Bainbridge-Decatur County Humane Society, Inc.

Animal Shelter Pet Adoption Application

If you prefer to download and print a form Click Here

No Refunds - Exchanges Only, No Exchanges After 15 Days

Animal Description

The Humane Society recommends these additional shots, at the owner's expense:
heartworm check and rabies vaccinations if dog is 3 months or older,
for cats, Fe/v check and series Rabies if 3 months or older.

You Must Be 18 Years Of Age To Adopt.

I have adopted this pet from the Bainbridge-Decatur County Humane Society, Inc. Animal Shelter, to be a companion for me and my immediate family. If at any time in the future I find that I cannot keep (or choose not to keep) the animal, I agree to return it to the Bainbridge-Decatur County Humane Society, Inc Animal Shelter.

I understand that the Bainbridge-Decatur County Humane Society, Inc. Animal Shelter does not guarantee the health of any animal at the time of adoption or thereafter. Should my veterinarian find the animal to be unhealthy, it is agreed that I may return the animal to the Bainbridge-Decatur County Humane Society, Inc Animal Shelter within 15 days of adoption and exchange it for an animal with an equal adoption fee.

I promise, contract and agree to abide by my city, county, and state animal control ordinances and statutes, with regard to animal care, inoculations, custody, control and humane treatment. I agree to provide at least the minimum annual veterinary treatment recommended by my veterinarian. I understand that pursuant to State Law:
"4-14-3(2) Entering into a written agreement with the person acquiring such animal guaranteeing that sterilization will be performed by a licensed veterinarian within 30 days after acquisition of such animal in the case of an adult animal or within 30 days of the sexual maturity of the animal in the case of an immature animal;..."

This pet must be spayed or neutered within the time period stated by a licensed veterinarian.

I understand, contract and agree that the Bainbridge-Decatur County Humane Society, Inc. or the City of Bainbridge Animal Control Officer may examine and make inquiry about said animal at any time and if not satisfied with conditions may reclaim custody of said animal.

I understand, contract and agree that failure to comply with any of the above requirements to the satisfaction of the Bainbridge-Decatur County Humane Society, Inc Animal Shelter will void this adoption agreement and will also require me to return and release the animal to the Bainbridge-Decatur County Humane Society, Inc. Animal Shelter without charge or recourse of any character for licensing, fee, service fees, maintenance, care fees, or other.

I understand and agree that the Bainbridge-Decatur County Humane Society, Inc. Animal Shelter cannot and will not allow any refunds for adoption fees. The Bainbridge-Decatur County Humane Society, Inc., the City of Bainbridge, or its agent will not be responsible for any accident, injury or illness to any persons or animals resulting from an adopted Bainbridge-Decatur County Humane Society, Inc. animal.

I understand and consent to the release of the above information to Hill'S Pet Nutrition, Inc. for their exclusive use In providing adopters with product coupons and information.

By entering my initials and submitting this application, I certify that I have read and understood the above and agree to abide by its contents

Humane Society Required Questionnaire