TEARS Dog Adoption Agreement

Thank you for opting to adopt your new best friend from TEARS Animal Rescue! All our animals available for adoption have been sterilised, vaccinated, dewormed, microchipped and treated for ticks and fleas. We charge an adoption fee of R950, which helps cover the costs incurred.

DOG’S DETAILS

Dog's Name(Required)

Breed

Colour

Tag Number(Required)

Microchip(Required)

PN Number(Required)

Date of birth

Sex(Required)

Female

Male

Sterilised(Required)

Yes

Sterilisation Due Date(Required)

From 5 months of age

Next Innoculation Due

Next Rabies Innoculation Due

Next Dewormer Due

Next Deflea Due

Medical Treatment Required

ADOPTER'S DETAILS

Name(Required)

First Last

Primary contact number(Required)

Secondary contact number(Required)

Email(Required)

ID Number (or Passport)(Required)

Physical address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

ALTERNATIVE CONTACT PERSON

Name(Required)

First Last

Primary contact number(Required)

Secondary contact number(Required)

PET INSURANCE

Are you interested in finding out more about pet insurance?(Required)

TEARS adopters receive 50% off their first 3 months insurance premium when they sign up for dotsure.co.za pet insurance. Plus TEARS Animal Rescue will receive a R300 donation on your behalf. Dotsure.co.za was voted Best Pet Insurance Company in South Africa in the 2020 Star reader’s Choice Awards, and has pet insurance cover from as low as R82 per month.

Do you currently have pet insurance for your animals?(Required)

Consent

Dotsure.co.za can contact me with more information on pet insurance

ADOPTION CONTRACT

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TEARS Dog Adoption Agreement

DOG’S DETAILS

ADOPTER'S DETAILS

ALTERNATIVE CONTACT PERSON

PET INSURANCE

ADOPTION CONTRACT

Contact information

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