CONGRATULATIONS ON
BECOMING A PET PARENT TODAY!!!!!
ORANGE
COUNTY HUMANE SOCIETY
ADOPTION
AGREEMENT
IN ORDER TO ADOPT A
PET FROM ORANGE COUNTY HUMANE SOCIETY, ADOPTER MUST AGREE TO THE FOLLOWING
TERMS AND CONDITIONS OF AN ADOPTION. AT ANYTIME THAT OCHS FINDS THAT THE
ADOPTER HAS NOT FOLLOWED THE AGREEMENT, OCHS HAS THE RIGHT TO REMOVE THE PET
FROM THE HOME, WITH NO CREDITS OR REFUNDS, AND THE ADOPTER WILL BE SUBJECTED TO
OWNER RELEASE FEES AND TERMINATION OF AGREEMENT FINES
OCHS
MEDICAL HISTORY WAIVER
ORANGE COUNTY HUMANE SOCIETY
DOES OUR BEST TO ENSURE THAT OUR ANIMALS ARE HEALTHY AND READY TO START THEIR
NEW LIFE IN YOUR HOME. UNFORTUNATELY, THERE ARE MANY DISEASES THAT HAVE VARIOUS
INCUBATION PERIODS AND SIGNS OF THE DISEASE MAY NOT BE PRESENT DURING THE TIME
OF ADOPTION. IF THE ANIMAL THAT YOU CHOOSE TO ADOPT IS INCUBATING OR HAS AN
UNKNOWN ILLNESS, IT WOULD BE UNDETECTABLE ON THE PHYSICAL EXAM THAT IS
PERFORMED BY OUR DOCTORS BEFORE ANY ADOPTIONS. DUE TO LACK OF FUNDING, WE ARE
NOT ABLE TO TEST ANY OF OUR ANIMALS FOR ANY DISEASES. (YOU DO HAVE THE OPTION
TO PAY FOR TESTS AND HAVE THEM PERFORMED BEFORE ANY ADOPTION) ADOPTER
UNDERSTANDS THAT BY CHOOSING TO ADOPT THIS PET, THEY ARE TAKING FULL
RESPONSIBILITY, AS ITS NEW OWNER, TO CARE FOR ANY UNKNOWN, PRE-EXISTING OR
FUTURE ILLNESSES THIS PET MAY HAVE. OCHS DOES NOT GUARANTEE THE HEALTH OF ANY
OF OUR ANIMALS
ALTHOUGH
YOU ARE FINANCIALLY RESPONSIBLE FOR ANY MEDICAL EXPENSES THAT MAY OCCUR AFTER
THE ADOPTION OF YOUR NEW PET, OCHS GIVES EACH ANIMAL A GIFT OF ONE MONTH’S FREE
HEALTH INSURANCE, TO HELP COVER ANY ILLNESSES THAT MAY OCCUR. AAA ANIMAL
HOSPITAL HAS ALSO PROVIDED ALL NEW ADOPTERS THE OPTION TO BRING THEIR PET TO
THEM FOR ANY ILLNESSES AND THEY WILL HANDLE THE HASSLES OF PAPERWORK AND
REFUNDS WITH THE INSURANCE COMPANY SO THAT YOU WILL NOT HAVE TO PAY MONEY UP
FRONT OR WORRY ABOUT PAPERWORK. THE ONLY FEES YOU ARE RESPONSIBLE FOR ARE THOSE
NOT COVERED BY THE INSURANCE POLICY AND THE DEDUCTIBLE. AAA ANIMAL HOSPITAL
ALSO PROVIDES ALL ADOPTED ANIMALS WITH A FREE EXAM WITH IN ONE MONTH AFTER YOUR
PET’S INSURANCE EXPIRES.
IF YOUR NEWLY ADOPTED
PET SHOWS ANY OF THE FOLLOWING SYMPTOMS: SNEEZING, COUGHING, NASAL
DISCHARGE, LOSS OF APPETITE, LETHARGY, VOMITING OR DIARRHEA IMMEDIATELY CONTACT
OUR VETERINARY PARTNER, AAA ANIMAL HOSPITAL, AT (714) 536-6537, WHICH IS
LOCATED RIGHT NEXT DOOR TO OUR SHELTER
_____ ** I HAVE RECEIVED A COPY OF MY ANIMAL’S MEDICAL
RECORDS WITH OCHS. I ACCEPT FULL RESPONSIBILTY FOR ALL PRE-EXISTING, UNKNOWN OR
FUTURE ILLNESSES THAT MAY OCCUR WITH THIS ANIMAL.
