GREYHOUND ADOPTION CONTRACT

Adoption Group:

Address:                         City:                              State:             Zip:           Phone:

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Registered Name:
Call Name:
Left Ear:
Right Ear:
Tag #:
Color:
Sex:
Weight:
Medical Information
VETERINARIAN
DATE AT VET
HEARTWORM CHECK Yes – neg
RABIES SHOT Yes
DHLP SHOT Yes
SPAYED/NEUTERED Yes

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NATIONAL GREYHOUND ASSOCIATION (NGA) REGISTERED OWNER INFORMATION

Name:                                                                                    Racing Kennel:

Address:                                                                                Race Track:

City, State Zip:

Phone:

We will notify the NGA of this adoption so that their files are noted with your name and address. If desired, you may send the blue NGA transfer form in your adoption folder to the registered owner at the above address for their signature. The completed form must then be sent to the NGA along with $20. 00 in order to transfer NGA registration to your name.

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I certify that I have, on this day, taken possession of the above-mentioned greyhound with the understanding that it will be kept exclusively as a house pet. The above mentioned greyhound will not be used for breeding, racing, or lab research. I will keep this greyhound in good health, including current vaccinations; worming and general good care. If problems develop which prevent me from keeping this greyhound, I will contact Adoption Group so it may be placed elsewhere.

I will not give or sell this dog to any other person. The adoption fee of $185.00 is non-refundable.

I will keep a collar bearing identification on the greyhound at all times and promise to notify Adoption Group should this greyhound become lost or stolen.

I hereby release Adoption Group, the registered owner, the leasing kennel and all others previously involved with this greyhound from any liability incurred from this day forward for the above mentioned greyhound.

I understand that Adoption Group reserves the right to repossess this greyhound (at my expense) if I breach any portion of this agreement or have been found to neglect or mistreat this greyhound.

I have read and understand the questions and statement on the application. I certify that my answers are true and that falsification will breech this contract.

NEW PET OWNERS INFORMATION

 Home:

Work:

Cell:

E-Mail:

SIGNATURE: __________________________________ DATE: __________________________

REPRESENTATIVE SIGNATURE: _________________________ DATE: ___________________

Foster Home:

Adoption Manager: