Thank you for adopting your dog from the Cuyahoga County Kennel. Your dog received one temporary vaccination for distemper, hepatitis, leptospiras, parainfluenza, and parvovirus. YOUR DOG OR PUP HAS NOT RECEIVED ALL NECESSARY VACCINATIONS. YOU MUST establish a relationship with a veterinarian for your dog to receive a thorough examination, rabies vaccine, and follow-up vaccination schedule. Our initial vaccination cannot cure or prevent any illness ready present. In case of emergency, take the dog to an emergency clinic or veterinarian. Cuyahoga County will not be responsible for any fees of the above nature. There is no way to guarantee that a healthy-appearing dog is not incubating an illness which may not be obvious during his/her stay in our Kennel. If, within 10 days from the adoption date a serious health problem is discovered (by your veterinarian or the county veterinarian) such as distemper, heartworm, or parvo, you may receive an exchange (i.e., select a different dog at no further charge). You may not return the dog due to behavior or minor health problems. For behavior advice, consult your adoption packet or call our Adoption Supervisor. No monetary refunds will be given under any circumstances. The County makes no warranty with respect to the temperament of this dog and will not be held responsible for any damages should the dog act in an aggressive manner.

In compliance with Ohio Revised Code Section 959.01, I hereby agree that I will not abandon this dog. In compliance with Ohio Revised Code Section 955.10, I hereby agree that I will keep a current county license tag ON the dog. In compliance with Ohio Revised Code Section 959.13, I hereby agree not to abuse or mistreat this dog. I shall provide shelter, sufficient nutritious food, water, and other necessary sustenance to his dog.

I hereby agree that the dog will be spayed or neutered by the County veterinarian prior to release from the Kennel. In the event that the dog is unable to to be altered due to health or in the event that the dog is too young to be altered, I hereby agree to return the dog for altering on the date specified below. I hereby agree that I will notify the County Kennel of any change in address or phone number prior to the date of return designated below. And, I hereby agree that I will not give away or otherwise relinquish ownership of this dog without prior notification to the County Kennel. There is an inherent risk involved whenever a dog is anesthetized; should unforeseen complications result during surgery, you may adopt another dog at no further charge.

I hereby agree to take the dog home on the day it is released from surgery or as soon thereafter as specified by the County Kennel. Dogs not claimed within 3 days of surgery will be re-impounded and you will be liable for additional fees as affixed by law.

If the County Kennel has determined that your adopted must return for spay/neuter and you choose to have your dog spay/neutered by your own veterinarian, you must notify the County Kennel and you will be responsible for any fees charged by your veterinarian for the procedure. If a deposit was required for the spay/neuter, you will receive a refund by mail within 6 to 8 weeks after the surgery. If any other surgical procedure is necessary, it must be scheduled with your own veterinarian at your own expense.

When picking up your dog be sure to bring a COLLAR with LICENSE AFFIXED and LEASH. You must call 216-525-4827 prior to picking up your dog.

YOU MUST Call 216-525-4812 TO SET UP AN APPOINTMENT FOR SPAY/NEUTER.

Cage

Tag

Identification

Date adopted

Month of return

Surgery Date/Time

Card Reference #

Receipt #

License #

Employee

DHLPP

Wormed

Male/Female

Weight

Height

Age

Breed

Color

Surgery postponed due to:

Health

Too Young

Already Altered

Print Name

Signature

Date

Street Address

City

Zip

Home Phone

Work Phone

Veterinarian Comments: