Gulfstream
GUARDIAN ANGELS

Rottweiler Rescue
A Non-Profit
501c3 Organization
RELEASE AND INDEMNITY AGREEMENT
IN CONSIDERATION of the payment of the sum of a $150.00 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 micro chipped 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
follows:
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:
15.
DISCLAIMER (please sign and date applicable acknowledgement)
GGARR
RESCUE DOG (dogs that have been rescued by and are under the care of GGARR)
Although our dogs are behavior tested and we work hard to ensure that our dogs are well adjusted and non-aggressive we cannot guarantee the personality of any dog. GGARR releases all legal responsibility of any of our dogs to the new owners. I agree to this disclaimer
______________________________ __________
Signature Date
COURTESY
LISTING (courtesy dogs listed for
owners are marked on the applicable webpage
This dog is not a GGARR dog but is placed as a courtesy to the owner of this dog. GGARR takes no responsibility for the condition, medical state or personality of this dog.
I agree to this disclaimer ________________________ __________
Signature Date
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(s)_____________________________
_____________________________
Adopter’s Address and where RESCUE DOG will reside at
__________________________________ City _________________State
___Zip Code ______
Home Phone #___________________ Work Phone # ____________________
Email
Address ___________________________________
BY______________________________________
______________________________, RESCUE CHAIRMAN
Gulfstream GUARDIAN ANGELS Rottweiler Rescue, Inc.
Grace
Acosta President,
2950 SW 103 Avenue, Miami,
Florida 33165
Dade
786 295 0829 Broward
954 309 0115
Edited
3/22/08