Name of dog you are interested in adopting?

Please contact your vet and ask them to authorize the release of information to CCPAL.

Please list two personal references not living in the home that we may contact. Only one family member please.

If the adoption does not work out or if at any time in the adopted dog’s life, I decide that the dog needs to go elsewhere, I hereby swear that I will ONLY return this animal to CCPAL’s care. I hereby promise and swear that I will never turn this animal into animal control, a pound, or other facility without first contacting CCPAL. I consider this contract binding upon me as a legal contract and understand that should I violate this contract, I might have to pay legal fees for any litigation that could be necessary due to breach of contract. If this animal needs to be returned to CCPAL I understand that this will be at my expense unless special circumstances are involved. This includes all arrangements needed to return the animal safely and expeditiously to CCPAL. I agree that I will coordinate with Marlene about all arrangements and keep CCPAL informed at all times regarding the transport.

In return for the above conditions, CCPAL agrees to allow the prospective caregiver to adopt the above mentioned pet. I understand that this agreement may be subject to disclosure under the Texas Public Information Act.