ADDED
CHARGES/FEES TO ADOPT ANIMAL: _________________________________
BY SIGNING BELOW YOU
UNDERSTAND AND AGREE TO THE STATEMENT ABOVE REGARDING THIS ANIMAL’S HEALTH
ADOPTER’S
SIGNATURE X
____________________________________________
PLEASE READ AND
INITIAL EACH OF THE FOLLOWING STATEMENTS
ADOPTER UNDERSTANDS
AND AGREES:
______ ** TO ALWAYS PROVIDE PROPER AND NECESSARY CARE AND
TREATMENT FOR THE ANIMAL I HAVE ADOPTED, INCLUDING BUT NOT LIMITED TO HUMANE
TREATMENT, SHELTER, FOOD, LOVE, AND VETERINARY CARE.
THAT THE ANIMAL WILL NOT BE KEPT CONTINUALLY IN A CAGE, YARD, PEN, HUTCH, OR
GARAGE OR ON A TETHER OR BE ALLOWED TO ROAM OFF OF THE OWNER’S PROPERTY
______
** THAT
HE/SHE
- IS 18 YEARS OF AGE
OR OLDER
- RESIDES
IN THEIR OWN HOME OR IN A PET FRIENDLY APARTMENT COMPLEX AND HAS PROVIDED PROOF
TO OCHS STAFF
- IS THE
HEAD OF THE HOUSEHOLD
-
HAS CONSIDERED THEIR LIFESTYLE AND HAS THE TIME, PATIENCE AND IS FINANCIALLY
RESPONSIBLE ENOUGH TO CARE FOR THIS ANIMAL FOR THE NEXT 10 YEARS OR MORE
-
HAS INFORMED OCHS OF ALL MEMBERS OF THE HOUSEHOLD, INCLUDING SMALL CHILDREN AND
ANIMALS. FURTHERMORE, THAT ALL MEMBERS OF THE HOUSEHOLD HAVE AGREED UPON THE
SELECTION OF THE PET AND WELCOME THEM INTO THEIR HOME
______ **
THAT OCHS RESERVES
THE RIGHT TO INVESTIGATE, UNANNOUNCED, THE LIVING CONDITIONS OF ANY ANIMAL
ADOPTED FROM US AND MAY RECLAIM ANY SUCH ANIMAL BEING KEPT IN VIOLATION OF THE
ADOPTION AGREEMENT
______ ** TO
ABIDE BY THE STATE LAWS, CITY, AND COUNTY ORDINANCES REGARDING ANIMALS,
INCLUDING LICENSING MY PET WITH THE CITY IT WILL BE RESIDING IN
______ ** THAT
THE PET WILL BE PROVIDED WITH A ID TAG WITHIN 24 HOURS OF TAKING THE ANIMAL
HOME AND THAT THE ID WILL BE WORN AT ALL TIMES (ANY ANIMAL STAYING FOR SURGERY
MUST HAVE AN ID TAG MADE BEFORE PICK UP OF THE ANIMAL)
______ ** THAT
THIS ANIMAL IS BEING ADOPTED AS MY OWN COMPANION ANIMAL, AND WILL NOT BE GIVEN
AS A GIFT, RESOLD, OR USED AS A GUARD DOG
______ ** THAT
ADOPTER IS TAKING FULL RESPONSIBILITY OF THIS ANIMAL WITH THE UNDERSTANDING
THAT THERE IS NO KNOWN HISTORY ON THIS PET EXCEPT FOR THE ONES TOLD TO ME BY
THE STAFF AT OCHS. IF IT IS FOUND THAT THE ANIMAL IS IN NEED OF TRAINING; THE
ADOPTER AGREES TO ENROLL THE ANIMAL IN TRAINING CLASSES TO TRY TO FIX ANY
UNWANTED BEHAVIOR OR ACTIVITIES
