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Adoption Application & Agreement

Please complete the Adoption Application below.

YOU MUST COMPLETE EACH QUESTION ON THIS APPLICATION. INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED. PLEASE ANSWER EACH QUESTION IN AS MUCH DETAIL AS POSSIBLE, PROVIDING PHONE NUMBERS AND APPROPRIATE CONTACT PERSONS AS REQUESTED.

Adoption Application & Agreement (rev. 2016-10)

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  • SNARR - Special Needs Animal Rescue & Rehabilitation

    President: Lauren Connelly - [email protected]

  • Please do so before filling out an application, process/requirements can be found at: https://snarranimalrescue.org/adoption-process/
  • This can be made via paypal to [email protected] with the note of "Application for (name of animal)". This deposit will in turn go toward the adoption fee if you are approved. Please see our website (snarranimalrescue.org) Adoption Requirements before filling out an applicant to make sure you qualify. **Please do NOT send in processing fee until you are instructed to do so by a SNARR representative. **Applications will not be processed until payment is received.
  • This can be made via paypal to [email protected] with the note of "Transport for (name of animal)". This deposit will in turn go toward the adoption fee. **Please do NOT send in transport fee until you are instructed to do so by a SNARR representative. **Transports will not begin until payment is received & may possibly result in delay of receiving your new pet if not received 24hrs prior before Transport is scheduled to begin.
  • Puppies under 6months of age: $375.00 plus spay/neuter contract to be honored by adopter. Puppies will have up to date shots/preventatives allowed for their age, also will be microchipped. *Contract can be found under "applications" tab Young/adult dogs: $325.00. Includes spay/neuter, up to date vaccinations/preventatives, microchip Seniors & Special Needs (Dogs & Cats): Case by case basis, please send inquiry to “[email protected]”. Kittens under 6months of age: $200.00 plus spay/neuter contract to be honored by adopter. Kittens will have up to date shots/preventatives allowed for their age, also will be microchipped. *Contract can be found under "applications" tab Young/adult cats: $200.00. Includes spay/neuter, up to date vaccinations/preventatives, microchip.
  • Tell us about yourself

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  • Caring for your Dog / Cat

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  • Your Pet History

  • Please describe any pets you still own, in as much detail as possible (type, age, sex, etc.).
  • *If pet has passed, please include month/year of animal passing & cause.
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  • Veterinary Info & Training

  • *If you have never owned an animal & have no veterinary information, please write "Non Applicable" *Please note: some veterinary hospitals will not release information without owner consent, please make sure to let your vet know we will be calling)
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  • Please tell us about your family

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  • Please tell us about your home environment

  • Please Note: Anyone renting or leasing must have written permission from their landlord including landlords contact information before an adoption can be approved. Any restrictions regarding type or size of animal must be noted. If home is owned, proof of ownership must be provided. This is required before application can be processed & can be emailed to "[email protected]".
  • *Landlord name & phone number is required for those who rent. *Proof of ownership is required for those who own.
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  • Please tell us about your dog's / cat's routine

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  • Please tell us about your lifestyle

  • If this is a long distance adoption, are you willing to:

  • *Please see "adoption process" on our website- we sometimes ask that new adopters pick up the last leg of transport.
  • This can be made via paypal to [email protected] with the note of "Transport for (name of animal)". This deposit will also go toward the adoption fee.
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  • Special Considerations

  • This deposit will then be applied toward the adoption fee. Deposit must be sent via paypal to "[email protected]" with the notation that it is a deposit toward [animals name]
  • *This contract can be found on our website (snarranimalrescue.org) under "applications"
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  • Please provide references

  • This could be your vet or vet staff members or anyone who knows you, especially with respect to your interaction with animals.
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  • Acknowledgment

  • I have read the above information carefully and have filled out this application honestly. I understand that omission of information and/or failure to answer all questions and sign the application can result in this application being declined. Also, if an omission or untruth is discovered after an adoption takes place, I understand and accept that S.N.A.R.R. has the right to annul the adoption and reclaim the dog / cat.

