HUSKY HAVOC
RESCUE, REFERRAL &
TRANSPORT (HHRRT)
DOG ADOPTION CONTRACT

Dog's Name: ________________       Sex: _____    Age: ________
Breed / mix: ________________________________________
Coat Color / markings: _________________________________
Eye Color(s): __________________             Rabies Tag #:_______
Microchip Type: _______                         Microchip #:___________


I/we, the undersigned adopting party, have fully read, fully understand
and agree to the following terms and conditions of this adoption contract
in the acquisition of the above mentioned dog.
I. I/we agree to adopt ___________ as of the date ___________. By adopting a  
dog from HHRRT, I/we understand that I/we bear full responsibility for the
health & behavior of the dog for the life of the dog. If for any reason, I/we cannot
or no longer wish to keep the dog, the dog can be returned to HHRRT at any
time. I/we pledge to never abandon the dog, or surrender, sell, or give the dog to
a pound, animal control facility, kill shelter, pet dealer or store, laboratory, or
dog auction.
Initial: _______
II.
 I/we will provide adequate food, water, shelter, obedience training,       
grooming, routine preventative veterinary care (including yearly exams and
vaccines, heartworm testing and prevention, flea & tick prevention, dental
check ups, etc.). I/we will provide any additional veterinary care as needed
should injury or illness occur, including comfort care at the end of the dog's life.
IIb. For Puppies under Six Months: Puppies will be altered between 6 - 8
months of age; altering will include any pre-surgical exam and lab work
deemed necessary by the veterinarian, as well as post-surgical pain
medication and incision care. I/we will send a health certificate testifying to
the surgery was performed and the puppy in good health. It will be signed by
the attending veterinarian, and mailed to HHRRT within 30 days of the
surgery at the following address: _________________________________
___________________________________________.
Initial: _________
III.
I/we understand that the dog has been microchipped for his/her own safety
and protection. After adoption, I/we will become the primary contact   
on file with the _______________ microchip company. I/we agree that HHRRT
will remain listed as a secondary contact for the life of the dog.
IV. I/we understand that rescue dogs have uncertain histories, and that any dog
rescued by HHRRT may have been neglected, abused, or mistreated and that
special care, precautions, or restrictions may be required, either temporarily
or for the life of the dog. HHRRT has given full disclosure about any aggressive
or fearful tendencies displayed during foster care. However, HHRRT cannot
guarantee that any dog will be remain physically or behaviorally healthy after
adoption.
V.  I/we understand that all Northern Breed dogs, no matter how well trained,
have an instinct to roam if allowed to do so. Therefore, I/we will never allow
the dog to run off lead unless in a securely fenced enclosure, for the dog's own
safety. I/we will never allow the dog to run or walk off lead in public areas or
public parks.
Vb. If the dog has been reported or found running at large on multiple
    occasions, HHRRT reserves the right to permanently reclaim the dog
    and revoke all adoption rights, without financial compensation to the
    adopters.
Initial: _______
VI.
I/we understand that all Northern Breed dogs, no matter how well trained,
can become destructive, especially when lonely, bored, or frustrated. I/we
will not hold HHRRT legally liable or financially responsible for the
destruction of any personal possessions or property, or public property after the
date of adoption. By signing this document, I/we agree to bear full responsibility
- including legal and financial responsibility - for the dog's behavior at all times.
Initial: _______
VII.
I/we understand that all Northern Breed dogs, no matter how well trained,
have high prey drives. No small animals (including but not limited to cats,
toy breed dogs, ferrets, birds, and rodents) will be entirely safe around the
dog if left unsupervised. I/we agree to not hold HHRRT legally liable or
financially responsible for the deaths or injuries caused by the dog to any
other animal after adoption.
Initial: ______
VIII.
I/we agree to notify HHRRT of the dog's progress. I/we understand that an
HHRRT representative will be contacting me/us to periodically check up on
the dog; particularly at 2 weeks post adoption, 4-6 weeks post adoption, and 6
months post adoption. My/our preferred means of contact is:
____________________________________________________.
XIII. In the event of separation of households due to such things as divorce,
death, or other relocation, HHRRT must be contacted and informed as to who
will retain ownership of the dog. In the event that neither party wants or is
able to take the dog, the dog will be returned to HHRRT.
Initial: ___________
XIIIb.
Any change of address or other contact information (phone and email)  
       will be submitted to HHRRT as soon as reasonably possible.  
IX. __________________________________________________________
____________________________________________________________
_____________________________________________________________
_____________________________________________________________

I/we further understand that:

i. Repeated noncompliance, or noncompliance with multiple terms listed above,
will be considered a material violation and the dog will  be reclaimed by HHRRT
without financial compensation to the adopter.  
Initial: _________
ii.
IF AT ANY TIME, I/WE OR ANY MEMBER OF MY/OUR HOUSEHOLD IS   
CONVICTED OF ANIMAL CRUELTY OR NEGLECT, THE DOG WILL BE
IMMEDIATELY REMANDED BACK TO HHRRT WITHOUT COMPENSATION.   
I/WE UNDERSTAND THAT IF CONVICTED OF ANIMAL CRUELTY,  I/WE WILL
BE PLACED ON THE NATIONAL "DO NOT ADOPT" LIST WHICH IS MADE
AVAILABLE TO ALL SHELTERS AND RESCUE ORGANIZATIONS IN THE UNITED
STATES.
Initial: _______
iv.
I/we understand that the adoption fee of $________ is a donation; the
amount is based on the cost of veterinary treatment given during foster care. If
the dog is surrendered back to HHRRT within 14 days of adoption, the donation
will be refunded. After 14 days, the donation is nonrefundable, even if the
adoption later proves to be unsuitable.  
Initial: ________
v.
_____________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________


In consideration of the adoption of this dog, I/we agree to assume full
responsibility for the health, welfare, and conduct of this dog upon the date of
this contract. I/we further agree to hold harmless Husky Havoc Rescue, Referral
& Transport, any HHRRT representative or volunteer; and to indemnify such
organizations or individuals for any damages or costs resulting from liability,
known or unknown, anticipated or unforeseen, as a result of the dog's conduct
after the date of this adoption contract.  


Signature of HHRRT representative: ___________________________
Name of HHRRT representative: _____________________ Date: ____________
Phone: ________________  Email: ____________________________________


Signature of Primary Adopter: ________________________________
Name of Primary Adopter: __________________________ Date: ____________
Home Address: ___________________________________________________
                    ___________________________________________________
Home Phone: ___________________   Cell Phone: ______________________
Email address: ___________________________________________________


Signature of Co-Adopter (if applicable): ________________________________
Name of Co-Adopter: _______________________________ Date: ___________
Cell Phone: ________________             Email: ___________________________


Adoption Fee: $___________
Paid by:   Cash     Check    Money Order
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