Adoption Agreement Form
This contract is made between Turtle Rescue USA/Kim Illum and the Adopter of record, Dated: ______
Adoptee:
______
Signature Print Name
Adopters (s) (notify changes in contact information as they occur in the future):
______
Signature Print Name
______
Driver’s License Number Email address
______
Street Address
______
City, State and Zip Code Area Code / Telephone
I, Turtle Rescue USA/Kim Illum, (hereafter called TRUSA/KI) agree to give the Adopter title to, possession and control of the following animal for so long as the Adopter complies with the terms of this contract. Type of animal:
Species:______Identifying Marks: ______
Feeding History: ______
Sex (if known): ______Age (if known): ______Weight (if known): ______
Health Problems: ______
In return, as Adopter, I agree to the following for the animal adopted:
A: To follow the rules and regulations promulgated by the city and county in which this animal will be housed, and that if permits or other permissions are required, I will obtain them and will be responsible for any expenses incurred in relation to the permit process.
B: To furnish the appropriate housing, food, water, light, heat, humidity, exercise and medical care to provide for this animal in a devoted and humane manner. To assure proper care, I have or will immediately purchase or otherwise acquire a book or other information to learn how to properly care for this animal. I further understand that if the animal I am adopting will be large when full grown, I will have to move this animal into housing large enough to properly accommodate the growing animal and its changing needs. I will also ensure the enclosures are escape-proof.
C: To keep this animal primarily as a household animal and to keep it within my control at all times. This animal will not be used to do testing on, or other purposes not consistent with maintaining this animal as a household animal.
D: To return the animal to TRUSA/KI if Adopter no longer desires or otherwise unable to keep the animal, and to not sell, trade, give away, destroyed (except in cases of extreme medical conditions), abandon or otherwise dispose of the animal. If the animal is lost, notify KI expeditiously and make every effort to recover it. If the animal dies, TRUSA/KI is to be notified.
E: To truthfully and completely answer any follow-up questionnaire which TRUSA/KI may send the Adopter regarding the animal, and to provide TRUSA/KI with any changes in contact info (address, phone #, etc. ).
F: To allow TRUSA/KI at any time to investigate the premises where the animal is kept and to reclaim the animal if, in the judgment of the investigator, the animal is not being adequately cared for, if the Adopter has not complied with any provision of this contract, or if the Adopter has misrepresented any fact. In the event that the Adopter fails or refuses to return such animal upon demand, the Adopter hereby agrees to pay reasonable attorney's fees in the event an attorney in consulted or if suit is brought for the return of the animal.
G: The adopter understands the specified condition(s) listed above (if any), and agrees to be fully and financially responsible for the extra care and treatment (including veterinary and related expenses) this condition may now and in the future require. Also agrees to be fully and financially responsible for any other problems that may require treatment in the future.
H: The adopter agrees to be solely and personally responsible for this animal and to indemnify and hold harmless TRUSA/KI from any and all claims of liability for the conduct or condition of this animal after the date of this adoption. Adopter further agrees that this indemnification and release of liability shall also apply to all known, unknown and unanticipated damages resulting from this adoption, or the ownership or control of this animal.
By signing below you are certifying that all the answers to the questions asked on the original adoption application are true to the best of your knowledge. Anything which is found to not be true may be cause for revoking the adoption agreement, and that the adopter would be responsible for costs involved in returning the animal to TRUSA/KI. Further, you certify that neither you nor any co-applicant, have ever been convicted of any crime relating to the abuse, cruelty, or neglect of another person or any animal. If you are under 18, a parent or legal guardian must sign as an indication of their consent and willingness to care for the animal themselves if the need arises.
Signature: Date: