Adoption Contract

Stickney Toy Breed Rescue and Refuge

Mary Stickney

5675 S.W. 42^nd Road

Cortland, Ne 68331

402-613-4306
TheLuckyOnes@Maryshouse.us

Adoption Contract

Date:_______

Adoption #____________

For the right to adopt this animal. I/We agree to provide a lifetime home
for __________________. Description__________________________
I/We agree to a NON-REFUNDABLE*donation* of $_____________**
The further consideration (quid pro quo) which makes this contract
enforceable is $1.00 for the adopted animal's collar/tag.
I/We agree:

1. To provide one a home cooked or raw diet, or combination there of. Fresh water, shelter and humane protection and treatment as a member of our family at all times.

2. To adopt this animal as a household pet and companion and to treat the
animal in a kind and gentle manner. This animal will not be maintained
outside and will be allowed to live and sleep inside the adopter's home and
under no circumstances with be an "outside" pet. The dog cannot be
tied/chained to a doghouse, building, stake or any other object. Except
where temporarily secured outdoors in the owner's presence. The adopted
animal may also be kept on an appropriate and safe leash in the owner's
presence.

Initials:
Adopting Party(s)__________

3. Not to sell, trade, give away or abandon this animal. I will RETURN this
animal to Stickney Toy Breed Rescue if at any time I can no longer
provide him/her with a suitable home. Stickney Toy Breed Rescue may
refund the adoption donation, at their option.

4. Not to euthanize this animal, except in cases of suffering, or incurable
disease.

5. The adopted animal must have appropriate vaccines as required for good
health and as required by state laws. The adopted animal must be maintained
on heartworm preventative, and must have a physical exam at
least once per year by a licensed veterinary doctor

6. The adopted animal must be licensed as required by the adopting party's
state and/or local municipality.

7. The adopted animal must not be allowed to run loose except in a safe,
enclosed, fenced area. All adopted animals must be under control at all
times.

8. In the event the adopted animal is not altered prior to placement
(e.g.-age and/or illness) All animals must not be allowed to breed. The
adopted animal must be spayed or neutered as soon as medically possible.
I/we further agree to refrain from unnecessary cosmetic surgery (e.g. ear cropping and tail docking).

9. I agree to telephone Stickney Toy Breed Rescue immediately if the
adopted animal is lost or stolen. If the animal is lost, I will make
every effort to recover him/her. If the animal is seized, I agree to pay
all redemption fees and/or fines.

10. I agree that a representative of Stickney Toy Breed Rescue may
inquire about the animal after placement. I agree to allow Stickney Toy Breed Rescue and its representatives to inspect the adopted animal at their
request. The inspection shall occur at or near the residence of the
adopting owner(s) and/or the residence of the animal.

11. I/We agree to assume all responsibility for the adopted animal and
further agree that if for any reason, I find I am unable to keep it, or
unable to give it proper care, I MUST RETURN THE ADOPTED ANIMAL TO THE
CUSTODY OF STICKNEY TOY BREED RESCUE . It is further understood that any donation given by the undersigned is wholly voluntary and is in no sense to
be regarded as a return for value received**. The return for value received
lies only in the reimbursement of our costs for the adopted animal's
collar/tag ($1.00). All donation are non-refundable.*

Initials:
Adopting party(s)_____________

12. I agree that should cause exist, (e.g. neglect, abuse, or animal
fighting) and should it be in the best interest of the animal, The
STICKNEY TOY BREED RESCUE has the option to reclaim the adopted animal from me/us for the sum of $1.00. The terms of surrender of the adopted animal
are: immediate, peaceful, voluntary, delivery of the animal to The
STICKNEY TOY BREED RESCUE or its representatives. The adopting party agrees to release and otherwise hold harmless Stickney Toy Breed Rescue from any and all claims against it arising from the reclaiming of the animal.

13. Should the animal require treatment after having been reclaimed by,
returned by, or surrendered to Stickney Toy Breed Rescue , I/We agree to
pay all veterinary bills incurred by Stickney Toy Breed Rescue resulting
from the cause for which the animal was removed (e.g. bills due to neglect,
lack of medical care, disease, abuse or animal fighting).

14. I agree that Stickney Toy Breed Rescue and Refuge cannot be held
liable for any medical or behavioral problems of the adopted animal.

15. If the adopted animal is neglected, abused, used for fighting or if for
cause is reclaimed by Stickney Toy Breed Rescue , I AGREE TO PAY ANY
ATTORNEY'S FEES AND COURT COSTS DUE BECAUSE OF MY/OUR FAILURE TO RELINQUISH THE ANIMAL. These fees and costs need not be paid until after the court determination of the breach of the provisions of this contract by the
adopting party and until after a court determination that Stickney Toy Breed Rescue had cause for reclaiming the adopted animal. In the event of
a court determination of a breech of contract by the adopting party(s), THE
ADOPTING PARTY(S) AGREES TO PAY A $500.00 FINE to Stickney Toy Breed Rescue.

16. I HAVE READ AND UNDERSTAND THIS ENTIRE ADOPTION AGREEMENT AND AGREE TO ABIDE BY ALL THE RULES AND REGULATIONS SET FORTH HEREIN. I ALSO UNDERSTAND THAT STICKNEY TOY BREED RESCUE , CONSISTENT WITH WHAT IS OUTLINED ABOVE, RESERVES THE RIGHT TO RECLAIM THE ADOPTED ANIMAL IF THE PROVISIONS ABOVE
ARE NOT COMPLIED WITH.

17. IF LITIGATION OVER THIS CONTRACT OCCURS, THE PARTIES AGREE MATTERS SHALL BE LITIGATED IN THE STATE OF NEBRASKA

* Except as provided in #3

** Adopting parties may choose to donate more, since in many cases our
expenses exceed donations.

Stickney Toy Breed Rescue Representative
Signature_______________________Date______

Adopting Party's Signature(s)________________________

________________________

Print Adopting Party(s) Name_________________________________________

_________________________________________

Address_____________________________________________

City______________________ State___________ Zip______________

Home Phone:____________________________________

Work Phone:____________________________________