________
We will not adopt animals into any home without assurance that adequate provisions have been made to insure that the basic needs of the animal are being met. This includes the following but may not be limited to:
Provisions for sterilization, immunizations and veterinarian care
Provisions for shelter from heat and cold
Provisions for adequate exercise: a fenced yard, fenced dog run, cable run with chain
***A fixed chain is NOT an acceptable means of confinement and/or exercise
Failure to comply with any part of this agreement may result in the loss of ownership of the above referenced animal. Possession of said animal will automatically revert to the Hertford County Animal Shelter and/or PAWS, Inc. I hereby grant Hertford County Animal Control and/or an agent of PAWS, Inc. the right to enter the lands and enclosures where the animal may be in order to transfer ownership.
Signature of Adopter _______________________________________
Signature of Staff/Volunteer _________________________________
Date __________________