WRIGHT-WAY RESCUE
ADOPTION CONTRACT AND AGREEMENT
Pet's Name and or ID #: ____________________________ Microchip ID (place sticker here)
Pet's ESTIMATED age: ______________________
Estimated Breed: _____________________________________
Spayed/Neutered YES NO - Due By: ____________________________
New Owner: _______________________________________________
Home Address: _____________________________________________
City:_____________ State:_______ Zip Code: ____________________
Home Phone: ____________________________________
Cell/Other Phone: ________________________________
Driver's License Number: __________________________________
Employer: ______________________________
Work Phone: ____________________________
Email:__________________________________
Driver's License Number: _______________________________________ State: __________________
PLEASE READ THROUGH THIS CONTRACT BEFORE DECIDING TO ADOPT A DOG OR
CAT FROM WRIGHT-WAY RESCUE. YOU WILL BE HELD ACCOUNTABLE FOR
SIGNING THIS, AND ANY TERMS THAT YOU AGREE TO. WRIGHT-WAY RESCUE
MAY AND WILL TAKE LEGAL ACTION AS A RESULT OF THIS CONTRACT HAVING BEEN
VIOLATED. I AGREE THAT MY CONTINUED OWNERSHIP OF THIS ANIMAL IS SUBJECT TO THE
FOLLOWING CONDITIONS:
Wright-Way Rescue releases _________ to __________________________
on___________________ 2009. Wright-Way Rescue has evaluated this animal to the best of its
ability and has decided that it will make an acceptable addition to a
home as a pet. Wright-Way Rescue in no way takes any legal or financial responsibility for
this animal or it's actions from this date forth. The above adopter realizes that at any time
this animal could accidentally or intentionally cause physical harm to a person or other
animal, with or without reason. Resulting injuries could range from minor to fatal. I further agree to
indemnify, defend and save harmless Wright-Way Rescue from and against any and all claims or liability
for damages to person or property hereafter caused by said animal. _________ (Initial)
If at any time during the lifetime of this animal, the owner must, for any reason relinquish ownership
Wright-Way Rescue must be notified. Wright-Way Rescue must be given the
first right of refusal. Wright-Way Rescue is not obligated to pay for, refund, or in any way
financially reimburse the adopter for the animal. If requested, the animal must be returned
to Wright-Way Rescue within seven days to the rescue. Any transportation
costs associated with the return of the animal will be the sole responsibility of the adopter.
Should the animal have been moved out of the area it was adopted, it is still the adopters’
responsibility to pay for and /or provide the transportation of that animal to deliver it safely to Wright-
Way Rescue. The adopter agrees to never turn this animal into a shelter where it may be
killed. If Wright-Way Rescue is not able to take in the adopted animal the adopter agrees
to have it accepted into a state licensed, non-profit, no-kill facility. ______________ (Initial)
This animal must be kept up to date on vaccinations both required by law and those
recommended for disease prevention and control, as recommended by a veterinarian. Dogs
must be kept current on heartworm prevention 12 months of the year. If an animal becomes
ill or injured the adopter agrees to have the animal seen by a licensed veterinarian in a
timely fashion at THE ADOPTER'S EXPENSE. This animal must be provided with adequate
food to maintain an optimal weight. This animal also must be provided with fresh water at all
times. Failure to so will result in loss of ownership. This animal must be micro- chipped
within thirty days of adoption for permanent identification if this procedure has not
already been done. The adopter agrees to send in the micro-chipping registration so that
the animal may be traced back to their name if ever lost or stolen. __________ (Initial)
The adopter agrees to house this animal indoors. When and if the animal is brought
outdoors, it must be properly contained. For dogs, acceptable means of containment include
a leash and collar, a secure fenced area, or crate or kennel. For cats acceptable means of
containment include a cage/carrier or leash and harness. The adopter agrees that whenever
an animal is allowed outdoors it is to be wearing a securely fitted ID tag with their owner's
phone number, name, and address on it. If an animal is to go outdoors an adult must
supervise it at all times. The adopter agrees that should this animal ever become lost or
stolen, they will notify Wright-Way Rescue immediately. _________________(Initial)
If said animal is not yet spayed or neutered (through ovariohysterectomy or castration),
I the adopter agree to have this procedure completed by a licensed veterinarian within thirty (30)
days of adoption, as required by Wright-Way Rescue and the laws of the state of Illinois. In the
event of failure to comply with this provision I agree to pay Wright-Way Rescue the sum of $300.00
in liquidated damages; this liquidated damage being agreed to for the purpose of establishing value
of the animal and does not bar Wright-Way Rescue from seeking return of the animal through
judicial process or other legal means. I also agree to pay all reasonable court costs and attorney’s fees
in the event this matter is forwarded to an attorney for enforcement. __________(Initial)
I the adopter agree to permit a representative of Wright-Way Rescue to do a follow-up
visit/interview. This follow up can be done at the adopter’s home and residence of the adopted pet, or
over the phone. This shall be determined by Wright-Way Rescue. The purpose of this follow up is to
ensure that the animal is being cared for humanely and that the adopter has complied with spay/neuter
requirements and the terms of this contract set forth by Wright-Way Rescue and the State of Illinois.