______ ** THAT
OCHS DOES NOT GIVE REFUNDS OR CREDITS FOR THE RETURN OF ANY
OF THE ANIMALS. THAT ANY ANIMAL ENTERING A NEW HOME WILL NEED SOME TIME TO
ADJUST TO ITS NEW ENVIRONMENT; ADOPTER AGREES TO GIVE THE ANIMAL TIME TO ADJUST
BEFORE DECIDING WHETHER OR NOT THE ANIMAL IS WORKING OUT IN THEIR HOME. ADOPTER
ALSO UNDERSTANDS THAT THEY HAVE 2 WEEKS TO DECIDE IF THEY NO LONGER WANT THIS
PET, AND CAN BRING THE PET BACK TO OCHS, WITHOUT PAYING OWNER RELEASE FEES. ANY
ANIMAL RETURNED AFTER THE 2 WEEKS CAN ONLY BE ACCEPTED IF SPACE IS AVAILABLE
AND THERE WILL BE OWNER RELEASE FEES IN ORDER TO DROP IT OFF
24 PETWATCH MICROCHIP
EVERY ANIMAL ADOPTED
FROM OCHS IS IMPLANTED WITH A MICROCHIP BEFORE GOING HOME. MICROCHIPS ARE
AUTOMATICALLY ACTIVATED WITH ADOPTER’S INFORMATION; UNLES NOT IMPLANTED BY US.
IF MICROCHIP WAS DONE BY DIFFERENT COMPANY IT IS YOUR RESPONSIBILITY TO
ACTIVATE THE CHIP WITH YOUR INFORMATION. ADOPTER AGREES TO ALWAYS KEEP PET’S
MICROCHIP INFORMATION UPDATED AT ALL TIMES.
_____ DUE
TO YOUR PET’S AGE, A MICROCHIP HAS NOT BEEN IMPLANTED YET. THE MICROCHIP IS INCLUDED IN YOUR PET’S
ADOPTION AND WILL BE IMPLANTED AT THE TIME OF YOUR PET’S SPAY OR NEUTER.
ADOPTER’S
SIGNATURE __________________________________________________________
SPAY/NEUTER INFORMATION
_____ PREVIOUSLY ALTERED
THIS PET HAS ALREADY
BEEN ALTERED AND CAN GO HOME WITH YOU TODAY!
_____ SURGERY
DATE: _____________
THIS PET WILL HAVE SURGERY
DONE ON THE ABOVE DATE. PLEASE PICK UP YOUR PET FROM OCHS BETWEEN THE HOURS OF
3:00 PM – 4:00 PM THE DAY OF THE SURGERY. PLEASE BRING PET’S NEW ID TAG AND
COLLAR, AND A LEASH OR CARRIER WITH YOU (ANIMALS WILL NOT BE RELEASED TO OWNER
WITHOUT THESE ITEMS)
_____
PREPAID DATE __________________
THIS PET IS TOO YOUNG
OR IT HAS BEEN RECOMMENDED BY THE DOCTOR TO WAIT TILL THE ABOVE DATE FOR ITS
SIRGERY. PLEASE BRING YOUR PET BACK ON
THE DATE ABOVE FOR THEIR SURGERY TO BE PERFORMED. IF THE SURGERY IS NOT PERFORMED
ON THIS DATE, YOU WILL FORFEIT YOUR FREE SURGERY AND IT WILL BECOME YOUR
FINANCIAL RESPONSIBILITY.
SUPPLEMENTAL ADOPTION
AGREEMENTS
PLEASE READ AND SIGN BY THE FOLLOWING STATEMENTS
ONLY IF IT PERTAINS TO YOUR PET
**PUPPY/KITTEN
VACCINE INFORMATION
PUPPY/KITTEN
VACCINATIONS
JUST LIKE BABIES, YOUR
PET MUST COMPLETE A SERIES OF VACCINATIONS, BEFORE THEY BECOME ANNUAL SHOTS.
