The grass is Always Greener on … ON THE OTHER SIDE OF THE FENCE, a non-profit corporation dealing with the prevention of cruelty to animals and global education EIN #86-1174463 UBI #602-649-202 CHARTER #E00882841 520 County Road 5351, Poplar Bluff Mo. 63901 Phone- 573-686-7551 Fax- 866-240-8070 jaymeeyh@theothersideofthefence.org www.theothersideofthefence.org/ DOG ADOPTION CONTRACT ADOPTER______________________________________________________________________________________ ADDRESS______________________________________________________________________________________ CITY___________________________________________________STATE____________ ZIP ________________ PHONE# (_____)_______________________ DATE of ADOPTION _____________ ADOPTION FEE: $110.00 INCLUDES: BATH: FREE CARE UNTIL ADOPTED{FOOD, TOYS, VET CARE, ECT.}: $30.00 DEFLEAD: FREE EARMITE TREATMENT: FREE RABIES VACCINE: FREE RDACP VACCINE: FREE SPAY/NEUTER: $80.00 WORMING: FREE 1 HOUR BASIC OBEDIENCE FREE TRAINING ADVICE FOR LIFE OF DOG FREE DOG’S NAME _____________________________________   The undersigned adopter (s) do hereby release, discharge and hold harmless ON THE OTHER SIDE OF THE FENCE and/or any other person, firm, or corporation charged or chargeable with liability, their heirs, administrators, executors successors and/or assigns from any and all claims, damages, costs, expenses, loss of services, actions and causes of actions belonging to said adopter (s) arising out of any act or occurrence from the present time, particularly on the account of the adoption of the above named dog. CONDITIONS OF ADOPTION The above said dog is free of any liens or encumbrances except for the conditions specified in this contract.   Adopter agrees to pay the sum of $110.00 for the adoption of said dog.     Adopter agrees to have said dog SPAYED/NEUTERED within two weeks from the date of adoption or a $1000.00 penalty will be due to ON THE OTHER SIDE OF THE FENCE. The adopter will forward the spay/neuter certificate to ON THE OTHER SIDE OF THE FENCE.   It is agreed that you shall to keep said dog as a house pet, to be exercised in a fenced yard or on a leash . It is agreed that said dog will be maintained within a fenced-in yard or an approved dog kennel when outside. The above-mentioned dog will AT ALL TIMES be under the ADOPTER’S control and is never to be allowed to roam free.   It is understood that ON THE OTHER SIDE OF THE FENCE assumes NO responsibilities for damage, or injuries caused by the above-mentioned dog.   The adopter agrees to keep ON THE OTHER SIDE OF THE FENCE informed of any address changes. It is also understood that at NO TIME will the above mentioned dog be SOLD, GIVEN AWAY, ABANDONED, SOLD TO SCIENCE FOR RESEARCH, USED FOR ANIMAL SACRIFICES, WILL NEVER BE USED AS FOOD FOR HUMAN CONSUMPTION OR THAT OF OTHER ANIMALS, WILL NEVER BE GIVEN TO OR USED AS OR IN THE TRAINING OF FIGHTING ANIMALS.   It is also understood that the adopter will keep said dog up to date on all shots and a visit to a veterinarian at least once per year. The adopter is responsible for any and all vet bills incurred for the life of this contract.   The adopter will inform ON THE OTHER SIDE OF THE FENCE of the death dogs and also the cause of death. Special clauses: Changes, additions, or any other alterations of this contract MUST BE IN WRITING and signed and agreed upon by ALL PARTIES INVOLVED.   Failure to honor any part of this contract will result in a penalty of not less than $1000.00 per occurrence payable to ON THE OTHER SIDE OF THE FENCE. ANY AND ALL LEGAL FEES AND COURT COSTS NECESSARY TO ENFORCE THIS CONTRACT WILL BE THE OBLIGATION OF THE ADOPTER INCLUDING ALL THOSE INCURRED BY ON THE OTHER SIDE OF THE FENCE.   ON THE OTHER SIDE OF THE FENCE gives NO warranties covering the health or temperament of the above mentioned dog both expressed and implied.   THE ENTIRE AGREEMENT BETWEEN THE PARTIES ARE CONTAINED HEREIN Your signature means that you (the adopter) are in full agreement with the terms of this contract.   IN CONSIDERATION OF MY RECEIVING THE ABOVE SAID DOG, I HEREBY AGREE TO CARE FOR THIS DOG HUMANELY, including adequate food, shelter, water and veterinary care, and to license this dog in accordance with the laws in the jurisdiction in which I reside.   I also agree to RETURN the dog to ON THE OTHER SIDE OF THE FENCE if at anytime I wish to relinquish custody.   I further agree that the dog shall not be chained or tied, and shall not be used for breeding. It is understood that ON THE OTHER SIDE OF THE FENCE may examine and may make inquiry about said dog at any time. If not satisfied with the condition of the dog or the conditions in which it is being kept, said dog may be reclaimed by ON THE OTHER SIDE OF THE FENCE immediately. NO AKC REGISTRATION CERTIFICATE IS APPLICABLE IN THIS TRANSACTION.   ON THE OTHER SIDE OF THE FENCE cannot be held responsible for the conduct of this dog after its adoption. All interaction between this dog and any minor child or children is the responsibility of the owner (s) of this dog. AGE:                                  SEX:                                      COLOR: BREED: MEDICAL: RABIES SHOT DATE: EXPIRES: OTHER SHOTS: CANINE DISTEMPER; ADENOVIRUS TYPE 2; CORONAVIRUS; PARAINFLUENZA; PARVO VIRUS {modified live virus; canarypox vector} LEPTOSPIRA; CANICOLA; ICTEROHAEMORRHAGIAE BACTERIN 1st                                     2nd                                   3rd ALLERGIES: RECOMMENDS RICE FORMULA FOOD WORMING DATE: DEFLEA/BATH: SPAYED/NEUTERED: OBEDIENCE TRAINING/TRICKS:   HEREBY ACKNOWLEDGE THAT I HAVE READ, UNDERSTAND AND RECEIVED A COPY OF THE ABOVE CONTRACT AND WILL KEEP THE DOG DESCRIBED HEREIN AS A PART OF MY FAMILY. ON THE OTHER SIDE OF THE FENCE WILL OFFER TRAINING ADVICE WHEN YOU NEED IT. PLEASE DON’T FEEL EMBARRASSED TO CONTACT US. SIGNED: ____________________________________________________________DATED: __________ ACCEPTED FOR ADOPTION BY:_______________________________ THANK-YOU FOR YOUR SUPPORT