Spay/Neuter Agreement

"*" indicates required fields

Dog's Name

Spay/Neuter by Date*

Breeding: Adopting person(s) agrees that the rescue dog mentioned above will not be used for breeding purposes.

Date: Adopting person(s) agrees to have dog mentioned above spayed/neutered by the age of 6 months, no later than date selected above.

Forfeiture: Adopting person(s) agrees that failure to spay/neuter rescue dog and date mentioned above WILL result in forfeiture of the dog to Cincinnati Lab Rescue.

Final Notice: Adopting person(s) agrees that this spay/neuter agreement constitutes final notice of the spay/neuter requirement and no further notice is required to institute legal action for violation of the terms of this contract.

Name*

Phone*

Email*

Address

Street Address City State / Province / Region

By signing this agreement, I/we have read and understand the above and agree to abide by its contents.

Signature*

Date*

To be completed by a licensed Veterinarian

This portion of Spay/Neuter Agreement MUST be signed by a licensed Veterinarian confirming the spay/neuter of rescue dog mentioned above and returned to Cincinnati Lab Rescue at PO Box 30561, Cincinnati, OH 45230.

Name & Address of Animal Hospital

Hospital Phone/Email

Signature of Veterinarian

Name

This field is for validation purposes and should be left unchanged.

Spay/Neuter Agreement

To be completed by a licensed Veterinarian

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