EACH SET OF SHOTS IS THREE WEEKS APART. THE NUMBER OF SETS NEEDED TO COMPLETE
THE VACCINE SERIES IS DEPENDANT ON THE AGE OF THE ANIMAL AT THE TIME OF THE FIRST
SERIES. OCHS PROVIDES YOUR PET WITH THEIR FIRST SET OF VACCINES. YOU
ARE FINANCIALLY RESPONSIBLE FOR THE COST TO COMPLETE THE SERIES OF
VACCINATIONS, OCHS ONLY PROVIDES YOUR PET WITH ITS FIRST SET.
_____ YOUR PUPPY OR KITTEN
WILL BE DUE ON ______________ FOR THEIR NEXT SET OF VACCINES
YOU HAVE ONE WEEK FROM
THE ABOVE SPECIFIED DATE, TO BRING YOUR PET TO AAA ANIMAL HOSPITAL, SO IT CAN
RECEIVE THE NEXT SET OF VACCINATIONS IN TIME FOR THEIR SERIES. IF
YOU MISS THIS DATE, THE SERIES OF SHOTS BECOME VOID AND YOU WILL HAVE TO START
THEM ALL OVER AGAIN.
**PUPPY/KITTEN
MEDICAL RELEASE
DUE TO THE FACT THAT
MOST OF OUR KITTENS/PUPPIES ARE STRAYS AND THEIR IMMUNE SYSTEM IS VERY WEAK,
THERE IS A HIGHER RISK WITH ADOPTING SUCH A YOUND PET. WE DO NOT GUARANTEE THE
HEALTH OF OUR LITTLE ONES. THERE IS A GREAT POSSIBILITY THAT THE KITTEN/PUPPY
YOU CHOOSE MAY BE SICK AND HAS NOT SHOWN ANY PHYSICAL SIGNS YET. IF IN FACT
YOUR KITTEN/PUPPY BECOMES SICK WITHIN ITS FIRST 2 WEEKS OF COMING HOME, YOU
HAVE THE OPTION OF RETURNING THE KITTEN/PUPPY AND GETTING A CREDIT FOR A NEW
ONE. OCHS DOES NOT PROVIDE ANY REFUNDS OF MONIES PAID
UNDER ANY CIRCUMSTANCES.
IF
YOUR PUPPY/KITTEN IS VOMITING, HAVING DIARRHEA, SNEEZING, COUGHING OR HAS RUNNY
EYES, PLEASE BRING THEM TO AAA ANIMAL HOSPITAL IMMEDIATELY; DO NOT WAIT
A FEW DAYS TO SEE IF IT GOES AWAY. THIS INCLUDES IF YOUR PET HAS MISSED A MEAL
OR IS LETHARGIC. THESE ARE NOT NORMAL ACTIVITIES FOR KITTENS OR PUPPIES. THESE
ARE SIGNS OF AN ILLNESS, AND IF CAUGHT EARLY CAN BE TREATED PROPERLY.
THE ADOPTER
UNDERSTANDS THAT THIS PET MAY NOT BE HEALTHY AND IS STILL CHOOSING TO ADOPT THE
ANIMAL OCHS RELEASES ALL RESPONSIBILITY/LIABILITY OF THE
KITTEN/PUPPY TO THE NEW OWNER; THE NEW OWNER AGREES NOT TO HOLD ORANGE COUNTY
HUMANE SOCIETY RESPONSIBLE/LIABLE FOR THE KITTEN/PUPPY.
