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Pug Partners of Nebraska

Submit Adopter Application

Complete the form below to submit your adoption application. · 18 fields across 5 sections · 3 required

Personal Information

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Employment Information

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Housing Information

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Pet Experience

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Co-Applicant Information

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Terms and Conditions

Thank you for considering pet adoption with us! Our mission is to ensure that every pet finds a loving and responsible home. By proceeding with the adoption process, you agree to the following terms and conditions, which are designed to ensure the well-being of our pets and clarify the responsibilities of all parties involved.

Terms of Agreement

Pug Partners of Nebraska has been established to provide rescue and care for pugs, and other breeds when Pug

Partners of Nebraska feels it is appropriate, who have been given up due to family circumstances, neglect, abuse,

have been abandoned by their previous owner, and rescued from puppy mills.

The adopting family agrees to make a donation of $ , to help with expenses in rescuing,

fostering, rehabilitating, and placing this dog and other dogs for which Pug Partners of Nebraska provides services.

No donations will be refunded after 14 days from the date of adoption. _______ (Adopter initial here)

Adopting families or individuals agree to our purpose of providing safe, secure, affectionate, and healthy homes for

these dogs and, therefore, agree to the following:

  1. No member of the adopting family has been charged with cruelty to animals. _______ (Adopter initial

here)

  1. The dog will be kept solely as a companion pet. The dog will never be used for breeding, fighting, or

experimentation. _______ (Adopter initial here)

  1. The dog will be always be on a harness, not a collar, when out of the confinement of a secure area.

_______ (Adopter initial here)

  1. The adopter(s) will provide high quality food per Pug Partner of Nebraska guidelines

(http://www.pugpartners.com/resources/pug-food-resources), food, water, shelter, and veterinary care.

_______ (Adopter initial here)

  1. Adopting family agrees to have a secure fenced area for the dog, and to have inside locks on the gates. If

a fenced in yard is not available, Adopter will walk dog on a leash and harness several times per day. If

a dog door is used, it must not be accessible when family is not home, or supervising outside activity

of the dog. The dog is not to be left outside if the family is not home. Tie outs or tethering is not

allowed. Underground electric fencing is NOT acceptable. Adopting family agrees that an invisible

fencing system will never be used for this adopted dog. _______ (Adopter initial here)

  1. The adopting family/individual agrees to follow-up welfare checks in person at the discretion of Pug

Partners of Nebraska to insure that the dog is being properly cared for in accordance to this agreement.

_______ (Adopter initial here)

  1. If over 6 months old, the dog will be spayed or neutered prior to adoption. If the rescue dog has been

altered recently, the adopting family/individual will have the adopted rescue dog examined within 48

hours by a licensed veterinarian to certify that the dog is healing properly and to obtain medical advice

on recovery procedures for the rescue dog. If the dog is under 6 months, the adopter agrees to provide

Pug Partners of Nebraska with a copy of the spay/neuter certificate issued by the veterinarian no later

than the following date: ______________. The adopter agrees to give Pug Partners of Nebraska a

$50 deposit which will be held until provided proof of spay or neuter. Please FAX the spay/neuter

records to: FAX: 888-785-7840 _______ (Adopter initial here)

  1. The adopting family/individual will maintain a current dog license as required by their local ordinance

and will assure that the said dog is inoculated against disease, especially rabies. Annual heartworm

testing in addition to required vaccinations or titer testing of all adopted dogs is mandatory. All adopted

dogs must be kept up-to-date on rabies and any local mandatory vaccinations. The adopter will also see

that the adopted dog always carries, at a minimum, identifying tags on its collar. _______ (Adopter

initial here)

  1. The adopting family/individual agrees that if Pug Partners of Nebraska determines that the terms and

conditions of this agreement have not been met, the adopting/family will surrender custody of said dog

upon demand, and return the dog to Pug Partners of Nebraska at the adoptive family’s expense.

_______ (Adopter initial here)

  1. Pug Partners of Nebraska makes no warranties regarding the temperament, particular behavior, or

physical condition of any adoptive dog, nor guarantees it free of genetic defects peculiar to the breed.

The adopting family/individual agrees to hold harmless and indemnify Pug Partners of Nebraska from

all claims, demands, action, causes of action, or liability of any kind whatsoever arising out of or in

connection with this adoption. _______ (Adopter initial here)

  1. Even if a dog has had obedience training, a "refresher" course is highly recommended since it helps

establish close rapport and bonding between the owner(s) and the dog. _______ (Adopter initial here)

  1. No one can predict how any dog will react in a given situation, especially without complete knowledge

of its life experiences. Therefore, adoptive owners are encouraged to exercise caution in introducing an

adoptive dog into new situations until the dog has become adjusted to its new environment. It is strongly

recommended that interaction between dogs and children be monitored by an adult at all times.

