Indiana Horse Rescue

Animal Protection Coalition, Inc.
Adoption Agreement

I, __________________________________ of _________________________________ on this ______ day of ______________, in the year of __________ hereby agree to adopt the animal known as ________________________, being of ________________________________ stock or breed and approximately _________ years of age, and as consideration for such adoption, I have paid an adoption donation to Animal Protection Coalition, Inc. and have agreed to abide by the terms and conditions of this agreement.

I hereby acknowledge my willingness to accept all of the rights and responsibilities of animal ownership. I covenant that I have and shall maintain safe and adequate facilities in which to care for and exercise this animal in a proper, humane, and ethical manner. I accept the right of the agent for Animal Protection Coalition, Inc. to contact my recommended Veterinarian, ________________________________ and any additional caregiver as part of the implementation of this agreement.

I further covenant and agree that if for any reason I can NO LONGER care for this animal and or wish to dispose of it, I shall provide Animal Protection Coalition, Inc. with written notice of my wishes, and Animal Protection Coalition, Inc. shall have the option within ten days of the receipt of my notice, to have the animal returned to it at no cost to Animal Protection Coalition, Inc.. In the event Animal Protection Coalition, Inc. decides to exercise its option to have the animal returned to it, they are entitled to retain the adoption donation, if any. Furthermore, any right, title, or interest that I may have in such animal shall terminate at this time. In addition, I agree that Animal Protection Coalition, Inc. shall maintain the option of reclaiming the animal at any time that they find the animal is being treated or used in a manner found to be inappropriate by the Board of Directors of Animal Protection Coalition, Inc..

As additional consideration for my adoption of said animal, I hereby remise, release and forever quit claim unto assigns, any and all actions and manner of actions, causes of actions, debts, dues, claims and demands against Animal Protection Coalition, Inc. or its agents or employees, arising out of, or in any way relating to any actions or behaviors of my animal, whether or not occurring as a result of or omission of Animal Protection Coalition, Inc. or its agents or employees actions in treating or delivering said animal. Additionally, I hereby consent and agree to release Animal Protection Coalition, Inc. of any liability arising from the delivery of aforementioned animal from the date of this agreement.

I/We hereby agree to pay all necessary and reasonable cost incurred by Animal Protection Coalition, Inc. in recovering the possession of the adopted animal, including all costs and attorney fees necessary to enforce Animal Protection Coalition Inc.’s rights under this agreement.

Adopter’s Name (Printed) Phone Number
Address City / State / Zip Code
Signature Date
APC Representative
Signature Date

* Periodic inspections and evaluations will be made at random.


 

****MEDICAL CONDITION ALERT****

Animal’s Name / ID
The adopted animal has the following known medical condition(s):
This/These medical conditions need immediate attention from a qualified professional.

Verification of appropriate treatment may be requested by Animal Protection Coalition. Compliance with this request is mandatory.

APC Representative Date
Adopter Date

****FEED RECOMMENDATION****

Animal’s Name / ID
APC recommends the following feed regiment:
These are the current feed recommendations.
APC Representative Date
Adopter Date

 

 

 

 

 

 

 

 

Individual Animal Record

Animal’s Name / ID
Breed Species
Gender Age / Date of Birth
Height Weight
Color / Markings


Vaccination History

Vaccination Type Dates of Last Booster
   
   
   
   
   


Deworming History

Date Product Dosage
     
     


Medical History & Condition Alert

Date Symptoms Diagnosis Current Treatment
 
 
APC Representative Date
Adopter Date

 

E-mail
 

Information on adoption or horses at this facility:
Jaysa@indianahorserescue.com   

Animal Protection Coalition | APC Cast A Way Cats | APC 4 Kids | APC Scraps
Indiana Horse Rescue
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APC Abuse, Neglect & Education

Indiana Horse Rescue
916 S Prairie Ave
Frankfort, IN 46041

(765) 659-5209
Fax (206) 338-5604

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