ADOPTION FIRST ANIMAL RESCUE

Trial Period for Potential Adoption

Name *

Dog's Name for Trial

I understand that a trial adoption is for one week. After that week has lapsed I will contact the rescue to update on how the trial run went and if I want to proceed with adoption. INITIAL BELOW *

I understand during the trial period the dog still belongs to Adoption First Animal Rescue. I have no legal claims to this dog and the rescue is entitled to pick up the dog at any point. INITIAL BELOW *

I understand upon completing my trial run I will be expected to pay the adoption fee in full in order to complete the adoption process. If I choose to not adopt, then there will be no adoption fee. INITIAL BELOW *

I understand that if the trial run is not working out I will contact the rescue to determine the best course of action and an agreed upon time to return the dog. I understand that the rescue is volunteer based and may not be available right away. INITIAL BELOW *

I understand during the trial period decisions regarding medical care of the dog is up to the rescue. If at any point I feel the dog needs to be seen by a veterinarian I will contact the rescue and explain what is happening, at that point the rescue will come to a decision. If the rescue does not feel the dog needs medical treatment and I chose to take the dog to the veterinarian anyways, it is my responsibility to cover all costs. INITIAL BELOW *

I understand if I request a copy of any medical treatment the dog has had so far, the rescue will provide documentation. However, the entire adoption folder with other information will not be made available to me until I finalize the adoption. INITIAL BELOW *

I understand I cannot give this dog to another person even if temporarily. INITIAL BELOW *

Comments/Additional Information

HOLD HARMLESS AGREEMENT LIABILITY WAIVER Release, Indemnification and Hold Harmless Agreement The undersigned individual (hereinafter “Volunteer”) has voluntarily elected to assist the Adoption First Animal Rescue (“Adoption First”) either directly or indirectly with the operations of Adoption First which may include, but are not limited to administrative activities, sanitation, animal interaction in whatever form, and providing animals suitable shelter and sustenance (“Tasks”). Volunteer acknowledges that there are certain risks involved in the activities associated with the same, and that even with the utmost care, there is possibility of personal injury. To this end, the Volunteer agrees as follows: 1. As a condition of the Volunteer being permitted to assist in the Tasks, Volunteer agrees to RELEASE, INDEMNIFY and HOLD HARMLESS, and further covenants not to sue, Adoption First from and against any claims, demands, actions, liens, rights, subrogated or contribution interests, debts, liabilities, judgements, costs, and attorneys fees, arising out of claims on account of, or any manner predicated upon, the Volunteer’s participation in the Tasks, including claims pursued by licensees, invitees, and trespassers of Volunteer. 2. Volunteer hereby covenants and agrees, for her/himself and her/his representatives, that s/he shall not institute, prosecute, or in any way aid in the institution or prosecution of any demand, claim or suit against Adoption First for any injury suffered by her/him, including injury to personal property, which may occur as a result of her/his participation in the Tasks. 3. Volunteer grants express, voluntary and knowing consent to the rendering of all emergency medical or dental treatment that may, in the sole judgement of Adoption First and its employees and agents, become necessary while participating in the Tasks if Volunteer is otherwise unable to render a knowing, informed, and consensual medical or dental decision. 4. In executing this Agreement, Volunteer represents and warrants that, to the best of her/his knowledge, s/he is in good physical health, and knows of no reason why s/he cannot participate in the Tasks. 5. This Agreement shall be governed in accordance with the laws of the State of North Carolina. Furthermore, venue for any action, whether at law or in equity, shall be in Kenton County, Kentucky. INITIAL BELOW *

I certify that I have read and understand all the above statements. Potential Adopter Signature *

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Date: *

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