German Shepherd Dog Rescue of Utah, Inc. USU Box 1295 Logan, UT 84322-0199 435.755.9860 ADOPTION AGREEMENT This Agreement is hereby made on this __________ day of __________, ____ by and between _________________________________________________________ (hereinafter, the "Adopter(s)") and German Shepherd Dog Rescue of Utah, Inc. (Hereinafter, "GSDR"). The Adopter(s), in consideration for the placement by GSDR in the Adopter(s)' custody of a German Shepherd Dog Described as follows: Male Neutered Female Spayed color/markings__________________________________ Approximately ___________ months years of age, presently called by the name ______________ (hereinafter, the "Dog"), hereby agrees to be bound by the terms of this Agreement and specifically warrants and represents the following: 1. To pay a NON-REFUNDABLE adoption fee, in the amount of ______________ Dollars ($_______.00) to GSDR to assist GSDR in its continuing efforts to find homes for unwanted German Shepherd Dogs. 2. To provide full and complete veterinary care for Dog and to ensure that Dog is given all necessary annual vaccinations including, but not limited to, vaccination against rabies in compliance with the laws of the State of Utah, and further, to ensure that Dog receives testing and preventative medication to protect against Heartworm. 3. To provide an indoor home for Dog and supply proper and adequate food and water to meet this particular Dog's needs. 4. To ensure that Dog is never used for, nor subjected to, cruel and/or inhumane treatment, including, but not limited to: a. NEVER used for experimentation, scientific or otherwise; b. NEVER given up for use as food for other animals; c. NEVER used for dog fighting or other "sport" in which one animal is pitted against another for so-called "entertainment" purposes; d. NEVER beaten or taunted in order to promote aggressive "guard dog" characteristics; e. NEVER used to dominate and/or instill fear in other household pets; f. NEVER transported in the rear of a pick-up truck or in any other open vehicle in which Dog's safety might be at risk; g. NEVER left outdoors for any extended period of time during which the weather and elements may subject Dog to illness and/or exposure; h. NEVER given up for nor trained for use as a police or other law enforcement dog. 5. To provide adequate daily exercise for Dog, either by walking on a leash or by placement in a protected run or other enclosed outdoor area and NEVER to allow Dog to roam free and unsupervised. 6. To obtain and maintain all necessary licenses and/or permits required by federal law as well as Adopter(s)' state and local laws. 7. To treat Dog as a household pet, companion and family member and not to leave Dog chained, cooped and/or otherwise confined for extended periods of time. 8. To allow a representative of or individual designated by GSDR to periodically enter Adopter(s)' residence, at a time mutually convenient to all parties, in order to inspect the property where Dog will be/is being kept and to ensure that proper care and shelter are being provided, and, further, to relinquish Dog to GSDR in the event that GSDR determines, in its sole discretion, that Adopter(s) is in violation of any of the terms of this agreement. 9. To contact GSDR immediately in the event that the adoption is not successful for ANY reason and to return Dog to GSDR so that an effort may be made by GSDR for re-adoption of the Dog. 10. To notify GSDR of any substantial changes in circumstances, including, but not limited to: a. Adopter(s) change of address and/or telephone number; b. Changes in Dog's accommodations or living environment; c. Loss, theft, serious illness, injury and/or death of Dog; d. Attack and/or biting by Dog of any human or other animal; and/or e. Substantial or sudden change in Dog's personality or temperament. 11. To provide safe and adequate boarding arrangements for Dog during any period of time when Dog will be left alone for more than twenty-four (24) hours. Adopter(s) represents that all of the information provided by Adopter(s) prior to and during this adoption process, including all information supplied on GSDR's Adoption Application is true and correct to the best of the Adopter(s)' knowledge, information and belief. Adopter(s) acknowledges and supports GSDR's goal to find loving, humane and safe homes for purebred German Shepherd Dogs. Adopter(s) hereby promises to contact GSDR immediately if, for ANY reason, the adoption of Dog by Adopter(s) is unsuccessful or does not work out as anticipated. Adopter(s) agrees to relinquish Dog to GSDR for free and agrees NOT to sell or give away Dog to any other person or organization, and specifically agrees that Dog will NOT be relinquished to any animal control agency or other rescue group for re-homing, whether or not that agency has a "no-kill" policy, but will instead contact GSDR and return the dog to them. Adopter(s) acknowledges that he/she/they has read all of the written or internet materials supplied by GSDR regarding the adoption of previously owned animals and understands that GSDR can make NO guarantees and/or promises regarding Dog's disposition, temperament and/or current or future health and personality and Adopter(s) hereby agrees to hold GSDR harmless for any and all claims for veterinary bills, obedience training bills and/or any other treatment or training required for Dog. Adopter(s) hereby agrees to release GSDR and hold GSDR harmless from any and all liability for damage and/or injury which may be caused, directly or indirectly, by Dog. Furthermore Adopter(s) agrees to indemnify GSDR against any and all claims by third parties arising out of Dog's behavior and/or activities while Dog is in the possession, custody and/or control of Adopter(s). Violation of any single term of this Agreement by Adopter(s) shall require Adopter(s) to pay the sum of Five Hundred Dollars ($500.00) to GSDR as Liquidated Damages to cover the costs of adoption, investigation of breach of this Agreement, recovery of Dog and/or re-adoption and other related costs. Additionally, Adopter(s) agrees that he/she/they will be responsible for all costs and attorney's fees required to enforce this Agreement. Furthermore, violation of this Agreement shall require the IMMEDIATE return of Dog to GSDR at the expense of Adopter(s). The invalidity, unenforceability, or failure by a party hereto to exercise a clause or portion of this Agreement will not affect the validity or enforceability of any other provision herein. The terms of this Agreement shall be governed by and construed in accordance with the laws of the State of Utah. This Agreement, along with any attachments hereto, contains the entire understanding and agreement between the parties and supersedes any prior understandings and agreement among them respecting the adoption and care of Dog. I/We hereby certify that I/We have read all of the terms of this Agreement, that I/We understand my/our obligations and representations arising hereunder, that I/We have been afforded ample opportunity to review the terms of this Agreement and to seek review and advice from an attorney or other outside party and that I/We agree to be bound by each and every term of this Agreement. We further acknowledge that we understand that the adoption fee we are paying for Dog is non-refundable, even if we return Dog to GSDR or GSDR reclaims Dog under the terms of this Agreement. ________________________________ _______________________________ Adopter's Signature Adopter's Signature Street address:_________________________________________________________________ City, State, Zip: _________________________________________________________________ Phone : ___________________________________________ German Shepherd Dog Rescue of Utah, Inc. use only By: ______________________________ Title:_____________________________ Date: _______________________ Additional terms if any: (To be initialed by all parties) German Shepherd Dog Rescue of Utah, Inc. Adoption Agreement Page 1 of 3 Initial: _________