Humans And Animals United Inc. (the “Charity/Rescue/we/us”), a Florida 501 © (3) non-profit corporation, and the undersigned (the “Adopter” or “you”), in consideration of the mutual covenants in this Agreement and other good and valuable consideration, intending to be legally bound by this Agreement, agree to the following:

The Animal - We are placing the following described animal with you, the Adopter, for the adoption by you as a companion animal and family member:

BY ADOPTER: HUMANS AND ANIMALS UNITED INC.:

VOLUNTARY RELEASE / WAIVER OF LIABILITY

This Voluntary Release/Waiver of Liability (the “Release”) is made and entered between this above named and Humans And Animals United Inc. effective as of the indicated date. The undersigned desires to adopt an animal from Humans And Animals United Inc., and as an inducement to RESCUE to agree to the adoption, the undersigned hereby represents, acknowledges and agrees as follows:

I acknowledge that, due to the unpredictable nature of animals, certain risks and dangers may occur while caring for an animal, including risks of injury to person and property, and that I have voluntarily agreed to make the adoption contemplated herein with full knowledge of such risks and hereby voluntarily assume all of such risks.

I agree that I will not make any claims against, sue or attach any property of Humans And Animals United Inc., its directors, officers, agents, employees and/or volunteers for any injury or damage caused by any animal(s) adopted from Humans And Animals United Inc.

I hereby voluntarily release, discharge, waive and relinquish any and all actions or causes of action for personal injury, property damage or wrongful death occurring to me or third parties as a result of any action or activity of any animal(s) adopted by me from Humans And Animals United Inc. It is my intention by this instrument to exempt and relieve Humans And Animals United Inc. from ALL liability for personal injury, property damage or wrongful death caused by negligence or otherwise.

I hereby agree to hold Humans And Animals United Inc. and its claims, judgments directors, officers, agents and/or employees harmless and indemnify them from and against any liability, or expenses I may incur arising out of my adoption of an animal from Humans And Animals United Inc.  and/or my ownership or care of any such animal thereafter.

I HAVE CAREFULLY READ THE FOREGOING, AND I UNDERSTAND THAT TOGETHER THEY CONSTITUTE A DISCLAIMER OF LIABILITY BY HUMANS AND ANIMALS UNITED INC. AND A RELEASE OF ALL CLAIMS BY ME. I UNDERSTAND THAT I ASSUME ALL RISKS INHERENT IN MY DECISION TO ADOPT AN ANIMAL FROM HUMANS AND ANIMALS UNITED INC. AND ANY RELATED ACTIVITIES.

If any portion of this Release is held invalid, it is agreed that the balance hereof shall continue in full legal force and effect.

Humans And Animals United Inc. Optional Care Provision (If applicable)

In effect if notified by Humans And Animals United Inc., Adoptee please read and initial:

Special Behavioral Needs: Adopter understands that the Animal has special behavioral issues that have been described to them by Rescue and agrees to complete obedience training class.

No Other Pets: Adopter understands that the Animal is being adopted as an only pet and that other animals may not be safe if brought into the same household—therefore no other pets will be brought into the Adopters household for any reason.

Unenclosed Pools/Spas: Adopter understands that their unenclosed pool or spa may represent a deadly hazard to the Animal and agrees not to give the Adoptee unaccompanied access to the pool or spa until after Adoptee has been trained to safely exit the pool or spa.

No Children: Adopter understands that the Animal may not be kept in a home with children and hereby states that there are no children in their current household and no plans to have or adopt children in the future.

Predators: Adopter understands that the Animal is a small Animal, especially vulnerable to predators, such as hawks, owls, coyotes, etc., therefore agrees that the Animal will never be left outdoors unaccompanied by you or a member of your family.

Sensitive to Loud Sounds: This Animal is sensitive and scared of loud noises, and you hereby agree to keep the Adoptee indoors or in a safe and secure environment on holidays such as July 4th , New Year’s Eve, etc.

Escape Artist: This Animal has proved to Rescue that it can jump a four (4) foot fence. It will never be left alone in a yard unsupervised.

Possessive of Food: This Animal has exhibited behavior of protecting its food. The adoptee agrees to feed it separate from all other animals in the home and be careful of taking food away from dog while eating.