Adoption Contract - Beagle Rescue of Southern Maryland

Name of Dog

Microchip Number

Microchip Manufacturer

Dog Age

Dog DOB

Gender

Color/Markings

Full Name

Phone

Alt Phone

Full Address

Adopter agrees to a home check as a condition for adoption.

Adopter shall keep the adopted dog as a household pet at Adopter's residence and not use it for breeding, as a guard dog or hunting dog. A fenced yard is required.

Adopter agrees to provide proper food, fresh water, adequate shelter and indoor sleeping quarters for the dog.

Adopter shall provide the animal with necessary veterinary care upon sickness, disease or injury, yearly inoculations as recommended by attending veterinarian, provide monthly heartworm preventative, and license adopting dog in accordance with state and local laws.

Adopter acknowledges that scent hounds cannot be trusted off-lead except in enclosed areas. Adopter will NOT permit the dog to run free or off-leash or out of immediate control. The adopted dog will never be “tied out” or “staked out” or “penned out.”

Prior to this adoption, Adopter will provide adequate fencing around any swimming pool to prevent adopted dog's entry into the pool.

Adopter will NOT transport the dog in an open pickup truck bed or boat.

Adopter agrees that adopted dog will wear a collar with current rabies tag and ID tag.

Adopter agrees that adopted animal shall not be used for medical or any experimental purposes.

Adopter agrees to notify Beagle Maryland at least ONE week prior to any change of address.

If adopted dog is lost or stolen, Adopter shall notify Beagle Rescue of Southern Maryland, Inc., within 3 days.

If for any reason, adopted dog cannot be kept by Adopter, Adopter agrees to return it to Beagle Maryland. Adopter agrees that adopted dog cannot be given away, sold or exchanged, leased, or in any way be out of the direct care of the Adopter without prior written permission of Beagle Maryland.

Adopter releases Beagle Maryland from all liability for injury or damage sustained while adopted dog is in possession of Adopter.

Adopter takes the dog as is, with all defects either observable or unobservable, and assumes full risk for adopted dog from the date of signing this agreement. Though care is given to physical condition and temperament evaluation of each dog that is accepted by Beagle Maryland, and every possible effort is made to provide a rescue dog which is compatible with the Adopter's home, no warranty is made as to the physical condition or temperament of adopted dog.

Were copies of the shelter/vetting paperwork were received by Adopter?

Yes No

As of the date of this agreement, the Adopter assumes responsibility for adopted dog's actions and shall hold Beagle Maryland and its individual members harmless for all claims for personal injury, injury to others, and/or property damage associated with adopted dog.

Beagle Maryland requests a minimum donation of $400 to cover veterinary and other expenses involved in the rescue and placement of dogs. Please indicate your donation amount here.

Today's Date

Digital Signature of Adopter

Agent, Beagle Rescue of Southern Maryland, Inc.

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Sign the BRSM Adoption Contract

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Sign the BRSM Adoption Contract

June 7th: Paint Night with BRSM