Hawk Creek Animal Shelter Adoption Deposit printable pdf download

Hawk Creek Animal Shelter

Humane Society of Kandiyohi and Meeker Counties

250 28

St SW • Mail: PO Box 709 • Willmar, MN 56201 • (320)235-7612 • Fax: (320)235-1878 • License 47292

ADOPTION DEPOSIT

There is a $20.00 per animal Adoption Deposit that must accompany this form. This deposit is required for

each animal you wish to adopt. Cash, credit or debit cards may be used to pay the balance due at the time of

the animal(s) pickup. Your $20 deposit per animal will be deducted from the animal(s) adoption fee as long as

the hold time has not lapsed. Animals can only be held for 48 hours. Sorry, we do not accept checks.

Please read and put a check mark in front of the statement that you acknowledged you understand the

statement.

____If you back out of the adoption your deposit will be forfeited and it will be considered a donation to

the Hawk Creek Animal Shelter.

____ If your landlord says “No” the $20 deposit will be forfeited and it will considered a donation to the

Hawk Creek Animal Shelter.

____If after the 48 hour hold you have not adopted the animal, the deposit will be considered a donation

to the Hawk Creek Animal Shelter.

____If the adoption does not go through due to circumstances beyond your control it will be decided by

the Management Team whether to refund the deposit.

____ If you are the second or third party interested in adopting the same animal and it is adopted out

ahead of you or claimed by its owner, the deposit will be refunded.

____By signing this form you acknowledge that you understand the terms of this application deposit. If

you have questions please ask before signing this form.

Name: ________________________________________________________ Date of Deposit: ______________

Main Phone: _________________________________ Other Phone: _________________________________

Name/ID Number of the animal that you are adopting: ____________________________________________

Adoption Fee: _________________________________ Deposit: _________________

Cash

Debit/Credit

Balance due at time of pickup: __________________ Date & time of pickup: __________________________

Signature of Adopter: ___________________________________________ Date: _______________________

HSKMC Staff: _________________________________________________ Date: ________________________

Revised 1-7-2015

Hawk Creek Animal Shelter Adoption Deposit