CHAMPS CHANCE INC ADOPTION CONTRACT

This contract is made between the Adopter (printed below) and CHAMPS CHANCE INC (CCI).

Adopter's Full Name:

CCI AGREES TO THE FOLLOWING:

1. Give the Adopter title to, possession, and control of the animal as described:

Name of Pet:

Microchip #:

Date of Birth:

Breed:

Gender:

Spay/Neuter Date/Clinic:

For so long as the Adopter complies with the terms of this contract. All liability due to property damage or personal injury will be transferred to the new owner upon adoption.

ADOPTER AGREES TO THE FOLLOWING:

3. If the animal is found to require major treatment, such as an underlying birth defect, the Adopter may return the animal within 30 days of dated executed contract. Adopters must provide Written Veterinarian Confirmation to CCI of the animal's health and the necessity for major treatment.

4. Keep the animal as a pet and companion and not to abandon, trade, give away, sell, nor is the animal to be used or sold for commercial use or research purposes. The animal is never to be turned over to an animal shelter but must be returned to CCI. Violation of this provision of the contract carries a $150 Fine. If the Adopter no longer desires or is unable to keep the adopted animal within the terms of this contract and the animal is returned to the responsibility of CCI, no penalty will be invoked for such action, nor will any refund be given. The adopter will however be responsible for fostering the dog until an adequate housing arrangement can be made with a maximum time frame of 6 months. The adopter agrees to actively assist CCI in finding new adequate housing through participation in activities such as adoption events, meet / greet of potential fosters / adopters and providing updated pictures / descriptions.

Initial:

5. Provide adequate, high-quality food, water, shelter, exercise, and medical care always and care for the animal in a devoted and humane manner for the remainder of its natural life.

6. Have the animal examined by a licensed veterinarian at least once a year, maintain appropriate vaccinations and other preventive health and dental care, and provide copies of the animal's care records to CCI annually if requested for a minimum of three years and maximum of 5 years.

Initial:

7. Provide the animal with veterinary recommended Heartworm Preventive and a Flea / Tick Control program for the rest of its natural life.

Initial:

8. Keep the animal under the Adopter's control and not let the animal roam freely outside of the home unless in a completely solid fenced and secure yard. The use of unsupervised tie-out chains, ropes, dog-runs, pronged collars or similar device is not permitted.

9. The Adopter authorizes any state or local animal care or control agency to release the animal to a CCI representative, hereby designated as Agent for the Adopter, if the animal is found running at large or is brought into a sheltering facility for any reason and the animal's owner is unable to retrieve the animal timely (24 hours).

10. Attendance to at least one full course of obedience training with the dog beginning within 3 months of this contract execution date is highly recommended. No dogs adopted from CCI are to be attack-trained or guard-trained or used in any aspect other than obedience training unless it is under law enforcement contracts.

11. Provide a humane secure collar for the animal to always wear. A custom tag containing the adopters contact information is highly recommended to be attached to the collar in the event the animal is lost.

12. CCI uses implanted microchip identification. If the microchip is not inserted prior to adoption, arrangements must be made with CCI within 2 weeks to have this done. CCI is the registered Guardian on the microchip for the protection of the animal from possible shelter euthanasia if lost or surrendered. The adopters contact information is added to the animal's microchip registry at the time the adoption is finalized. The Adopter will notify CCI of any contact change requests including email, address and/or phone number changes via email (CCIadoptions01@outlook.com) in a timely manner to maintain updated contact information.

13. At any time during the animal's lifetime, if deemed necessary, CCI will be allowed to investigate the premises where the animal is kept and reclaim the animal if Florida Law determines abuse has occurred under the following guidelines. In Florida, the penalties for animal abuse vary depending on the type of abuse. The penalty for animal cruelty might include up to 1 year of jail and a maximum fine of $5,000. However, the presence of aggravating factors might result in up to 5 years of prison and a maximum fine of $10,000. We will follow all the guidelines set forth in Chapter 828 of the Florida State Statutes for Animal Cruelty.

14. Adopter agrees to pay all costs necessary to enforce this agreement including reasonable attorneys' fees, costs of litigation, animal recovery fees, and all medical bills to restore the animal's health back to adoptable status; or a $150 fine, whichever is greater.

