Adoption Contract Preview
This contract is made between Kristina Duda and the
Adopter of record,
Name:_____________________________________________
Address:___________________________________________
Home Phone:____________________________________________
Work Phone:____________________________________________
E-mail address:___________________________________________
Please notify me of any changes in contact information as they
occur in the future.
1. I, Kristina Duda, (hereafter called KD) agree to give the
Adopter title to, possession and control of the following animal for
so long as the Adopter complies with the terms of this contract and
has paid the Type of animal:
• Lizard • Snake • Turtle • Tortoise • Amphibian
Species:
Pictures or identifying marks:
Sex (if known):
Age (if known):
Breeding permitted: NO
Adoption fee: $ Paid by (circle one): Cash
Check # Money Order #
2. In return, as Adopter, I agree to the following for the animal
adopted (initials indicate having read, understood, and agreed to the
conditions below the initial):
INITIAL: ______________
A: To follow the rules and regulations promulgated by the city and
county in which this animal will be housed, and that if permits or
other permissions are required, I will obtain them and will be
responsible for any expenses incurred in relation to the permit
process.
INITIAL: ______________
B: To furnish the appropriate housing, food, water, light, heat,
humidity, exercise and medical care to provide for this animal in a
devoted and humane manner. To assure proper care, I have or will
immediately purchase or otherwise acquire a book or other information
to learn how to properly care for this animal. I further understand
that if the animal I am adopting will be large when full grown, I will
have to move this animal into housing large enough to properly
accommodate the growing animal and its changing needs.
C: I specifically agree to keep this animal primarily as a
household animal and to keep it within my control at all times. I
understand that many snakes and lizards are able to escape from their
housing; I will take particular care when housing such animal to
ensure the enclosures are escape-proof and that, in the case of giant
snakes and lizards, the room in which they are housed is secured
against possible escape.
D: I specifically agree, except as otherwise provided for in
Paragraph 3, that this animal will not be used for research or
utilitarian or other purposes not consistent with maintaining this
animal as a household animal.
INITIAL: ____________
E: To keep the animal until I decide to return it to KD or obtain
permission from them to sell or trade it. The animal cannot be sold,
traded, destroyed (except in cases of extreme medical conditions),
abandoned or otherwise disposed of.
F: To return the animal to KD if, as Adopter, I no longer desire or
am otherwise unable to keep the animal, and to not sell, trade, give
away or abandon the animal. If the animal is lost, I shall notify KD
expeditiously and make every effort to recover it. If the animal dies,
KD is to be notified.
G: To allow KD at any time to investigate the premises where the
animal is kept and to reclaim the animal if, in the judgment of the
investigator, the animal is not being adequately cared for, if the
Adopter has not complied with any provision of this contract, or if
the Adopter has misrepresented any fact to KD. In the event that the
Adopter fails or refuses to return such animal upon demand, the
Adopter hereby agrees to pay reasonable attorney's fees in the event
an attorney in consulted or if suit is brought for the return of the
animal.
H: To truthfully and completely answer any follow-up questionnaire
which KD may send the Adopter regarding the animal, and to provide KD
with changes of address, phone #, etc. as is reasonable.
3. To the best of KD’s knowledge, the physical condition of this
animal at the time of adoption is:
• Healthy • Other/notes •
4. The adopter understands that any specified condition(s) listed
above exists, and agree to be fully and financially responsible for
the extra care and treatment, including veterinary and related
expenses, this condition may now, and in the future, require.
5. The Adopter agrees to be solely and personally responsible for
this animal and to indemnify and hold harmless KD from any and all
claims of liability for the conduct or condition of this animal after
the date of this adoption. Adopter further agrees that this
indemnification and release of liability shall apply to all known,
unknown and unanticipated damages resulting from this adoption, or the
ownership or control of this animal.
INITIAL: _______________
8. The adopter of record agrees to periodically review new
information about the particular species adopted. This includes areas
on-line (Internet) as well as NEWLY published or revised
books/magazine articles, etc. Examples:
* Websites or forums recommended by KD on a case to case (species
to species) basis. The site addresses will be recorded here.
9. Adopter agrees that if the animal adopted has not been approved
for breeding purposes (see top of contract), that no such breeding
shall occur; if breeding is done for medical reasons (i.e., preventing
egg-impaction, etc.) that the resulting eggs shall be destroyed as
soon as possible.
10. By signing below you are certifying that all the answers to the
questions asked on the original adoption application are true to the
best of your knowledge. Anything which is found to not be true may be
cause for revoking the adoption agreement, and that the adopter would
be responsible for costs involved in returning the animal to KD.
Further, you certify that neither you nor any co-applicant, have ever
been convicted of any crime relating to the abuse, cruelty, or neglect
of another person or any animal. If you are under 18, a parent or
legal guardian must sign as an indication of their consent and
willingness to care for the animal themselves if the need arises.
Signature: ________________________________________________
Date: ________________
requested fees:
* A subscription to any of the leading herptile-oriented magazines
such as Reptiles, etc.