_______ (Adopter initial here)

  1. Only humane forms of discipline will be used at all times. No shock collars or bark collars are to be used

with an adoptive dog. _______ (Adopter initial here)

  1. The dog will never be given, leased, or sold to any person, laboratory, or business. If the adopting

family/individual wishes to relinquish custody of said dog, they agree to return the dog to Pug Partners

of Nebraska immediately. The adopting family agrees to pay any and all costs associated with

transporting the dog back to Omaha. _______ (Adopter initial here)

  1. Should adopter breach any of the agreements contained in this Adoption Agreement, Pug Partners of

Nebraska shall have the right to cancel this Agreement and demand return of the dog. Furthermore

should Pug Partners of Nebraska have to initiate legal action to reclaim this dog due to breach of

agreement by Adopter, Adopter agrees to reimburse Pug Partners of Nebraska for all legal expenses

incurred to recover dog. _______ (Adopter initial here)

I have read the adoption agreement and agree to the conditions set forth.

Signature of Adopter ________________________________________ Date: ____________

Signature of Co-Adopter ________________________________________ Date: ____________

On behalf of Pug Partners of Nebraska, We wish you much joy with your dog. We also encourage you to assist

rescue activities to help other homeless small dogs find homes and to participate in our other fun activities with your

new companion. We will look forward to hearing updates from you about your new family member.

Pug Partners of Nebraska would like to have permission to add any photos sent to us of your family and adoptive

dog to our social media sites which could include Facebook, Instagram, Pinterest, Twitter, Google+ and our website.

Please initial if you give your permission to use photos __________

(We also encourage you to send us updates & photos of you and your adopted rescue dog.)

Adoption Donation Received: $ _________________ Date: _______________________

by________________________________________________________________________

Pug Partners of Nebraska representative

Additonal comments:____________________________________________________

If you have any questions, please email Pug Partners of Nebraska at: kristi@pugpartners.com

Eligibility for Adoption

Adopters must be 18 years of age or older and possess a valid government-issued ID. You must demonstrate the ability to provide a safe, loving, and stable environment for the pet. This includes securing consent from all living in the household and, if renting, proof of permission from the landlord to house a pet.

Adoption Process

The adoption process includes a comprehensive application, an interview with a shelter representative, and possibly a home visit. We reserve the right to deny any application based on our assessment of the pet's best interest.

Pet Care Commitment

By adopting a pet, you commit to providing it with necessary veterinary care, including regular check-ups, vaccinations, and emergency care. You agree to provide a nutritious diet, fresh water, adequate exercise, and a loving environment. The adopter is responsible for obedience training, ensuring the pet is well-behaved and socially adjusted.

Importance of Pet Insurance

We strongly recommend securing pet insurance for your new family member to help manage any unforeseen medical expenses that may arise. Pet insurance can provide peace of mind by covering costs related to accidents, illnesses, and even routine wellness checks, ensuring your pet receives the care they need without financial stress. Choosing the right insurance provider is an important decision, and we encourage you to research and select the best option for your pet's needs.

Return Policy

If you are unable to continue caring for the pet, you agree to return it to the shelter rather than abandoning it or surrendering it to another party or shelter. You understand that adoption fees are non-refundable except under specific circumstances determined by the shelter.

Non-transferability of Adoption

The adoption is non-transferable. You may not sell, give away, or otherwise rehome the pet without the express consent of the shelter, which retains the right of first refusal.

Liability Waiver

The adopter agrees to release, indemnify, and hold harmless the shelter and its affiliates from any and all claims, damages, costs, expenses, loss of services, actions, and causes of action arising out of any act or occurrence from the adopted pet's actions or behavior. You acknowledge that the shelter cannot guarantee the health, behavior, or temperament of the pet.

Data Privacy

Personal information collected during the adoption process is used solely for the purpose of ensuring a good match between the pet and adopter and will not be sold or shared with third parties, except as required by law.

Agreement to Contact

You agree to allow the shelter to contact you for follow-up purposes and to verify that the pet is well-cared for. This may include phone calls, emails, or home visits.

Amendment and Governing Law

These terms and conditions may be amended by the shelter at any time. The adoption and any disputes arising under it will be governed by the laws of the jurisdiction where the shelter is located.

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