Adoption Fee Agreement Template

ADOPTION FEE AGREEMENT

This Adoption Fee Agreement (the "Agreement") is entered into on this day: month: year: by and between Provider Name: located at , and Adopter Name: residing at .

RECITALS

WHEREAS, Provider is engaged in the rescue, care and adoption placement of companion animals and represents that the animal identified below has been cared for and evaluated in accordance with Provider's intake procedures; and

WHEREAS, Adopter desires to adopt the animal described below and has agreed to pay an adoption fee to Provider and to comply with the terms and conditions of this Agreement; and

WHEREAS, Provider and Adopter wish to set forth the terms under which ownership of the animal will be transferred and the responsibilities of the parties following adoption.

NOW, THEREFORE, in consideration of the mutual covenants and promises contained herein, the parties agree as follows:

1. ANIMAL IDENTIFICATION

Animal Name: Species/Breed: Age/Approx DOB:

Microchip Number: Tag/ID Number:

2. DEFINITIONS

For purposes of this Agreement, "Adoption Fee" means the monetary payment required by Provider for placement of the Animal; "Transfer of Ownership" means the conveyance of title and all property rights in the Animal from Provider to Adopter upon satisfaction of the payment and conditions set forth below.

3. ADOPTION FEE AND PAYMENT

Adoption Fee Amount: $. A deposit of $ is required to hold the Animal.

Balance Due By: . Payment is due in full prior to transfer of possession.

Cash Check Credit/Debit Card Other (specify below)

4. REFUNDS, RETURNS, AND CANCELLATION

Deposit is . A full refund of the Adoption Fee will be issued only if Provider cancels the adoption prior to transfer of the Animal. After transfer of possession, returns and refunds are limited as provided herein.

Post-adoption return period (if any): days from the date of transfer. If returned within the stated period, Provider will assess a refund subject to inspection and any medical expenses incurred after adoption.

5. HEALTH, VACCINATION, AND SPAY/NEUTER

Provider represents that to the best of its knowledge the Animal has received routine veterinary care as indicated in Provider's records. Last veterinary examination date: .

Spayed/Neutered: Yes No

If not spayed/neutered, Adopter agrees to have the Animal spayed or neutered by: and to provide proof of procedure to Provider within 10 days of surgery.

6. TRANSFER OF OWNERSHIP

Title to and ownership of the Animal shall transfer to Adopter upon payment in full of the Adoption Fee and completion of this Agreement. Provider may retain documentation of the Animal's history, medical records and microchip registration until payment is complete.

Adopter authorizes Provider to transfer microchip registration to Adopter upon receipt of full payment and execution of any required microchip transfer forms.

7. REPRESENTATIONS AND WARRANTIES

Provider represents that it has the authority to place the Animal for adoption and that, to Provider's knowledge, there are no unrecorded liens or encumbrances on the Animal. Provider makes no other warranty, express or implied, including but not limited to any warranty of health, temperament, or suitability for any particular purpose except as expressly set forth in this Agreement.

Adopter represents that Adopter is at least 18 years of age, has the authority to enter this Agreement, and will provide appropriate care, shelter, medical treatment and humane treatment to the Animal. Adopter further represents that the Animal will not be sold, transferred, or surrendered to a research facility or dealer for any purpose.

8. LIABILITY, INDEMNIFICATION AND RETURN

Adopter accepts full responsibility for the Animal upon transfer of custody. Adopter shall defend, indemnify and hold harmless Provider and its officers, employees and volunteers from any claims, damages or liability (including reasonable attorneys' fees) arising from the acts or omissions of Adopter or the Animal after transfer.

If Adopter is unable to keep the Animal at any time, Adopter shall contact Provider. Adopter agrees that Provider shall have a right of first refusal to take the Animal back; nothing in this clause requires Provider to accept return.

9. RECORDS AND PRIVACY

10. NOTICES

11. AMENDMENTS, WAIVER, COUNTERPARTS

This Agreement may be amended only by a written instrument signed by both parties. No waiver of any provision of this Agreement will constitute a waiver of any other provision or of the same provision on another occasion. This Agreement may be executed in counterparts, each of which will be deemed an original and all of which will constitute one instrument.

12. GOVERNING LAW, ENTIRE AGREEMENT, SEVERABILITY

This Agreement will be governed by and construed in accordance with the laws of the state where Provider is located, without regard to conflict of law principles. This Agreement constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior understandings. If any provision of this Agreement is determined to be invalid or unenforceable, the remaining provisions will remain in full force and effect.

13. ADDITIONAL TERMS

By initialing below, Adopter acknowledges receipt of the Animal's known medical records and agrees to the transfer terms and spay/neuter requirement described above.

Adopter Initials:

Sign Now