Lone Star Old English Sheepdog Rescue
TERMS OF ADOPTION
In consideration of my receiving from Lone Star Old English Sheepdog Rescue (LSOESR) the Old English Sheepdog described below, I hereby agree to care for this dog humanely (including food, grooming, shelter and veterinary care), and to license this dog in accordance with the laws in the jurisdiction in which I reside.
I also agree to keep the dog as a house pet, to be exercised in a fenced yard or on a leash. This dog is not to be allowed to roam the streets. This dog is not to be allowed to ride in the open vehicles - open beds of pick-up trucks, jeeps, ATVs, etc. This dog is not to be left behind during inclement weather evacuations (hurricanes, floods, etc.)
I also agree to keep this dog on a monthly heartworm preventative and a monthly flea and tick preventative. This dog will be vaccinated for Lyme disease if prevalent in my area or other known diseases as recommended by my vet.
I ALSO AGREE not to give away, sell, trade, or dispose of this dog in any way, but to return this dog to the LSOESR Representative listed below if at any time I wish to relinquish custody. I FURTHER AGREE that the dog shall not be used for medical or other experimental purpose; shall not be chained or tied.
It is understood that a Rescue Committee representative may examine and make inquiry about said dog any time. And, if not satisfied with the conditions in which the dog is being kept, said dog may be reclaimed by the Rescue Representative immediately. It is also understood that I must inform them of any change in address or phone number.
NEITHER LONE STAR OLD ENGLISH SHEEPDOG RESCUE ITS OFFICERS OR VOLUNTEERS, NOR ANY RESCUE COMMITTEE REPRESENTATIVES MAY BE HELD RESPONSIBLE FOR THE CONDUCT OR HEALTH OF THIS DOG.
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TO BE FILLED IN BY NEW OWNER |
TO BE FILLED IN BY RESCUE REP. |
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Name |
Name of dog: |
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Address: |
AGE: SEX |
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City: |
Shots/Dates: |
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Phone: (H) |
Rabies Vacc. |
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Phone: (W) |
Spay/Neuter Date: |
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Driver's License: |
Feeding: |
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Social Security #: |
Medication: |
I hereby acknowledge and affix my signature that I have read and understand ALL of the conditions on this page, and I will keep the dog described as a part of my family. I further agree that the adoption donation (MINIMUM IS $300.00) will be held for a period of seven (7) and will be refunded if the dog is returned to a member of LSOESR, or other OES rescue during that time. I further understand that any and all Municipal Court costs arising from any disputes involving the above said dog will be paid by the new owner.
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I (New Owner) will allow ONLY the following information to be given the Dog’s prior owner. _________No Information; ______E-mail address _______My Name ______My Telephone Number _______My Address (Please initial acceptable alternatives) |
New Owner:__________________________________ Rescue Rep: ______________
Date:_______________________________ Adoption Fee_______________
* Minimum Donation: Puppies up to 6 months $400.00
* Minimum Donation: 7 months to 1 year $350.00
* Minimum Donation: Over one year $300.00