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Adoption Application

Contract and Waiver

Perspective Pet Parent

Name of Pet You Wish to Adopt
Do you own or rent your home?
Own
Rent
Do you have a yard?
Yes
No
Have you ever surrendered a pet you own to any animal shelter including a "low" or "no kill" shelter?
Yes
No
Have you ever been convicted of an animal related crime, such as cruelty to animals, animal theft, or animal abandonment?
Yes
No
  • By clicking the submit button, I agree to Harley Foster Haven's adoption process, may undergo a homecheck, and interview at the discretion of Harley Foster Haven.

  • By clicking the submit button, I understand Harley Foster Haven will check my references including veterinary and personal. 

  • By clicking the submit button, I understand there is an adoption donation associated with adoption of a pet from Harley Foster Haven and that it is tax deductible according to IRS 501(c)3 guidelines.  I understand this donation will ensure the organization is equipped to rescue another homeless pet. 

  • By clicking the submit button, I understand there is no "cooling off" period, and that if I no longer want or can no longer care for my adopted pet, I agree to notify Harley Foster Haven BY EMAIL and provide a 14 day period to allow Harley Foster Haven to make arrangents for my pet to be taken back into rescue. 

  • By clicking the submit button, I agree to indemnify and hold harmless Harley Foster Haven, against any losses, lawsuits, claims, injury, damages incurred by me or to any persons or property by my adopted pet, once adoption has been completed.  

  • By clicking the submit button, I understand that Harley Foster Haven will discl ose any of the pet's health or behavior issues known by the above named rescue group before adoption is completed. 

  • By clicking the submit button, I understand that if I no longer want my pet, or am no longer able to care for my adopted pet, I will be directed to surrender my pet to Harley Foster Haven and provide transport to where Harley Foster Haven deems appropriate.

  • By clicking the submit button, I verify all of the above information is true and accurate.  

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Harley Foster Haven, INC.

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