Adoption Agreement Form

Adoption Agreement

Please complete the IMPACT for Animals adoption agreement and submit with your completed application. Either complete online and submit through this website, or print out and submit in person or through the US mail to.....

IMPACT for Animals
PO Box 190184
St. Louis, MO 63119

IMPACT For Animals Adoption Agreement

Please read this form completely. Fill in information and send in by using the submit button. Thanks so very much.

By adopting a pet, I understand and commit to the following guidelines: I agree never to abandon my adopted pet or deposit my adopted pet at an animal shelter or research facility. However, before returning my adopted pet to IMPACT for Animals, I agree to exhaust all options available, to include, but not limited to, obedience training, a behaviorist, crate training, or veterinary advice to solve a physical or behavioral problem that may occur with my adopted pet or between my adopted pet and me.

If for any reason, or at any time, I am unable to care for my adopted pet, I agree to contact IMPACT for Animals to return it to them or offer them the first right for placement.

I agree that I by accepting my pet for adoption, I am accepting ownership of the animal. I understand that this means that IMPACT for Animals is not responsible for any damage to person or property that may be caused by my adopted pet after the date of the adoption, and I accept full responsibility for my adopted pet from the date of the adoption forward.

I agree to the above statements, and represent that the information I am providing on this form is the truth to the best of my knowledge and belief: (print name):

Email:

Primary Phone:

Secondary Phone:

Address:

City, State, Zip:

I have read, understand, and agree to the statements in this adoption agreement (signature):

Date:

Join IMPACT for Animals' Facebook Family

IMPACT for Animals is supported by Purina's Rally to Rescue Program.
Click on the image below to visit Rally to Rescue.

IMPACT for Animals PO Box 190184 St. Louis, MO 63119 (314)-995-9260 email: impactforanimals@aol.com

Main Navigation