Goliad Pet Adoption Applicants Information

Applicants Name

Address

City/State/Zip

Home Phone

Work Phone

E-mail Address

Drivers License Number

Name of Relative or Neighbor

Relative or Neighbors Phone Number

Veterinarians Name Veterinarians Phone

Animal Adopting

Name

Dog Cat Check One

Terms and Conditions

I accept Ownership of the above pet and agree to do the following:

Return the pet to Goliad Pet Adoption Program or assume financial responsibility for all treatment if an illness is diagnosed that was present but undetected at time of adoption. A statement signed by the veterinarian describing the pets condition must accompany a returned pet. Goliad Pet Adoption Program is not responsible for veterinary expenses on or after the adoption date unless Goliad Pet Adoption Program
Provide fresh food, water, shelter, exercise and other on a regular and provide permanent, proper and humane care.
Provide shelter at all times. All Dogs must have a doghouse and fenced in living area suitable for exercise. No pet should be chained or permitted to roam under any circumstances.
Keep current license and rabies vaccination tags on pet at all times.
Take the pet to a veterinarian on a regular basis. I agree to immediately provide my pet with medical care at my own expense I it becomes ill or injured.
Give the pet all necessary vaccinations and heartworm preventative as directed by my veterinarian.
Permit Goliad Pet Adoption Program to inspect my pets new home when requested and authorize Goliad Pet Adoption Program to remove my pet from my custody if it is found to be receiving inadequate care, abused, neglected, improperly housed or handled, or if there is evidence that any of the provisions of this contract are being violated. If my pet is reclaimed I understand that Goliad Pet Adoption Program will not be obligated to refund the adoption fee or any other expenses incurred by this adoption.

I hereby accept possession and responsibility for the pet identified above subject to the conditions of this contract. I hereby release and discharge Goliad Pet Adoption Program from liability for any injury or damage to any person or property caused in the future by this animal and from any causes of action, claims, suits or demands whatsoever that may arise as a result of such injury or damage.

We are pleased that you have chosen to adopt a Goliad Pet Adoption Program friend. Your kindness and patience with your new pet will ensure many years of joy and companionship! Please let us know how you are doing and if any questions should arise, please do not hesitate to contact us.

(Goliad Pet Adoption Program is a nonprofit, City organization, which is supported by your tax deductible donations.)

Spay/Neuter Contract

The Texas Health and Safety (Chapter 829) requires that any animal adopted from a shelter MUST BE SPAYED OR NEUTERED. Failure to comply is a violation of this chapter, punishable as a Class C misdemeanor and up to a $2000.00 fine.

I agree to have this pet spayed or neutered by a licensed veterinarian on or before 6 months from his/her birth. I also agree to provide Goliad Pet Adoption with written confirmation of sterilization signed by the veterinarian who performed the surgery within 7 days of the date required.

Signed By typing my signature I agree to these terms.

* You will be required to sign a contract. This application is meant for the purpose of prescreening you for the adoption process.

Thank you for your interest. You will be contacted by a volunteer of GOLIAD PET ADOPTION for further processing of your application and adoption.