Section 904-A. Rules and sterilization agreement.
Releasing agencies may establish any additional rules to implement this article, provided that such rules are not in conflict with the provisions or purpose of this article to require the sterilization of all dogs and cats adopted from releasing agencies. The sterilization agreement to be used by releasing agencies shall be in substantially the following form:
STERILIZATION AGREEMENT
This agreement is made and entered into this day of
, 19 , by and between:
(Releasing Agency)
(New Owner)
Name
Name
Address
Address
City
City
Telephone
Telephone
In consideration of the adoption of this animal and in further consideration of mutual obligations herein, the releasing agency authorizes the adoption of the following animal to the new owner:
(describe animal)
1. The releasing agency agrees to release the above-listed animal into the care of the new owner and refund the new owner's sterilization deposit provided that:
(1) The animal is sterilized by a licensed doctor of veterinary medicine by (give date).
(2) A written statement signed by the licensed doctor of veterinary medicine performing the sterilization that the animal has been sterilized by the stated date is given to the releasing agency.
2. The new owner accepts the above-listed animal and agrees:
(1) To have the animal sterilized by a licensed doctor of veterinary medicine by (give date).
(2) To provide written evidence to the releasing agency from the licensed doctor of veterinary medicine performing the sterilization that the animal has been sterilized by the above date listed. This agreement shall be binding upon the assigns, heirs, executors and administrators of the respective parties. The parties hereto have hereunto set their hands the day and year first above written.
Amount of deposit
Releasing Agency
(signature of agent)
New Owner
(signature of)
WRITTEN STATEMENT OF LICENSED DOCTOR OF
VETERINARY MEDICINE
I hereby certify that the above-described
animal has been sterilized on
(give date).
(Signature of
Licensed Doctor of Veterinary
Medicine)
Address
City State Zip
(904-A added Dec. 11, 1996, P.L.943, No.151)