FUR OF SUNSHINE
6146 NW GINGER LANE
PORT SAINT LUCIE, FL 34986
Tel:772-985-2186
email:furofsunshinepets@yahoo.com

PET ADOPTION AGREEMENT
This is an adoption agreement and should only be filled out after a pet application is completed and submitted and an approval notification was sent to and received by the applicant OR if a particular pet was selected and the go ahead for a deposit was given.
Contract For A Dog/Puppy:

1. What is your Approval Notification Number (ANN)? (optional)   
2. What is your First Name*: A value is required.
   Last Name*: A value is required.
3. Address*: A value is required.
   City*: A value is required. State*: Select State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PC PR RI SC SD TN TX UT VA VI VT WA WI WV WY A value is required. Zip*: A value is required.Invalid format.
4. Email*: A value is required.Invalid format.
5. Home Phone*: A value is required.Invalid format.
   Work Phone*: Invalid format.
6. What is the Breed?
   Color:
7. What is the DOB? Cost:
   If the puppy is not born as yet, What’s your Waiting List Number?
8. If the address of delivery is different from above please fill in below:
   Street
   City: State: Select State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PC PR RI SC SD TN TX UT VA VI VT WA WI WV WY Zip:

New Pet Owner agrees to the following terms and conditions:

1. Under no circumstance will this dog/puppy be re-sold, leased or given away to any pet shop or laboratory or similar facility. This dog/puppy should not be resold, or given away, or boarded out for a period of more than 30 days to anyone, such as but not limited to family, friend, neighbor, or stranger without the written consent from Fur of Sunshine or any of its representative. Doing so is a breach of this contract.* Please check the box.
2. New owner(s) agrees to have the purchased or adopted pet seen by a licensed veterinarian within 3 days of its delivery.* Please check the box.
3. This pet will be housed indoors and it will not be allowed to roam outdoors even if you have an enclosed back yard fenced.* Please check the box.
4. The New Pet Owner(s)* A value is required. agree(s) to spay/neuter within two months of acquisition.* Please check the box.
5. The New Pet Owner will be responsible for any vet bill once the adoption is finalized (meaning once the pet is delivered or picked up). * Please check the box.
6. Your new pet should see a vet within 3 days or earlier after being adopted and delivered/picked-up. It is highly recommended that during these 3 days this pet be isolated from all other animals.* Please check the box.
7. A One-Year Health Guarantee on this pet regarding any hereditary life threatening congenital disease that is discovered by a licensed veterinarian within one year of its adoption will be remedied by a the  replacement of another pet (dog/puppy) of equal value. However, first a written report from the licensed veterinarian as well as a review from our chosen veterinarian must be obtained. Should this pet die within a year of its adoption and the cause was determine to be from any hereditary life-threatening disease, a necropsy report provided by the purchaser’s vet must be provided to the seller before a replacement can be done. There is no health guarantee against treatable problems such as, but not limited to internal/external parasites, etc.* Please check the box.
8. Failure to have the new pet seen by a vet within 3 days will render this contract breached on the part of the buyer/adoptive parent(s) and will void the health guarantee.
   There will not be a refund of the purchase/adoption price, medical cost, or shipment cost under any circumstance.* Please check the box.
9. This Health Guarantee does not cover any illness or condition that is not a life threatening congenital defect.* Please check the box.
10. Buyer agrees to accepts the responsibility and provides for the welfare of this pet. The buyer will also provide regular grooming, dental, eye and ear care, flea and tick prevention treatment, de-worming, applicable vaccinations, and heartworm preventative care for this pet.* Please check the box.
11. Should the New Pet Owner(s) becomes unable to no longer keep this pet, we at FUR OF SUNSHINE will be given first priority in readopting it. Transporting the pet back to us will be at the Pet Owner’s expense and the pet must be current on shots with no contagious diseases and be accompanied by a licensed vet issued health certificate. If Fur Of Sunshine or any of its representatives readopts or rescue a pet, there will be no payment or fee whatsoever from us.* Please check the box.
12. Who will stay with your pet when you are away or at work? Please list that person's name: and telephone number:
13. . PLEASE FURNISH THREE REFERENCES

    .A)	*Name		*Tel:
    .B)	*Name		*Tel:
    .C)	*Name		*Tel:

14. I agree to hereby furnish three references (preferably, though not a must, at least one reference from a veterinarian) who can attest that, the New Pet Owner(s) are loving and responsible.* Please check the box.

FINALLY, DO YOU PROMISE TO LOVE AND CHERISH YOUR PET, TO BE ALWAYS CLOSE TO YOUR PET WHETHER IN SICKNESS OR IN GOOD HEALTH, SO HELP US ALL?*……… Yes No You must choose "Yes".You must choose "Yes".

IF YES……YOU MAY SIGN THIS ADOPTION AGREEMENT.

Adoptive Pet Owner’s  signature indicates full agreement and compliance with the above mentioned terms and conditions of this adoption.

Failure to sign and return this agreement prior to the pet leaving for its new home becomes an AS IS agreement and relieves us of any and all liability.*

X A value is required.Minimum number of characters not met.         
New Adoptive Pet Owner’s Name (This constitues a binding electronic signature.)

Date: 07/30/2014

(Note: If after pressing the button, you are not taken to a new page that says the agreement was submitted, look carefully at the form above for any required fields you might have forgotten to fill out.)