I have read and agree to all of the following:

1. I certify that I am 18+ years old.

2. I certify that I am a resident of Canyon County, Idaho.

3. I am the owner or agent of the owner of the animal described above and I have the authority to execute this consent. I have fully disclosed all known pertinent medical history of the animal named above to the best of my ability.

4. I understand my pet will be evaluated for health and behavior prior to being accepted into the Adopt From Home Program.

5. I understand that I am formally surrendering my pet to the care of West Valley Humane Society.

6. I have disclosed all known behavior issues and any history of aggression or biting.

7. I agree to place a deposit fee as outlined above and that fee is dependent on the medical previously given to your pet. Surrender fees go to care for the general care of the animal as well as additional medical care such as: vaccines, dewormer, flea treatment, spay/neuter surgery, and any other medical care needed.

8. I understand that there are no fees to participate in this program unless the participant violates this agreement. In which case, the shelter will charge the participant for the cost of medical care provided as part of this program.

9. I agree to foster my pet until a new home is found. While fostering, I agree to provide food and basic care unless otherwise supplied by the shelter.

10. I agree to provide pictures of my pet that show them in their home environment.

11. I agree to provide a write-up/biography of my pet that helps show their personality and characteristics for an adoption.

12. I agree to communicate with potential adopters about my pet to lead to an adoption. I will provide contact information and allow the shelter to post that contact information publicly to discuss my pet.

13. I agree to formalize any adoption at the shelter. This allows a safe meeting place for the adopter and adoptee to meet and allows us to complete the paperwork portion of the adoption in person.

14. I agree to keep the shelter up to date on potential adopters and any updates about my pet.

15. I understand that the animal may be exposed to a contagious disease during any of its visits to the shelter for agreed upon services.

16. I agree to hold WVHS harmless from any and all claims if any of the other pets in my home became ill due to known or unknown exposure from contagious diseases during any visit to WVHS.

17. I agree to not re-home or otherwise give away the animal enrolled in this program without approval from WVHS.

18. While the animal enrolled in the Adopt From Home Program, I understand that I am still fully liable for all costs for the care and damage done by the animal during the time it is in my care and custody OR the care and custody of persons who are not approved by WVHS.

19. I agree to notify WVHS if the animal exhibits dangerous, temperamental, or aggressive behavior at any time during its enrollment in the AFH program, and that WVHS is not responsible nor liable for any damage or injury caused by or to the animal enrolled in the program.

20. We understand that WVHS will not be held responsible for any debt incurred for medical expenses or any other type of debt or payment or payments incurred for the services of private veterinarians for the above-described animal.

21. I agree to maintain custody of the animal at my own risk and agree that no promises or guarantees have been made to me regarding the continued health of the animal, nor is this a guarantee of adoption.

22. I agree to defend, indemnify, and hold harmless West Valley Humane Society and any of its Board, Agents, Employees, Assigns, and Successors in Interest from and against all suits and causes of action, claims, losses, demands, and expenses. Including, but not limited to attorney's fees, and cost of litigation, damage, or liability of any nature whatsoever, for the death or injury to any person, including our employees and agents or damage or destruction of any property of either party hereto or of third parties, arising in any manner by reason of the negligent acts, errors, omissions, or willful misconduct incident to our performance under this agreement. The provisions of this paragraph survive expiration or termination of this agreement.

23. I consent to pay the deposit required for the Adopt From Home program, the amount of which will be communicated to me by the staff upon approval. This deposit will be determined by the initial intake fees and the necessary services my animal needs to be ready for adoption. I understand that this deposit will be held until the completion of the Adopt From Home program. If, for any reason, I do not complete the Adopt From Home program, I acknowledge that my full deposit will be forfeited.