Reasonable notice (48 hours) shall be given to the adopter prior to an in-home visit or phone interview. I
The adopter agree to allow a Wright-Way Rescue representative into my home at their request at any
reasonable time and will allow them to inspect my adopted pet’s living conditions and spay/neuter status.
I also agree to pay all reasonable court costs and attorney’s fees in the event this matter is forwarded
to an attorney for enforcement. ____________ (Initial)
MEDICAL RELEASE (please read care carefully!) I the adopter am willingly adopting an
animal whose history may not fully be known by Wright-Way Rescue. I the adopter realize
that with adopting such an animal come certain risks of that animal’s health status. I am
fully aware of the fact that this animal could become sick or injured at ANY TIME. I
furthermore agree that any veterinarian bills from this official adoption day forward are
my sole responsibility. I will not ask Wright-Way Rescue to pay for any medical bills for any
treatment of the animal in which I have chosen to adopt. I understand that veterinary care
for animals is highly expensive in some situations and that I will be responsible for any costs
that I incur while instructing a vet to administer routine or emergency care for my adopted
pet. I also understand that while ShelterCare Pet Insurance may have been offered to me
at the time of adoption, and may cover the costs of some medical problems. Wright-Way
Rescue in no way is associated with this company nor guarantees its services.
I agree to research this free pet insurance on my own and make a decision based on my own
research as to whether it could or could not benefit my pet. I understand that adopting an
animal whose background may not be known involves certain risks of that animal’s health. I
understand that Wright-Way Rescue animals see a vet as needed as well as for vaccinations
required to be given by a licensed vet. The animal I have adopted may or may not have been
seen by a veterinarian. I fully am aware of the medical care, or lack there of, that has been
administered to the animal I have decided to adopt. I feel comfortable adopting an animal
with the amount of medical care that has or has not been provided and agree to from this
day forth, take on any additional costs myself. I agree to hold Wright-Way Rescue harmless
for any illness, virus, bacterial infection, injury, accident, or any other adverse event that
could cause me financial or emotional hardship related to vet bills or loss of this adopted
pet I am also aware that Wright-Way Rescue often receives animals from situations
unsuitable for them to have lived in prior. These situations often make the animals immunity
weakened. Wright-Way Rescue does not guarantee the health of any of its adopted animals.
I the adopter fully understand that any donation given to Wright-Way Rescue for this animal
is completely not refundable. ____________ (Initial)
If an adopted pet should die within 7 days of adoption, a replacement pet of equal or lesser
value shall be offered. If the adopted pet died of a communicable disease Wright-Way Rescue
reserves the right to follow veterinary advice as to when it would be appropriate to introduce a new
pet into the environment. The offer for a replacement puppy is void after 12 months from the adoption date.
Documentation from a licensed veterinarian stating the exact cause of death and tests to prove such cause
are required in writing. The adopted animal must be examined by a veterinarian of the owner’s choice within
72 hours of purchase or the terms of the guarantee are not valid. Any form of neglect, abuse, or insufficient
care void this guarantee. _______________ (Initial)
The adopter agrees that if any terms listed above are not met at any time during the life of
this adopted animal, Wright-Way Rescue reserves the right to file a lawsuit for the return
of the adopted animal. I, the adopter, also agree to pay all reasonable court costs and attorney’s fees
in the event this matter is forwarded to an attorney for enforcement _________(Initial)
The adopter agrees to pay a NON-REFUNDABLE adoption fee of (circle one)
for the adoption of this animal. Wright-Way Rescue is always in need of additional donations (both supplies
and monetary) for aid in the rescue and adoption, of future animals. I agree that this donation is not refundable.
_________(Initial)
Adopter's Signature_____________________________________________________
Date: _______________________________________________________________
Wright-Way Rescue Rep Signature: _________________________________________
Date: _____________________________________________________________