I (We) _____________________________________________, hereby agree to provide a caring home for this (color & sex)_______________ Affenpinscher known as ________________, age __________. I accept full responsibility for her/his health, welfare and actions. Should I (we) at any time be unable to keep or care for this dog, I (we) will NOT give her/him away or sell her/him to anyone, but will contact the Rescue Coordinator or another Rescue Representative to help in finding her/him a new suitable home. I (we) also agree to the following:

____ A 30 day evaluation period exists to determine the compatibility of this Affenpinscher in our home.

____ To spay/neuter this Affenpinscher by: ________________________

____ To keep this dog's vaccinations up to date, and if sick, to take this dog to a qualified veterinarian.

____ To provide inside housing at all times. At no time will this dog be housed out of doors.

____ To provide an adequate amount of quality food and fresh water to maintain this dog in good health, and to groom her /him or have her/him groomed, regularly to maintain her/his health and comfort.

____ To never physically or emotionally abuse or let her/him be abused by any other person or animal.

____ To always keep her/him on a leash when she/he is not in a fenced area. To never leave her/him unattended while she/he is tied up or in a car.

____ To treat her/him with love, affection and kindness.

____ If she/he is ever lost, stolen or deceased, to immediately, within 24 hours, contact an Affenpinscher Rescue Representative.

____ To donate $__________ to Affenpinscher Rescue to help defray the cost of this adoption and other rescues.

____ To pay for transportation of the rescue Affen to his/her new home if this is necessary, and to be responsible for arranging this transfer.

____To notify the Rescue Coordinator of any change of address or location where the dog is being kept.

____ This contract is between the adoptive person(s) and the member of the Affenpinscher Rescue representing this rescue dog. Affenpinscher Rescue is in no way financially liable or responsible for this adoption or future acts of the rescue dog. In signing this contract, the adopting person(s) agrees to hold the members of the Affenpinscher Rescue and those acting on its behalf harmless from any liability, expense or cost of defense resulting from acts of this dog and all problems, consequences or disputes resulting from the adoption of this dog.

____ My signature acknowledges that I have read and understand this contract and agree to all the above conditions. I understand that Affenpinscher Rescue may reclaim the above named dog from me if I do not fulfill this agreement.

Signed: (Person[s] Adopting Affen) _____________________________________________

Address:_____________________________________________Date_________________

City:__________________State:_______Zip:__________Phone:_____________________

Signed: (Rescue member representing this dog)

_________________________Date:____________

Rescue Coordinator:
Sarah Simpson
316-945-3461