RESCUE      ( PRINTABLE  WORD DOC OR PDF FILES COMING SOON)  

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CANADIAN MASTIFF CLUB
RESCUE / PLACEMENT SERVICE
PLACEMENT CONTRACT

In consideration, mutually acknowledged, for receiving from the CMC Rescue/Placement Service the Mastiff described below, I hereby agree to care for said animal humanely and to provide adequate food, water, shelter, companionship and veterinary care.
Mastiffs name_______________Colour_____________Sex____________Age___________________
Spayed or neutered?_________________

I agree to maintain a current license in accordance with the laws and ordinances in the jurisdiction in which I reside. I agree not to sell, trade, transfer or dispose of said animal in ANY WAY, but to return the animal to the CMC Rescue/Placement Service if at any time I relinquish custody.

It is also understood and agreed that authorized representatives of the CMC Rescue/Placement Service may examine and make enquiries about said animal at any time, and if not satisfied with its conditions or the conditions in which it is being kept, the dog shall be reclaimed by the CMC. An appeal from the decision of the CMC Rescue Committee may be made in writing to the CMC Board of Directors, and the decision of the Board shall be final and binding.

It is also understood and agreed that said animal WILL NOT be used for medical or breeding purposes. If the animal that I have received has not been spayed/neutered, I agree to have this procedure performed by
_________________(date) and I will submit proof of the procedure signed by the veterinarian performing the spay or neuter. It is also understood that no CKC registration papers will be transferred in this transaction unless the Mastiff is spayed or neutered.

The undersigned, as further consideration, does hereby forever release, discharge and covenant to hold harmless the CMC, its Board of Directors, Officers, Members or Agents from any and all claimed damages, expenses or actions arising out of any act or occurrence pursuant to this contract and/or conduct of said Mastiff.
I have read the above, and by affixing my signature below, agree to abide by the provisions of this contract.

Name________________________________Date____________Address___________________________

Signature____________________________________ _________________________________

SIN #_______________________________________ Phone #___________________________

Name, Address & Phone # of Veterinarian____________________________________________________


Name, Address & Phone # of Employer______________________________________________________


CMC Rescue Volunteer Name________________________________Date_________________________

Signature___________________________________Phone No.___________________________________

Address_______________________________________________________________________________


Canadian Mastiff Club
Rescue/Placement Service
FAMILY PROFILE


Name________________________________________________________________________

Address______________________________________________________________________

Phone(s)_____________________________________________________________________
Names and relation of other adults in household____________________________________

Names and ages of children living in household____________________________________

_____________________________________________________________________________
Other pets owned______________________________________________________________
Do you____own____rent____house____apartment____condo?
Will the dog be ______inside______outside?
Is your property fenced?________Do you have a dog run?_________
Please describe where the dog will live____________________________________________

_____________________________________________________________________________
Do all adult family members work outside the home?________________________________
Approx. hours (shift work etc.)___________________________________________________
Have you ever owned a dog?____________When?__________________________________
Have you ever owned a Mastiff?__________________________________________________
Name, address and phone number of your veterinarian______________________________


Other reference_______________________________________________________________

Do you prefer a ________male_________female?_________age preference_____________

Why would you like to adopt a rescue Mastiff?_____________________________________

____________________________________________________________________________
Will you agree to spay/neuter the dog if required by Mastiff Rescue and provide proof
If required?__________________________________________________________________
Would you be willing to pay transportation costs if a suitable dog is available in another
Area?_______________________________________________________________________

I certify that the above information is true and I understand that prior to the placement of
a Mastiff in my home the above information will be verified. I also agree to a personal interview with a CMC member, if requested, to determine the suitability of my facilities to care for a Mastiff.

______________________________________ ________________________
Applicant signature(s) Date


Regional Co-ordinators comments________________________________________________



_____________________________________________________________________________