BY SIGNING BELOW YOU
UNDERSTAND AND AGREE TO THE STATEMENT ABOVE REGARDING THIS ANIMAL’S HEALTH
ADOPTER’S
SIGNATURE X
____________________________________________
**PITBULL
ADOPTION AGREEMENT
PITBULLS UNFORTUNATELY
HAVE A BAD REPUTATION FOR BEING AGGRESSIVE OR BEING USED AS FIGHTING DOGS. OUR
PETS ARE NOT TO BE ADOPTED FOR EITHER ONE OF THESE REASONS. VY ADOPTING THIS
DOG ADOPTER AGREES TO RANDOM CHECK UPS BY OCHS AT THEIR HOME OR MUST BRING THE
ANIMAL TO OCHS. ADOPTER UNDERSTANDS THAT IF IT IS FOUND THAT THIS ANIMAL WAS
ADOPTED WITH ALTERIOR MOTIVES SUCH AS USING IT AS A GUARD DOG OR FOR FIGHTING
PURPOSES, OCHS WILL REMOVE THE ANIMAL FROM ITS HOME, WITH NO REFUND OR CREDIT,
AND OWNER WILL BE RESPONSIBLE FOR OWNER RELEASE FEES
BY SIGNING BELOW YOU
UNDERSTAND AND AGREE TO THE STATEMENT ABOVE REGARDING THIS ANIMAL
ADOPTER’S
SIGNATURE X
____________________________________________
**OBEDIENCE/TRAINING
ENROLLMENT AGREEMENT
CLASS ENROLLMENT DUE
DATE: _________________
OCHS HAS FOUND THAT
THE ANIMAL YOU HAVE CHOSEN NEEDS PROFFESIONAL TRAINING OR THAT IT IS STILL
YOUNG AND SHOULD BE ENROLLED IN AN OBEDIENCE COURSE. BY ADOPTING THIS ANIMAL,
THE ADOPTER AGREES TO ENROLL THE PET IN AN OBEDIENCE/TRAINING CLASS, WHICH MUST
BE PROVIDED BY A CERTIFIED TRAINER, BY DATE ABAVE. ONCE THE ANIMAL HAS
COMPLETED THE COURSE, ADOPTER MUST MAIL OR FAX A CERTIFICATE OF COMPLETION TO
ORANGE COUNTY HUMANE SOCIETY. IF THE ADOPTER FAILS TO DO SO, ORANGE COUNTY
HUMANE SOCIETY WILL TAKE THE PET FROM ITS HOME, WITH NO REFUNDS OR CREDITS, AND
THE ADOPTER WILL BE RESPONSIBLE FOR OWNER RELEASE FEES
PLEASE INQUIRE FROM
STAFF ABOUT CLASSES PROVIDED FOR OCHS ADOPTERS AT A DISCOUNTED RATE.
BY SIGNING BELOW YOU
UNDERSTAND AND AGREE TO THE STATEMENT ABOVE REGARDING THIS ANIMAL’S ADOPTION
REQUIREMENT
ADOPTER’S
SIGNATURE X
____________________________________________
THE
ADOPTER ACKNOWLEDGES A FULL UNDERSTANDING OF THE RULES AND CONDITIONS OF THIS
ADOPTION AGREEMENT. THE ADOPTER AGREES TO SURRENDER, THE ADOPTED ANIMAL, TO
ORANGE COUNTY HUMANE SOCIETY OR AN ANIMAL CONTROL OFFICER, SHOULD THE ANIMAL BE
MAINTAINED IN VIOLATION OF THE RULES AND CONDITIONS SET FORTH IN THIS AGREEMENT
ORANGE COUNTY HUMANE SOCIETY
MAKES NO EXPRESS OR IMPLIED WARRANTY, REPRESENTATION OR PROMISE TO THE AGE,
HEALTH, BREED, HABITS, DISPOSITION OR SAFETY OF THE ANIMAL. I HEREBY ACCEPT THE ANIMAL AS IS, ASSUME ALL
RISKS AND RESPONSIBILITIES ASSOCIATED WITH THE OWNERSHIP OF THE ANIMAL, INCLUDING
BITES, AND I HEREBY FULLY AND COMPLETELY RELEASE, INDEMNIFY AND HOLD HARMLESS
ORANGE COUNTY HUMANE SOCIETY AND AAA ANIMAL HOSPITAL, ITS OWNERS, DIRECTORS,
OFFICERS, VOLUNTEERS, SERVANTS, AND EMPLOYEES FROM ANY CLAIM, CAUSE OF ACTION
OR LIABILITY OF ANY SORT OR NATURE, WHETHER KNOWN OR UNKNOWN, DIRECTLY OR
INDIRECTLY ARISING OUT OF OR IN CONNECTION WITH THE ADOPTION, CARE OR
OWNERSHIP, MAINTENANCE, TEMPERAMENT OR CONDITION OF THE ANIMAL.
NAME:
_____________________________________________________________________________________________________
SIGNATURE:______________________________________________________________________DATE: ___________
THE ANIMALS AND STAFF
OF
ORANGE COUNTY HUMANE SOCIETY
WOULD LIKE TO THANK
YOU FOR
SAVING A LIFE TODAY