Adoption Contract Please enable JavaScript in your browser to complete this form.Name of Newman Nation Animal *Adopter Name *FirstLastAddress *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *Primary Phone *I am 18 years of age or older and I own my home or have landlord consent to adopt this animal. *I agreeI agree to provide this animal with adequate food and fresh water, shelter from the elements, daily exercise and kind treatment at all times. *I agreeI agree not to give away, sell or trade this animal, nor will I take this animal to a shelter or otherwise abandon it. I agree to contact Newman Nation immediately if I can no longer care for or keep this animal and I understand that I MUST return the animal to Newman Nation. *I agreeWe encourage you to make a plan for this animal and all of your pets in case you are ever no longer able to care for them. Please share Newman Nation's contact information with any family members/emergency contacts who may need it in the future.I agree to obey any and all animal regulations governing the area in which I live and I agree to provide the animal with all recommended veterinary care if it becomes ill or injured. I understand that by adopting this animal, I am financially responsible for all associated costs. *I agreeI agree to take full responsibility for any damage this animal does to my living area, pets, belongings, or myself with the understanding that these things occurred because I did not properly protect my living space, pets, belongings, or myself. *I agreeI understand and agree that Newman Nation: Senior Pets United makes no express or implied warranty, representation or promise to the age, health, breed, habits, disposition, or safety of this animal. I hereby accept the animal as-is, assume all risks and responsibilities associated with the ownership of this animal, including bites, and I hereby fully and completely release, indemnify, and hold harmless Newman Nation: Senior Pets United, its directors, officers, and volunteers from any claim, cause of action or liability of any sort or nature, whether known or unknown, directly or indirectly arising out of or in connection with the adoption, care or ownership, maintenance, temperament, or condition of this animal. I acknowledge that I have read and fully understand the terms and conditions of the foregoing adoption contract and that I will comply with the same. *I agreeSignature (type your full name) *Date *I will pay the adoption fee in full on the date of adoption. *I agreeThe adoption fee can be paid via PayPal to seniorpetsunited@gmail.com or mailed to Newman Nation, PO Box 114, Island Lake, IL 60042.Submit