I (W e) hereby agree to provide a caring home for this Brussels Griffon. I understand that this Griffon is heartworm negative. I accept full responsibility for her/his health, welfare and actions. Should I (we) at any time be unable to keep or care for this dog, I (we) will NOT give her/him away or sell her/him to anyone or destroy (euthanize) this dog, but will contact Vicki O’Neill, Vice President of Animal Services, or another Rescue Coordinator to help in finding her/him a new suitable home. I (we) also agree to the following:

This contract is between the adoptive person(s) and the NBGR volunteer representing this rescue dog. The volunteers of the Brussels Griffon Rescue are members of the NBGR, Inc., however, National Brussels Griffon Rescue, Inc. is in no way financially liable or responsible for this adoption or future acts of the rescue dog. In signing this contract, the adopting person(s) agrees to hold the members and volunteers of the National Brussels Griffon Rescue, Inc. and those acting on its behalf harmless from any liability, expense or cost of defense resulting from acts of this dog and all problems, consequences or disputes resulting from the adoption of this Brussels Griffon.

I understand that the National Brussels Griffon Rescue, Inc., may reclaim the above named dog(s) from me if I do not fulfill the terms of this Contract. By clicking the appropriate box below, I acknowledge that I have read, understand and agree or disagree to the terms listed above. If I disagree and do not accept the terms, this contract is invalid. Should the dogs be in my possession at the time I disagree, they will be released back to NBGR immediately.