    I give S.N.A.R.R. permission to fully investigate the information provided as well as contact veterinarians and related officials. If the application passes this review, I agree to a home and yard visit on a mutually agreed date by a S.N.A.R.R. representative before an adoption decision is made.

    Furthermore, I understand and accept that the adoption decision depends upon many factors, including – but not limited to – the compatibility of the family and home to the individual dog / cat and other applications received on the dog / cat. I understand and accept that S.N.A.R.R. will decide which home is most appropriate for the individual dog / cat, and therefore I will not take issue with the decision. Unless otherwise indicated by S.N.A.R.R. , I may be considered for another dog / cat.

  • I have read the above information carefully and have filled out this application honestly. I understand that omission of information and/or failure to answer all questions and sign the application can result in this application being declined. Also, if an omission or untruth is discovered after an adoption takes place, I understand and accept that S.N.A.R.R. has the right to annul the adoption and reclaim the dog.

    I give S.N.A.R.R. permission to fully investigate the information provided as well as contact veterinarians and related officials. If the application passes this review, I agree to a home and yard visit on a mutually agreed date by a S.N.A.R.R. representative before an adoption decision is made.

    Furthermore, I understand and accept that the adoption decision depends upon many factors, including – but not limited to – the compatibility of the family and home to the individual dog and other applications received on the dog. I understand and accept that S.N.A.R.R. will decide which home is most appropriate for the individual dog, and therefore I will not take issue with the decision. Unless otherwise indicated by S.N.A.R.R. , I may be considered for another dog.

  • Date Format: MM slash DD slash YYYY
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  • Adoption agreement – MUST be signed (electronic or actual signature)