Initial:

Heartworm Status:

Heartworm Test Result:

Negative Test

Unknown

Positive Heartworm Test

Negative Test Date/Clinic:

Positive Test Date: Clinic:

The Adopter understands and is aware of the animal's positive heartworm status, agrees to complete heartworm treatment and provide CCI with Negative result once obtained. CCI offers to provide a 6-month supply of medication required for Slow Kill Treatment method with the understanding the Adopter will assume responsibility of obtaining a heartworm test at conclusion of treatment and continue treatment if a negative result is not achieved. Adopter may also decline the offer of Slow Kill Medication and opt to provide animal with Fast kill or Slow Kill Treatment methods assuming full financial responsibility and provide CCI with negative results once obtained.

ADOPTER AGREES TO THE FOLLOWING OPTION FOR MEDICAL COMPLETION:

Provide Signature on ONLY ONE Applicable Medical Completion Option A, B or C:

A. Medical Fully Completed:

The Adopter acknowledges the animal is up to date on Vaccinations, has microchip implanted and has completed spay/neuter surgery. Medical records will be provided to the adopter upon execution of this contract and agreed upon donation received. Adopter assumes all future financial/medical obligations effective on the date of contract execution.

I agree to Option A

B. Pending Adopter: Adopter chooses to complete medical through CCI clinic partners:

The Adopter is aware that further medical completion is needed and agrees to work in conjunction with CCI and their recommended clinics to complete the following but no limited to: DHPP required vaccine (age dependent), Bordetella vaccine, Rabies vaccine, Microchip implantation with CCI as Guadian contact and Spay/Neuter Surgery. Adopter agrees to pay ½ the donation at agreement initiation and final payment once all medical is scheduled. Adopter agrees to pay any veterinary cost not directly related to the completion of the listed items. In the event of a medical issue, CCI will be contacted prior to arranging any Veterinary care/treatment of the animal to be adopted unless in the case of a life-threatening situation. Private veterinarian consultation will be allowed if adopter assumes financial responsibility and CCI is notified of the upcoming appointment/issue timely. CCI will provide medical records directly to the veterinary office as needed. CCI and Adopter agree that once all medical as detailed has been complete and agreed donation exchanged this contract will be signed and executed in its entirety.

I agree to Option B

C. Adopter To Complete Medical outside of CCI clinic partners:

The Adopter agrees to complete medical needs, assume financial responsibility and provide CCI with Veterinary Records of documented completion within 90 days of contract signature. Completed medical will include: DHPP required vaccines (age dependent), Bordetella vaccine, Rabies vaccine, Microchip implantation with CCI listed as guardian and Spay/Neuter Surgery. Adopter agrees to pay full donation amount upon contract agreement and an additional Refundable $150 deposit to be returned once all veterinary records are received by CCI. In the event all medical is not completed by 90 days of signature, CCI reserves the right to reclaim the animal to complete medical and re-evaluate approval of pending adoption. CCI and Adopter agree that once all medical as detailed has been completed and documents received, this contract will be signed and executed in its entirety.

I agree to Option C

CCI makes no implied or expressed warranties regarding this animal other than stated in this contract. The animal is adopted by the Adopter "as is". It is understood by the Adopter that should the animal cause personal injury or property damage after possession is assumed by the Adopter; the CCI, its directors and members shall in no way be liable in whole or in part for that damage. The Adopter hereby assumes all liability for the animal, or any injury or damage that may be caused by it. Adopter hereby waives all claims, losses, or damages which may arise after the delivery of this animal to Adopter, caused by any act or omission by CCI which results in personal injury or property damage to any person by this animal, and the Adopter agrees not to bring any legal action seeking any remedy against CCI in connection with this agreement or in connection with personal injuries or property damage claimed to result from any act or omission by CCI whether by Adopter or any third party.

Medical Records cannot be released prior to receipt of the signed contract indicating plan for medical completion via CCIadoptions01@outlook.com and the Minimum Adoption donation of $350 paid on Champschance.org under the donate tab.

Transfer of ownership rights from Champs Chance Inc. to Adopter does not occur until all criteria is met and contract signed by both parties.

Adopter's Street Address:

City:

State:

Zip Code:

Adopter's Driver License/State:

Phone Number:

Email Address:

You will be sent a confirmation to this email address.

Signatures

Adopter's Signature (Type your full name):

By typing your name above, you acknowledge this serves as your electronic signature and agreement to all terms in this contract.

Champs Chance Inc. Signature:

This space will be signed by CCI administration when adoption is finalized to complete ownership transfer.