination and be licensed in accordance with state and local ordinances and will wear an identification tag. The dog will be tested for heartworms and a heartworm preventative will be administered as prescribed by a veterinarian.
_______ 3.) Care: I will accept full responsibility for maintaining a reasonable level of care for this dog including water, grooming, adequate sanitation, exercise, attention, safety and humane treatment.
_______ 4.) Shelter: I am adopting this dog to become a member of my family and will treat him/her as such. This dog will have full access to my home and not be relegated to the backyard.
_______ 5.) Return: If for any reason I am unwilling/unable to keep this dog, German Shepherd Rescue of Central Texas must be contacted immediately so suitable arrangements can be made to either return the dog to German Shepherd Rescue of Central Texas or to place the dog with another family; the latter only with written approval from German Shepherd Rescue of Central Texas. The adoption fee is non-refundable.
Signature _____________________________________________________________ Date ______________________________
How to Adopt a Dog