  • This agreement is entered into this date by and between SNARR RESCUE and the applicant (“Adopter”) for the adoption of the above identified rescue dog (“the dog / cat”).
  • We take our adoption contract very seriously and ask that you please do the same. Please read all details carefully before signing.
    1. If for whatever reason, including but not limited to: health reasons of the dog / cat or Adopter, social reasons of the dog / cat or Adopter, and issues of residency, the Adopter is unable to keep this dog / cat for its entire life, the Adopter MUST return the dog / cat to SNARR within 5 days of written demand to Adopter by SNARR. Furthermore, should Adopter wish to euthanize any dog / cat for reasons due to health, sickness and/or age, prior to so doing, Adopter MUST first inform SNARR of same in writing. Should SNARR wish to obtain possession of the dog / cat prior the euthanasia of same, Adopter must return the dog / cat to SNARR within 5 days of written demand.
    2. Dogs: Adopter agrees the dog is to be a family companion and agrees to provide the dog with a safe home, adequate food, water, proper care, exercise, love and attention. Adopter agrees not to violate any federal, state, or local laws or ordinances with the dog. The dog is not to be used as an attack or protection trained dog and will not be used for commercial guard work.
    3. Dogs: Adopter agrees to keep a buckle collar on the dog with ID tag, current rabies tag and town dog license. The dog is only to have a choke collar on during training and walks.
    4. If at any time the dog / cat is lost, stolen, hurt or killed, the Adopter is to notify SNARR immediately via writing.
    5. Cats: Adopter agrees to keep cat indoors at all times.
    6. Dogs: Adopter agrees that the dog will be confined inside the home when no one is at home. When the Adopter is to go away for a prolonged period of time or vacation, Adopter is to pre-arrange proper care for the dog / cat.
    7. The dog / cat is not to ride loose in the bed of pickup trucks, convertibles or to be left in a car when air temperatures exceed 65 degrees.
    8. Dogs: Adopter agrees to have a clean, secure fenced area for the dog. If a fenced enclosure is not available, Adopter agrees to leash walk dog. If Adopter uses invisible fencing, the dog is to be sufficiently trained before releasing it inside the system. Under no circumstances is the dog to be kept routinely on a runner or tie out.
    9. Adopter agrees to have the dog / cat examined by a licensed veterinarian at least once each year and provide for all vaccinations and treatments necessary to ensure good health. If euthanasia becomes necessary as determined by a licensed veterinarian, Adopter agrees to have it performed by such a licensed veterinarian. Adopter agrees to give monthly Heartworm, flea and tick preventative medication.
    10. Adopter agrees to notify SNARR of change in address/phone number within two weeks of such change.
    11. SNARR makes no guarantees or statements regarding the dog's / cat's age, breed, health, or temperament. While SNARR made every effort to provide accurate history and assessment of the dog / cat, we are not able to guarantee the dog’s age, breed, medical status, behavior or disposition. No one can predict how any dog / cat will react in a given situation, especially without complete knowledge of its background, as in the case with a rescued dog / cat. The adopter(s) acknowledge this. Therefore, the adopter(s) are encouraged to exercise caution in introducing an adopted dog / cat to new situations, family members, other pets, and visitors. The enthusiastic reactions of some children to dogs / cats can often frighten the dog / cat. It is strongly recommended that a responsible adult monitor the interaction between dogs / cats and children at all times.
    12. There have not been nor can there be made explicit or implied guarantees or warranties regarding the temperament, behavior or physical condition either of the adopted dog / cat or of its freedom from genetic defects. The dog / cat is adopted "as is" and the adopter(s) assumes all responsibility for treatment of any and all existing conditions or any other conditions, physical or temperamental, that may occur.
    13. The adopter(s) hereby acknowledges, understands, promises and agrees to hold harmless and indemnify the rescuers from any and all claims, demands, actions, causes of actions, or liability of any kind whatsoever arising out of or in connection with this adoption/foster.
    14. Please be advised that “SNARR Animal Rescue.” and its associates will be not be held responsible or Liable for the actions of any dog / cat when not in our immediate care and custody. All dogs / cats adopted and or fostered are the sole responsibility of the care provider signed below. By signing this document electronically or physically, the signer understands and agrees to Hold Harmless “SNARR Animal Rescue” and its associates from any and all Liabilities pertaining to the actions of the above mentioned dog / cat. The below signed also acknowledges and accepts all the risks involved in the handling of this or any dog / cat.
    15. SNARR is available for consultation, advice and assistance pertaining to the health, training and compatibility of the dog / cat. Adopter agrees to release SNARR & its members or representatives of any and all possible claims arising from injury or damage caused by the dog / cat to any person or property. Adopter accepts this dog / cat as is with all defects, either observable or unobservable, and assumes all risk for the dog / cat upon signing of this contract.
    16. Adopter agrees not to give away, sell or dispose of the dog / cat without express written consent of SNARR.
    17. Adopter will allow SNARR to conduct home visits and phone check-ins at their discretion after adoption in order to check on the dog’s / cat’s welfare.
    18. Dogs: Adopter agrees that puppies younger than 1 year will be enrolled in Obedience Training within 30 days of adoption.
    19. In the event this contract, including all its covenants and conditions, is breached by Adopter, SNARR has the right to rescind this contract and demand return of the dog / cat at any time. If Adopter fails to return the dog / cat within 5 days of written demand to Adopter, SNARR will seek a Court Order for return of the dog / cat and seek liquidated damages from the Adopter in the amount of at least $5,000.00 plus any court costs or attorney’s fees. Payment of damages shall not excuse Adopter from returning the dog / cat to SNARR.
    20. This agreement shall inure to the benefit of and be binding upon Adopter and SNARR and their successors or beneficiaries. Both parties have fully read and understood all of the agreement, which sets forth all promises, conditions, and understandings, oral or written.
    21. By emailing this adoption contract on behalf of any dog / cat in SNARR’s care, adoptee’s electronic submission/signature is considered binding.
    22. Adopter will submit a “Spay/Neuter” contract if adopting a puppy/kitten that has yet to be spayed/neuter due to age.
  • SIGNATURES
  • Date Format: MM slash DD slash YYYY
  • Courtney Bellew [email protected]
  • Important!

    Once you click Submit, you will be redirected to a confirmation page so you know that your app was received. If you are not redirected, then there may be issues with your application. You will also receive an automated email if your submission is successful. Please contact us if you have issues. Thank you!
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S.N.A.R.R. Contact Info

PO Box 188
Quinter, KS 67752
Fax: 785-671-4880

Email: [email protected]

Lauren Connelly – President
Amy Jo Keller – Vice President/ Transport Coordinator
Michelle Dillon – Foster Coordinator

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