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ADOPTION CONTRACT DESCRIPTION OF EQUINE: Name: _______________________________________ Approximate Age: _____________________________ Species: horse/pony/mule/donkey Color and Markings: ____________________________________________________ ______________________________________________________________________ Tattoos/Scars: _________________________________________________________ Height/Weight: ________________________________________________________ ADOPTER INFORMATION: Name: _______________________________________________________________ Address: _____________________________________________________________ Equine Location (if different): ____________________________________________ Home Phone: ____________________ Business Phone: ______________________ Cell Phone: ______________________ E-mail: _____________________________ THIS AGREEMENT is made on this _______ day of _______________, 20__, by and between ________________________, hereinafter referred to as the “Adopter” and The Natchitoches Humane Society, hereinafter referred to as the “Society.” Adopter agrees to pay the non refundable adoption fee of $______________. 1) Adopter agrees and understands that the equine identified in this contract remains the property of the Society for a three month period beginning on the above date. The equine will be maintained and cared for by Adopter under this agreement and that if, in the opinion of the Society, Adopter has maintained and cared for the equine in a responsible manner providing appropriately for all of the equine’s needs including but not limited to: medical care, hoof care, feed, and housing, 1 2) 3) 4) 5) 6) 7) 8) Adopter will be allowed the retain the equine and all right, title and interest to the equine will be released to Adopter after the end of this three-month period. Adopter understands that during this three-month period, Adopter may not sell, give away, lend, lease, sell for slaughter, remove from the Adopter’s personal supervision and control or move the equine from the address described herein, except for emergencies, shows, trail rides and veterinary care, without the written approval of the Society. During the three-month period, except in a case of explainable emergency, shows, trail rides or other temporary situations, should the equine not be at the location as stated herein upon inspection by a Society representative, Adopter will immediately relinquish any rights or interest Adopter may have in the equine and Adopter shall assist in every way possible to locate and return said equine to the Society. Adopter will be responsible for any costs incurred by the Society to acquire and transport said equine to a location designated by the Society. In the case of an intact male equine, Adopter agrees to geld the equine at the first reasonable opportunity, taking into account the health status of the rescued equine. Failure to geld a rescued equine shall serve as cause for return of the equine to the custody of the Society. Adopter agrees never to breed the above described equine for the duration of the equine’s life. If the equine is bred, the resulting offspring of the equine automatically becomes the property of the Society and must be returned to the Society once it is old enough to be weaned. Adopter agrees that the equine will never be sold for slaughter or sold through any auction for any reason whatsoever and that all sales or lease contracts hereafter shall so stipulate and that this sentence shall be included in whole. Adopter agrees that during this three-month period, should it become necessary to euthanize said equine for medical reasons, Adopter must provide a statement as to the cause of said action to the Society signed by a licensed veterinarian. Adopter agrees that, during this three month period, an authorized representative of the Society may enter the property where said equine resides during normal business hours, and without notice, to determine if all conditions of this Adoption Contract are being complied with completely. Adopter understands that should a violation of any of these terms found in this agreement be found during the threemonth period, and in the judgment of at least two members of the Board of Directors of the Society such conditions represent a danger to the health and welfare of the equine, Adopter hereby authorizes a representative of the Society to enter the property at any time and without cause or warrant upon the land where said equine resides and take immediate physical possession of said equine without recourse from the Adopter. If the equine is determined by a veterinarian to be in a debilitated or unhealthy condition on return due in part or in whole to Adopter’s failure to comply with the terms of this contract, Adopter will be responsible for and hereby agrees to reimburse the Society for all costs incurred to return the equine to a healthy condition. Adopter further agrees that, during this three-month period, Adopter will accept all responsibility for any action or lien resulting from any action, directly or indirectly involving said equine while it is in Adopter’s possession and under 2 Adopter’s care and control. Therefore, Adopter agrees and understands that neither the Society nor its agents will be liable for any damages or injury caused to Adopter or any third person by the equine once Adopter receives delivery of the equine, including but not limited to damages or injuries caused by the fact that the equine does not behave or perform in the manner Adopter expected. Further, if any third person makes a claim against the Society or any of its agents as a result of any conduct of the equine after Adopter has taken possession of the equine, Adopter agrees to indemnify and hold the Society and/or its agents harmless from any such claim, including costs and attorney’s fees resulting from such claim. 9) The Adopter represents that they have read and agree with all statements and agree to be bound by all conditions contained herein and signed by Adopter. 10) I understand that it is my responsibility to read, understand and obey the current adoption policies of the Society. Date: ______________________ Signature(s) of Adopter(s): ____________________________________ ____________________________________ The above stated adoption fee of $___________ is hereby accepted by: Signature of Humane Society Member: ___________________________ Date: _________________________ This contract is hereby accepted on behalf of the Natchitoches Humane Society by: Signature of Humane Society Member: ___________________________ P. O. Box 7405, Natchitoches, LA 71457 www.natchitocheshumane.com 3 4