|Please print form, fill out, sign &
date. When ready to fax to the shelter, please call (770) 467-4772 to
alert staff to an incoming fax, then send fax to (770) 467-4771. Please
be aware the faxing of this form means you take full responsibility for
said animal as indicated below. However, faxing this form does not automatically guarantee you the animal if said animal is not available,
has already been adopted, if you are an ineligible applicant, or if any
other prohibiting circumstances apply.
Spalding County Animal Shelter
PLEASE READ CAREFULLY
Which I agree to care for
humanely and maintain in accordance with all laws and ordinances
I acknowledge complete understanding of Title 4 of the Official Code of Georgia Annotated it reads as follows:
4-14-3. Sterilization of dogs and cats required; exceptions; costs.
(a) Any public or private animal shelter or animal control agency operated by political subdivision of this state, shall make provisions for the sterilization of all dogs or cats acquired from such shelter, by:
I Further understand that violation of Section 4-14 is a misdemeanor punishable by a fine of not more than $200.00. I further agree that I will not sell, trade, give away, or dispose of said animal in any way, but will return it to Spalding County, Georgia. if at any time I desire to relinquish custody. I further agree that said animal shall not be used for vivisection or any other experimental purpose whatsoever.
The Spalding County Department of Animal Control or its agent may examine and make inquiry about said animal at any time, and if not satisfied with conditions may reclaim custody of said animal, It is also understood that if I fail to comply with the terms of this agreement, said animal will be returned to the County or its designee and upon demand may take said animal into custody wherever said animal may be found.
Spalding County, Georgia, or its agents, will not be responsible for any accidents, injuries or illnesses of any animal adopted. Any individual adopting any animal from Spalding County assumes full financial responsibility; and releases Spalding County from same. While Spalding County agrees to make every reasonable effort to contact me at the expiration of the time shown on this contract, either by telephone, certified mail, or regular mail, I agree that this contract constitutes a final notice and no further notice is required for the County to institute legal action for violation of county law or the terms of this contract.
I HAVE READ AND UNDERSTAND THE ABOVE AND AGREE TO ABIDE BY ITS CONTENTS
Please Print Name __________________________________
Address (City,State,Zip) __________________________________________________________
Signature of Adopter ___________________________________ Date______________________
Authorized Agency (must be at least 18 years of age)
Signature ____________________________________________ Date______________________
Veterinarian Performing Services _________________________ Date______________________