Name of Pet Adopted:_______________ Sex: ____________ Breed:___________ Age: ________
Full Name of Adopter: ______________________________ PH# _______________________ H
Address: _________________________________________ PH# _______________________W
City: ___________________ State:__________ Zip: __________ Email:____________________
NCDL or Legal ID and/or Soc. Sec. # _______________________________________________

Please circle or fill in spaces for all info concerning pet being adopted:

Dog Puppy Cat Kitten: Male Female: Date of/or to be Spayed/Neutered:______________
Veterinarian Name, Add., Ph# _________________________________________________________
Who will be responsible for animals care if you and/or your family is unable to?
Name, add., PH#: ________________________________________________________________

AS ABOVE MENTIONED ADOPTER, BY SIGNING THIS CONTRACT, I AGREE TO AND
UNDERSTAND THE CONDITIONS SET FORTH.

1. Only altered or to be altered pets will be adopted from HHAF
2. No animals are to be bred or allowed to breed, this may result in HHAF reclaiming said animal.
3. All animals are to be made and kept current on vaccines and other necessary medical needs as
recommended by their vet.
4. The first visit is to be within 15 days of adoption for refund of adoption fee, provided
veterinarian documentation of major medical problem that existed prior to adoption. In the
event of death within 30 days of adoption, veterinary documentation must be provided stating
such medical problem. HHAF may or may not assist in treatment of such illness as it deems
necessary, at their sole discretion, provided we have the funding available. HHAF is to be
notified within 24 hrs. of such prognosis.
5. No refund or substitution shall be given for any animal that has been lost, stolen, killed, or
any illness or injury that has been caused by neglect or abuse and/or breach of contract.
6. Animals must be returned within the first 15 day trial period for the adopter to receive refund.
Animals may be returned after such time without refund. Adopter agrees to provide veterinary
care as set forth in this contract to said animal, until the return of said animal, with
documentation of said care, at adopter's expense.
7. Adopter agrees to exercise due and reasonable care of said pet. The pet is to be fed and watered
properly and regularly and is to be housed in clean, safe quarters. Pet is to be kept in a manner
so as not to be endangering itself or any other person or animal.
8. Proper restraint is to be provided and maintained to insure the pet stays on your property. Cats are to be kept indoors only.
Animals adopted from HHAF are intended to be part of your family. They are not your
neighbors' responsibility. You are liable for any damages to other people's properties that is
done by your animal.
9. HHAF reserves the right to reclaim said animal if it is found at large or is not in compliance
with our requirements in addition to local animal control laws. Adopter agrees to pay legal or other fees as needed in the event that HHAF must reclaim animal due to adopter’s failure to comply with contract. (including hourly wages for HHAF representative for time spent trying to resolve dispute)
10. Adopter authorizes HHAF, in its sole discretion, to determine whether or not said pet will be
reclaimed and adoption terminated if conditions of this contract are not upheld. No refund will
be given if reclaimed for failure to comply.
11. The adopter will meet the terms of this contract, and obtain written permission from HHAF, before
relinquishing ownership to a second party. Adopter agrees not to sell, give, or use adopted pet for
any purpose other than a household pet.
12. $25 of adoption fee is a non-refundable processing fee. In the case of an out-of-state adoption, the out-of-state fee is also non-refundable.

HHAF agrees to provide copy of contract and medical information available for said pet.

Adopter's Signature: _______________________________ Approved by: ___________________