Adoption Agreement

Official Adoption Agreement

Breeder:	Adopter:
Rainbow Mice rainbowmice@gmail.com http://www.dazzlemerats.com/mice	Name: Ad: Ph: E-mail: Web: Are you a: BREEDER / PET OWNER (circle one) Under 18?: Y / N Age: Parent's Name:

Rat Info

Adopted Mouse:	This contract is : PET ONLY or MALE BREEDING / FEMALE BREEDING Initial: Breeder _____ Adopter_____
Description:	Adoption Fee: $ Paid by Cash / Check / M. O. / Paypal
DOB: Gender: M / F	Trade: Y / N For:
	Litter Number:

The breeder, Rainbow Mice (hereafter referred to as RNBW, 'our', 'we') is placing the

mouse described above with the adopter described above as a companion.

While RNBW does not place animals that are ill, injured, or have serious temperament issues at the time of placement, no guarantee is expressed or implied about the health or temperament of this animal following placement to the adopter listed above.

The mouse is not to be sold, given away, or otherwise disposed of or abandoned to any person, retailer, auction, institute or other entity. Should the adopter be unable or unwilling to care for the mouse at any point, RNBW is to be contacted immediately and, if possible, arrangements will be made for the return of the mouse, or assistance will be provided in finding a new qualified home for the mouse

RNBW is to be notified in a timely manner in the event that the above-described rat develops a serious temperament problem, illness or chronic condition, or if any injury affecting quality of life is sustained, with the date of injury or when symptoms or problems began, as well as a detailed description of the problem

RNBW is to be notified at the time of the above-described mouse's death with the date of death and a probable cause of death (if death was not naturally ocurring due to old age - a necropsy and/or pathology with a probable cause of death is preferred). This information is important, and it is not optional.

The above-described mouse is to be quarantined to the best of the ability of the adopter for a minimum of three (3) weeks (twenty-one (21) days) to prevent the transmission of any parasites or potentially fatal diseases. True quarantine requires that the mouse be housed in a separate building with a separate air supply from any/all other rodents.

The mouse is to be cared for in a humane and responsible manner, provided with

A clean and adequately sized cage or enclosure appropriate for the mouse's age and/or size.

Companionship in the form of same-sex cagemates, or spayed/neutered mice (with the exception of males)

Nutritious and appropriate food

Clean water available at all times

Prompt veterinary care when necessary

Adequate human interaction and environmental stimulation

I hereby certify that all statements made by me on this adoption agreement are true and correct and that I agree to all terms of the contract. I agree that RNBW has the right to confiscate the above-described mouse at their discretion in the event that any statements about me on the adoption questionairre I filled out are found false, there is reason to believe I may not be adequately caring for the mouse, I have broken any portion of this contract, and/or my check for the adoption fee is returned for insufficient funds.

I understand and agree that RNBW makes no representations or warranties, expressed or implied, about the above mentioned animal’s temperament and/or health and is hereby absolved of any liability for future damages or expenses (veterinary or other) caused by this animal. Initial ______

I agree to meet all of the special needs or requirements listed above for the adopted/purchased animal indicated above.

Adopter's Signature:_________________________________________Date:______________

If under 18, parent's signature: _________________________________Date:______________

Breeder's Signature_________________________________________Date:______________

(c)2006 Rainbow Mice. All rights reserved.
You are not permitted to make copies of this form other than for your own personal records without express written permission from the owner.
Unauthorized use is prohibited by law.