Mitchell Animal Rescue Adoption Application

Thank you for considering the adoption of a pet from Mitchell Animal Rescue in Mitchell, SD. Prior to adoption, all pets will receive current vaccinations, a clean bill of health and will be spayed or neutered if they are old enough. Before filling out this form, please note the following:

There is an adoption fee associated with each animal.
Mitchell Animal Rescue has the right to refuse adoption for any reason.
All animals adopted are to live indoors only.
Prior to adopting, it is your responsibility to make sure pets are allowed in rental properties and that you have the ability to provide food, indoor shelter and care to the animal for the duration of its life. You also understand that MAR will contact your landlord prior to approving your adoption.

PET INFORMATION:

Please describe which animal(s) you are interested in adopting (if you DO NOT have a specific animal in mind, enter N/A)

If you do not have a specific animal in mind, please describe what you are looking for (age, sex, color, temperament, size):

Please list other pets in your household, including type and age (if there are NO other pets in your household, enter N/A):

Why are you wanting to adopt a pet from Mitchell Animal Rescue? Explain:

ADOPTER INFORMATION:

Name:

First Name

Last Name

Email:

Phone/Text:

(###)

###

####

Preferred Method of Contact:

Current Employer:

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

If you RENT YOUR HOME, please provide the name and contact information of your landlord:

If you have been LIVING IN YOUR CURRENT HOME FOR LESS THAN 1 YEAR, where were you living prior to this?

Ages of CHILDREN in household (enter N/A if there are NO children in your household):

Please list three references that DO NOT live in your household:

Reference #1:

First Name

Last Name

Relationship

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone/Text

(###)

###

####

Employer

Reference #2:

First Name

Last Name

Relationship

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone/Text

(###)

###

####

Employer

Reference #3:

First Name

Last Name

Relationship

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone/Text

(###)

###

####

Employer

END OF REFERENCES

ONLINE ADOPTION CONTRACT

NOTE: UPON RECEIPT OF THIS ADOPTION APPLICATION AND AGREEMENT, MITCHELL ANIMAL RESCUE (MAR) WILL ARRANGE A TIME FOR YOU TO MEET THE PET YOU ARE INTERESTED IN ADOPTING. AT THE TIME OF ADOPTION YOU WILL SIGN AN ADOPTION CONTRACT, PROMISE TO SPAY/NEUTER PET IF NOT ALREADY DONE, AND WILL RECEIVE A COPY OF ALL VETERINARY RECORDS FOR THE PET. AT THE TIME OF ADOPTION A NON-REFUNDABLE ADOPTION FEE WILL BE COLLECTED WHICH WILL ALLOW MITCHELL ANIMAL RESCUE (MAR) TO ASSIST OTHER HOMELESS PETS. CONTACT US AT MITCHELLANIMALRESCUE@GMAIL.COM WITH ANY QUESTIONS ABOUT THIS APPLICATION AND AGREEMENT OR THE ADOPTION PROCESS WITH MAR. Be aware that Mitchell Animal Rescue has limited information on this animal as to temperament, health, age, behavior, or how it is around little children. If applicable, the pet's foster parents will provide all the information they possibly can on the foster pet. Mitchell Animal Rescue makes no guarantees and adopter assumes all risk. There will be NO REFUNDS given as the adoption fees go towards helping rescue other animals. If you decide this animal is not a good fit for your family for ANY reason, contact Mitchell Animal Rescue at mitchellanimalrescue@gmail.com or call 605-770-2170 right away. We will reclaim the animal, place it in foster care, and find a new home for the animal. We want the animals and owners to be happy with each other. Please be responsible and don’t turn a pet out to fend for itself.

Please type your name below if you agree to the following:

1. I AGREE to provide the proper food, water, and shelter for this pet, and to give it the necessary attention and training to make it a healthy, happy animal. *  2. I AGREE, in addition to normal routine care, to provide veterinary care for this animal in case of illness or injury. If I am unable to do so, I will contact Mitchell Animal Rescue at mitchellanimalrescue@gmail.com or 605-770-2170 to return the pet so it can be placed in foster care until a new home can be found.   3. I AGREE that I will not knowingly permit this animal to be used for fighting or to train fighting animals, baiting, breeding, or allow it to be used for experimental use.   4. I AGREE to have this pet spayed/neutered by a veterinarian at the appropriate age. Mitchell Animal Rescue will determine the date at the time of adoption. Mitchell Animal Rescue reserves the right to require proof from the veterinarian of the surgery.   6. I AM AWARE that animals can have some of the same medical issues that humans do, such as cancer, diabetes, and allergies to grass, pollens, foods and smoke.  7. I AM AWARE that Mitchell Animal Rescue is a nonprofit organization dedicated to the protection and care of helpless and homeless animals and reducing the number of unwanted and homeless pets.   8. I UNDERSTAND AND AGREE that Mitchell Animal Rescue has the right at any time to review the care and maintenance of any pet(s) adopted from their organization at any time, which includes in-home visit(s) and review of veterinarian files. I furthermore agree to refrain from inhibiting Mitchell Animal Rescue should they choose to exercise this right.   9. I UNDERSTAND AND AGREE that Mitchell Animal Rescue may at any time reclaim any pet(s) I have adopted from their organization if said pet(s) are not being properly cared for as outlined in this agreement. I further UNDERSTAND AND AGREE that the cost of reclaiming the pet(s) and bringing the pet(s) back to good health and condition will be assessed against me.   10. I UNDERSTAND that if any action is taken against me by Mitchell Animal Rescue to reclaim any pet(s) because of improper care or maintenance, I will be unable to adopt an animal from Mitchell Animal Rescue in the future. 

BY TYPING MY NAME BELOW, I UNDERSTAND AND AGREE THAT I AM DIGITALLY SIGNING THIS DOCUMENT.

Please type your FULL first and last name:

Today's Date:

Enter the date of the day you completed this form:

YYYY

Thank you for supporting your local rescue!

Mitchell Animal Rescue Adoption Application

Mitchell Animal Rescue

Mitchell City Pound