Pup Date Form

The care and services under this agreement consist of the following responsibilities: I shall care for AH Rescue Sanctuary dog(s) as identified and described below for the time listed. I agree to take a dog(s) on a pup date. I am responsible for the dog(s) and the public/community safety while in my care. Pup dates can consist of a few hours, a day, an overnight stay, a weekend stay or however long the pup date is approved for. Duration must be approved by Cynthia Casiano. I agree to return the dog to AH Rescue Sanctuary safe in the same conditions received and with all items/supplies needed for the pup date. I understand a pup date is not the same as an adoption and does not guarantee I am approved to adopt this dog(s) or adopt any dog from AH Rescue Sanctuary. I agree to all the terms above.

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EMERGENCIES: If there is an emergency, I will make a reasonable effort to first contact AH Rescue Sanctuary (Cindy) 609-992-6649 or 260-530-1953. If AH Rescue Sanctuary representative (Cindy) is unable to be contacted, I will contact the following Individual, Hugo Beltran 260-665-1844 & Vet. Dr. Gupta @ 260-238-8171 or 260-432-5525, Aboite Animal Clinic, 4142 Covington Rd, Fort Wayne, IN 46804.
I will also provide a copy of my license to the AH Rescue Sanctuary Staff Member.
I agree to all of terms and conditions below.
I understand that I may be handling animals during the Pup Date with AH Rescue Sanctuary and therefore exists a risk for personal injury. On behalf of myself, my heirs, personal representatives, and executor, I release, discharge, indemnify, and hold harmless AH Rescue Sanctuary, its agents, servants, volunteers, and board from any and all claims, cause of action or demands of any nature or cause connected with the volunteer contract. This could include any costs, attorneys’ fees and court costs occurred by AH Rescue Sanctuary in connection with the meet and greet based on damages or injuries who I or anyone under my care/supervision may incur in any way during the meet and greet. Such damages are not limited to but may include animal bites, accidents, injuries, and personal property damage. Initial Confidentiality I understand that there is an aspect of confidentiality involved with AH Rescue Sanctuary location, any information, clients, volunteers and their situations. I release AH Rescue Sanctuary, its volunteers, and fosters of any and all liability when meeting any dog or cat from AH Rescue Sanctuary. I further agree to indemnify and to hold AH Rescue Sanctuary, its’ Directors, Officers, volunteers, fosters, and/or agents free and harmless from any loss, liability damage, cost, or expense which I may incur as a result of any injury to myself or my pet(s), and/or property damage I may sustain while participating in a meet and greet or when meeting a dog or cat from AH Rescue Sanctuary.