PET CUSTODY & CARE AGREEMENT ================================================================ Effective Date: ________________________________________________________ Place: _________________________________________________________________ ================================================================ 1. Parties to the Agreement --------------------------- This Agreement is entered into on ____________________ (____________________) by and between: First Owner Individual Full Legal Name: _______________________________________________________ SSN / ID: ______________________________________________________________ Doc Series: ____________________________________________________________ Address: _______________________________________________________________ _______________________________________________________________ Second Owner Individual Full Legal Name: _______________________________________________________ SSN / ID: ______________________________________________________________ Doc Series: ____________________________________________________________ Address: _______________________________________________________________ _______________________________________________________________ 2. SUBJECT-MATTER SCHEDULE & SPECIFICATIONS ------------------------------------------- Pet's Name, Species & Breed: ___________________________________________ Microchip Number: ______________________________________________________ Custody & Visitation Schedule: _________________________________________ Sharing of Pet Costs: __________________________________________________ Veterinary Decisions: __________________________________________________ 3. EXECUTION & SIGNATURES ------------------------- First Owner Signature: _____________________________________________________________ Full Legal Name: _______________________________________________________ Date: __________________________________________________________________ Second Owner Signature: _____________________________________________________________ Full Legal Name: _______________________________________________________ Date: __________________________________________________________________