MO-KAN BORDER COLLIE RESCUE
COMPANION ANIMAL ADOPTION AGREEMENT

The animals in our care have been spayed/neutered, are up to date on vaccinations heartworm tested (if a dog older than 6 months) and on heartworm preventative. Mo-Kan Border Collie Rescue is made up of volunteers who give their time, abilities and homes to help place animals where they will receive loving care. The animals in rescue came into rescue for many reasons and with varied backgrounds. We will provide potential adopters as much information as we have on any animal adopted. Sometimes we will have information provided by the owner that released the animal. In the case of a stray we will only have information on their behavior and personality for the time the animal has been in our care. The following points are minimum requirements for adoption of a rescue animal from Mo-Kan Border Collie Rescue.

· The animal will receive the medical care and attention necessary to ensure his/her health and well being.· The animal will not be abused in any manner and will be a companion living primarily indoors. No animal will be placed in a home where they will be outdoors at all times.· The adopter will provide an adequately fenced yard for the animal to exercise in, unless it is determined that the adopter can provide the animal with adequate exercise under humane control. Chaining a dog is not considered adequate exercise or humane.· The dog should have appropriate identification and contact information on at all times.

If at any time Mo-Kan Border Collie Rescue determines that the terms and conditions of this agreement have not been met or that the animal is not receiving proper, humane care, Mo-Kan Border Collie Rescue may choose to take custody of the animal. Under no circumstances should the animal be abandoned, taken to a shelter, sold, given away, or used for experimentation or guarding purposes. If the animal cannot be kept at any time or for any reason, Mo-Kan Border Collie Rescue is to be contacted at 816-478-3756 or 816-413-7623.

All information listed below is confidential.

Animal’s Name: _____________________________________
Breed: _____________________ Color: ____________________
Sex: M / F Spayed/Neutered: Y / N Approximate Age: _________
Adopter’s Name: _____________________________________________________
Home Phone: ___________________ Work Phone: ___________________________
Email Address: _______________________________________________
Street Address: _____________________________________________________
City / State / Zip: _________________________________________________________

Adopter’s Signature: ________________________________ Date: ____________________

Mo-Kan Border Collie Rescue: ______________________________________Date: ____________

MO-KAN BORDER COLLIE RESCUE
RECEIPT FOR ADOPTION

In consideration of a donation of $ 200.00 , the receipt of which is acknowledged, ownership is transferred to the undersigned adopter(s) who releases, discharges and holds harmless Mo-Kan Border Collie Rescue from any charges or claims arising from the adoption of:
Name of Animal: _______________
Description of Animal: _____________________________________________
on Date: _________________

The above-designated animal may be returned to Mo-Kan Border Collie Rescue within 14 days of the above date if the adopter is not satisfied with any aspect of the adoption. After this trial period, Mo-Kan Border Collie Rescue will still take the animal back, but no refund will be given as the fee will have already been used for the next rescued animal.

All expenses incurred by the adopter for the animal are the responsibility of the adopter. There will be no refund or reimbursement by Mo-Kan Border Collie Rescue for those expenses.

If the animal is lost by the potential adopter during the trial adoption period, the fee being held is retained by Mo-Kan Border Collie Rescue.

I have read and agree to comply with the terms of the above agreement.
Signed: ____________________________________________________ (Adopter 1)
____________________________________________________ (Adopter 2)
Dated: __________________

Copyright © 2003 Mo-Kan Border Collie Rescue, All Rights Reserved.