My signature below indicates that I am at least 21 years of age and intend to be the legal owner and the person responsible for the care and well being of any pet I adopt from the City of Fitchburg. By signing this application, I give representatives of the City of Fitchburg permission to contact my veterinarian, landlord, or other rescue groups/human societies for information to aid in the evaluation of whether this pet is appropriate for me. I understand that any misrepresentation of the true
facts in this application will invalidate the adoption agreement and give the City of Fitchburg the right to reclaim the dog without refund of the adoption fee.
Cost: The Adoption Fee is ranges from $100.00 - $250.00 which is non-refundable. Contributions beyond the adoption costs are not mandatory. Any donations received will be put towards our spay/neuter assistance program and the extended care of our homeless Animals until they are placed. Your donations are sincerely appreciated.
Medical: I understand that this dog has been given certain basic inoculations and other
Medical treatment for problems that the City of Fitchburg is aware of and can treat
Before adoption. The dog that I am adoption is accepted by me "as is." I agree to
Provide yearly checkups, shots, and heartworm prevention. I understand that the
City of Fitchburg makes no representations or warranties regarding the current or
Future medical condition of the dog and it not responsible for additional medical
Care for the dog. While most dogs are provided neutered or spayed, if I have
Adopted a dog that has not been neutered or spayed, I agree to prevent the dog
From mating and to have the dog neutered/spayed within 30 days and send a copy
Of the certificate to the Fitchburg Animal Shelter, address above.
Temperament: I understand that the dog may have not been evaluated in a home setting and that
The City of Fitchburg makes no representations or warranties regarding the dog’s
Behavior with adults, children or other animals, or provide other guarantees as
To the dog’s characteristics, personality or training. I understand and agree that
The City of Fitchburg and any of its representatives are not responsible for any
Injuries or property damage resulting from the possession or ownership of this dog.
Care: As this dog’s new owner, I agree to provide the training required to ensure a secure
And respectful dog/owner relationship. I will not let the dog run free without
Supervision, be chained out all day or night, be around children under 14 years of
Age without adult supervision, ride loose in the back of an open truck, or remain
Unattended in any vehicle with the temperature is over 70 degrees Fahrenheit. I
Will license the dog in the town I live and tag the dog for identification purposes.
If for any reason, the adoption is not satisfactory for the dog or adoptive owner, the City of Fitchburg requires that THE DOG BE RETURNED, at the adoptive owner’s expense, to the City of Fitchburg. The dog may NOT be sold or given to a new owner without the City of Fitchburg’s prior written approval. The City of Fitchburg reserves the right to take back the dog if it is ever neglected, abused or improperly cared for. I agree to relinquish custody immediately upon request without the
need for further legal written or court order. I agree to promptly contact the City of Fitchburg if the dog is lost for more then 24 hours.
I, on behalf of myself and all persons resident in the household where ____________________ [dog’s name] will reside, hereby accept possession of the title to _______________ [dog’s name] and responsibility for the animal identified above and hereby release, indemnify and discharge the City of Fitchburg, and its officers, employees and agents, forever from and against any liability for any injury or damage to any person or property caused in the future by this adoption, or by said dog,
and from and against any causes of action, suits or demands whatsoever that may arise as a result of such injury or damage.