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Pet's Name







Adopter's Name, Address, Phone

Driver's License Number (You may give this over the phone to avoid sending over the internet)

I understand that Because of You Chihuahua Rescue, Inc. cannot guarantee the health, temperament or training of the above described animal, and hereby release Because of You Chihuahua Rescue, Inc. from all liability once the animal is in my possessio

I understand that any animal could bite or hurt someone and once they are in my control, I am responsible.

I understand that only neutered or to-be-neutered animals are released for adoption from Because of You Chihuahua Rescue. therefore, if the above animal is not already neutered for medical reasons, I agree to have it neutered.

I agree to keep identification tag attached to a properly fitted collar at all times.

I agree to provide the adopted animal with the necessary inoculations at the intervals advised by my vet.

I agree to have a safe, secure fenced area for the dog and shelter from the elements. The adopted animal will not be tied or chained.

If for any reason I cannot keep the adopted pet, I agree to notify Because of You Chihuahua Rescue and return the animal to said rescue.

I agree not to abuse or neglect the adopted animal.

Adoption fees are non-refundable.

Signature *

Date *

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