To be† signed by person accepting animal†††††††††† ________________________.org ††††††††††ph: (†† )††††††† --†††††††††
††††††††††††††††††††††††††††††††††††††††††††† ANIMAL ACCEPTANCE LIFETIME LEASE
The signatory of this agreement and contract, being of free will and sound mind, agrees to enter and follow all of the provisions of this agreement and contract herein contained.
1.†††††††† I fully understand that† ________________________ has incurred $ 1,500 in expenses to facilitate this arrangement.† I further understand that any failure to abide with any of the material provisions of this contract on my part will subject me to liability for that breach and damages in the amount of $ 1,500 expended by ________________________, in addition to other costs as per Section 9 of this Agreement, if applicable.
††††††††††† Acceptor's initials:† _________________.
2.†††††††† This agreement does not transfer the property ownership rights of said animal to me and is given to me on a lifetime lease, provided I do not violate any of the provision of this Agreement.
3.†††††††† I agree to provide love, care, and proper sustenance to the animal obtained through the services of the ________________________, as per the laws of the State_____________________________________.
4.†††††††† I am obtaining possession of this animal for myself, as per the terms of this agreement. I agree not to materially violate any of the provisions of this agreement.
5. ††††††† The identification tag provided by ________________________
and a collar will be kept on this p
6.†††††††† I agree to a trial period of possessing the animal of seven (7)
days, which is renewable by me until I am satisfied. If unsatisfied I have the
right to r
7.†††††††† If, upon the termination of the seven (7) day trial period,
all parties involved, ________________________, myself, and placing
party are satisfied with the results, I agree to forthwith deliver a n
8.†††††††† I agree to allow ________________________ and placing party reasonable telephone contact, up to a maximum of once per week for purposes of obtaining progress reports.† Furthermore, I agree to allow ________________________, or their representatives, access and visitation rights to said animal up to a maximum of once per month, if requested.
9.†††††††† In the event an accident
or any harm befalls said animal, such as losing it, an accident,
10.††††††† I agree to notify ________________________ of any new residence address and/or telephone number which† †††††††††† I may acquire within thirty (30) days of such acquisition.
11.††††††† I agree not to hold ________________________, nor
placing party from whom animal was obtained, liable not responsible in any
manner, for harm or damages which may result.†
I do not hold ________________________ responsible for error(s)
in the information provided me about this p
12.††††††† If, at any time during the entire life span of this
animal, I can no longer keep and provide for said animal, I agree to notify ________________________
a minimum of 90 days prior to being unable to keep said animal and keep it
until another permanent h
Signature of Accepting party†††††††††††††††††††††††††††††††††††††††††† Employer of Accepting party
Printed name of Accepting party††††††††††††††††††††††††††††††††††††† Employer's address
Telephone of Accepting Party††††††††††††††††††††††††††††††††††††††††† Family Reference Name
†† †††††††† Street Address of Accepting party†††††††††††††††††††††††††††††††††† Family Reference address
Family Reference Phone Number
City††† State†††††††††††† Zip Code†††††††††††††††††††††††††††††††††††††††† Accepting Party's date of birth
Printed name of witness†††††††††††††††††††††††††††††††††††††††††††††††† Breed of animal being accepted
______________________________††††††††††††††††††††††††††††††† _________________________† ______
Signature of witness†††††††††††††††††††††††††††††††††††††††††††††††††††††† Approximate age of animal††††††††† Gender
Street Address of witness†††††††††††††††††††††††††††††††††††††††††††††† Name of accepted animal
Telephone of witness††††††††††††††††††††††††††††††††††††††††††††††††††††† Microchip ID#
Date of this agreement†††††††††††††††††††††††††††††††††††††††††††††††††† Accepting party's social security number
On this date of __________________________, I, ________________________________ obtained possession
†of above mentioned animal from the placing party, __________________________________________.