|
RESPONSIBLE PET OWNERS ALLIANCE
ADOPTED PET INFORMATION FOR THE NEW OWNER
|
Date:__________________ Adoption Fee:_____________________
Name of New Owner:_____________________________________________________
Address:_______________________________________________________________
Street, City, State, Zip Code:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Home Phone:____________________ Work Phone:______________________
Species: _____Dog _____Cat _____Ferret _____Bird _____Reptile
______________Other BREED:_______________________
Sex: _____Male _____Female Spayed or Neutered: _____Yes _____No
If No: Required by ____________________
Shots given:_____________ Date___________ Shots Due:________ Date__________
______________Date___________ ________ Date__________
_____________Date___________ ________ Date__________
Rabies Tag #: ___________ Clinic Name: _________________ Due Date: _________
Microchip #: ____________________ Tattoo #: ______________________________
Medications or treatments given: ______________________________________________________________________
Medications or treatments needed:
______________________________________________________________________
Behaviors noted while in Foster Care:
______________________________________________________________________
Special needs and/or comments: ______________________________________________________________________
As the new owner, I accept full responsibility for the care and actions of this animal and agree to indemnify and hold harmless the Responsible Pet Owners Alliance, Inc. and/or their
agent or rescuer from any liability concerning said animal.
It is possible that these pets have been exposed to canine and feline disease that may not show symptoms for several
weeks, as would be the case regardless of where you get your pet.
There is even a chance that a healthy animal can carry a disease that is transmittable to people. The adjustment period for a new pet can be quite challenging. Along with advice from your veterinarian, obedience classes are recommended for all dogs to help you understand your animal’s behavior and help it adjust to the new family.
New Owner’s Signature: ____________________________ Date________________
RPOA Rescue Agent: ______________________________ Date________________
Phone: ______________________________
|
|
|
