Adoption Liability Waiver

Adoption Liability Waiver

Agency Name:

Parties and Identification

WHEREAS

WHEREAS, the Agency is a duly organized animal welfare organization that places companion animals with qualified adopters for responsible permanent care and ownership; and

WHEREAS, the Adopter desires to adopt the animal identified below and assumes responsibility for the animal's care, and the Agency seeks to limit potential liability related to adoption and post-adoption events; and

WHEREAS, the parties agree to document the terms of adoption, payment, release of liability, and related obligations in this written waiver and agreement.

Animal Identification

Animal Name:    Species/Breed:

Microchip / ID Number:    Approximate DOB or Age:

Scope of Work

Payment Terms

Adoption Fee Amount: $

Late Fee for Delinquent Payments (if applicable): (flat amount or percentage)

Term and Termination

Term Start Date:    Term End Date (if any):

Termination / Return Policy: The Adopter may return the animal to the Agency within the period specified by the Agency policy. The Agency may reclaim the animal for material breach of this agreement or for reasons of animal welfare following written notice. Notice period (days):

Confidentiality

Both parties agree that records and personal information obtained in connection with the adoption are confidential and shall not be disclosed except as required by law or as necessary to provide veterinary care, comply with court order, or otherwise enforce this agreement. The Agency shall maintain adopters' contact information in confidence and shall not sell or distribute such information to third parties.

Release, Assumption of Risk and Indemnification

The Adopter acknowledges that animals may be unpredictable. By signing below, the Adopter releases and forever discharges the Agency, its officers, directors, employees, volunteers and agents from any and all liability for injury, damage or loss to persons or property caused by the animal after transfer of custody to the Adopter, except for damages resulting from the Agency's gross negligence or willful misconduct.

The Adopter assumes all risks associated with the animal's behavior, health, and any pre-existing conditions known or unknown at the time of adoption. The Adopter agrees to indemnify and hold harmless the Agency from any claims, demands, suits or actions (including reasonable attorneys' fees) arising from the Adopter's ownership, care, or transfer of the animal.

Medical Treatment Authorization: In the event of illness or injury requiring urgent care, the Adopter authorizes the Agency to seek emergency veterinary treatment if the Adopter cannot be reached. The Adopter remains financially responsible for all veterinary and related expenses incurred.

Representations and Warranties

The Adopter represents that all information supplied in this form is true and complete. The Adopter warrants they are at least 18 years of age and have the authority to enter into this agreement. The Adopter agrees not to sell, gift, or otherwise transfer ownership of the animal without prior written consent of the Agency.

Governing Law

This Agreement shall be governed by and construed in accordance with the laws of the state of , without regard to its conflicts of law principles.

Entire Agreement

This document constitutes the entire agreement between the parties concerning the subject matter herein and supersedes all prior agreements and understandings, whether written or oral. Any modification to this Agreement must be made in writing and signed by both parties.

Acknowledgment

I have read, understand, and accept the terms of this Adoption Liability Waiver and Agreement.

I assume full responsibility for the animal and any liabilities arising after adoption except as limited herein.

I consent to emergency veterinary care for the animal if I cannot be reached and accept financial responsibility for such care.

Sign Now