Dalmatian Rescue of Colorado Inc.
Adoption Contract
ASSUMPTION OF RISK & AGREEMENT TO HOLD HARMLESS

I UNDERSTAND THAT OWNERSHIP OF A DOG IS NOT WITHOUT RISK OF INJURY OR DAMAGE TO MYSELF, MY FAMILY, OR ANY PROPERTY TO WHICH THE DOG MAY BE EXPOSED, AND INASMUCH AS DALMATIAN RESCUE OF COLORADO, AND ________________________________  HAVE SERVED SOLELY IN A REFERRAL CAPACITY IN MY ACQUISITION OF THE DALMATIAN DESCRIBED BELOW:

Call name ______________________________     Sex__________     (Apparent) Age __________
Color: ___________________     Neutered/spayed______________     Tag____________

I hereby release from any and all responsibility and agree to hold harmless the aforementioned parties and agree to personally assume all risk for any injury or damage caused by the aforementioned Dalmatian.

Although care is given to the physical condition and temperament evaluation of every Dalmatian that comes into Dalmatian Rescue, no warranty is made as to the physical condition of the dog. The Adopting Party assumes full risk and responsibility for the dog. As of the date of this Contract, the Adopting Party assumes responsibility for the dog's actions and shall hold Dalmatian Rescue harmless for any claims arising there from.

I certify that this dog is being acquired as a family pet and will not be resold to any wholesaler, research facility, or any other person. I also agree to have this Dalmatian spayed or neutered within 14 days of the date of this agreement if dog is intact (see neuter deposit). I agree to maintain this dog in good physical condition, provide appropriate veterinary care, keep current identification and collar on the dog, and to keep this dog safely confined on my property. This dog is not to be left out at night or during cold weather (50 degrees or below) without adequate, HEATED shelter. Neither is it to be tied, chained, or attack trained, nor transported in an open pickup bed. I agree to keep this dog a minimum of 30 days to assure proper adjustment. 

If I can not keep this dog for any reason, I agree to contact Dalmatian Rescue (303-281-8963) and to return the dog to a location designated by Dalmatian Rescue.  I will not take this dog to any animal shelter nor sell or give this dog away without express verbal and written permission from Dalmatian Rescue.

Any material and substantial breach of this agreement shall entitle Dalmatian Rescue to retake possession of the dog. The agreement shall be binding upon any person in whose possession the dog may be found.

Signature: __________________________________________          Date:____________________
Address:_____________________________________________________________________________
Home phone: (______) _______________          Email:_______________________________________ 
Work phone: (_______)_______________

A minimum donation of $150 is requested to enable us to continue our rescue efforts.

If you wish to pay by check, please make your check payable to Dalmatian Rescue of Colorado, Inc. and give to the person listed above or mail to:

Dalmatian Rescue of Colorado
6828 Rimrock Valley Lane, Fort Collins, CO 80526
(303) 281-8963
Email: melodee101@gmail.com