Oreo's Animal Rescue Pet Adoption Form
	Please fill out the following form and submit to Oreo's Animal Rescue. Before you may pick up your pet, you will be asked to sign a copy of this agreement you filled out and submitted.

Your Name and Address		Employer Name and Address
Name:		Name:
Address:		Address
City/State/Zip:		City/State/Zip:
Phone:		Phone:
E-mail:

I hear by acknowledge receiving from West Dakota Veterinary Clinic/Oreo's Animal Rescue a:
Dog Cat Kitten Puppy Other
	Pet's Name:
	Age:
	Microchip:
	Breed:
	Color:
Male Neutered Male Female Spayed Female

	Vaccination History:
	Worming History:

I Agree (please enter your initials in each line)
	To provide proper and adequate food, water, housing, exercise, grooming, and humane treatment at all times.
	To provide veterinary care in the form of annual vaccinations, preventive heart worm medications and appropriate, and such veterinary care as is necessary to prevent and/or treat accidents and illness.
	To obey local licensing and animal confinement laws.
	That upon adopting this pet, I am entering a long term commitment and understand that it is my responsibility to provide for this pet's needs.
	Not to sell, give away or use this animal for experimental purposes, allow it to engage in dog fighting or pursue any guard dog or attack dog training with it.
	If it is determined this pet has not been spayed or neutered, to have it spayed or neutered before it reaches six months of age if it is not an adult or within two months if it is an adult at the time of adoption.

I acknowledge that: (please enter your initials by each statement)
	I have been informed that all animals can from time to time carry and transmit diseases some of which affect people, including bacteria, viruses, parasite, and ringworm and that these diseases may be undetectable in what appears to be a healthy animal at the time of adoption.
	I am aware that pets may exhibit normal but potentially undesirable behaviors including, but not limited to, aggression, house soiling, biting, scratching (people, woodwork and furniture), barking, digging, mounting people’s legs, urine marking (dogs), urine spraying (cats) and that these normal behavior patterns may be difficult to manage. No one at West Dakota Veterinary Clinic/Oreo’s Animal Rescue has told me that this pet will not engage in any of these behavior patterns.
	West Dakota Veterinary Clinic/Oreo’s Animal Rescue is in no way responsible for any damage which the animal may inflict on another person, my property or the property of another and no attempt will be made by me to hold West Dakota Veterinary Clinic / Oreo’s Animal Rescue responsible.
	I am aware that it usually costs between $250.00 to $750.00 per year to feed, house, train, and provide veterinary care for a pet and that I am financially able to meet these expenses for my adopted pet.
	I accept the animal as it is at the time of adoption and understand that West Dakota Veterinary Clinic/Oreo’s Animal Rescue is not responsible for any medical conditions not readily detected prior to or at the time of this adoption or discovered after such adoption.
	I acknowledge that I have read this agreement and hereby release West Dakota Veterinary Clinic / Oreo’s Animal Rescue from any present or future liability associated with my adoption or this animal.

By checking the box to the left and submitting this form, you agree to the following conditions: You are agreeing to all the conditions of this contract and will be asked to sign the submitted contract before being given the acknowledged pet.