Foster To Adopt

UNDERSTANDING AND AGREEMENT

Prior to filling and submitting this form please consult your attorney regarding each and every section to avoid misunderstanding or confusion. Do not fill and submit this form if you do not fully understand and agree with all sections of this form.

Applicant Information

Name of the pet you are adopting: (PETS NAME) *

Species(Ex: Dog/Cat) / Breed / Description: *

Your Full Name *

First Name Last Name

Your Age *

Ex: 30

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Phone Number *

Area Code Phone Number

Email *

example@example.com

Humans And Animals United Inc (hereafter “HAAU”) is entering into this Foster-to-Adopt Agreement as a courtesy to me to allow me to have custody of this Animal before it can be spayed or neutered or complete heartworm treatment. The animal shall remain the sole property of HAAU until it is spayed or neutered or heartworm negative and the adoption is finalized. If for any reason the adoption is not finalized, I understand that upon the request of HAAU the animal shall be relinquished to HAAU and the adoption fee may be refunded.

Initials *

I agree to pay the adoption fee upon completion of this Agreement, and to sign the final adoption contract at the date and time of the adoption.

Initials *

I will provide the animal with good care, including but not limited to, proper food, fresh water, shelter, exercise, grooming, training and medication when required. I will comply with all instructions received from HAAU and will not deviate from any instructions as to the care and maintenance of the animal without consulting with a representative of the rescue.

Initials *

I understand that other animals in my household could be exposed to medical or behavioral conditions that have not been recognized in the foster animal placed with me by HAAU, and that HAAU is not liable for any disease or injury of my own companion animals or other exposed animal.

Initials *

I understand that veterinary costs for routine flea and parasite control and vaccinations that become due prior to the scheduled spay/neuter date, are my responsibility unless otherwise indicated by HAAU. Veterinary costs for illnesses and for accidental injuries sustained by the animal after it came into my care will be my responsibility unless otherwise indicated by HAAU.

Initials *

I have been advised that HAAU uses pediatric spay/neuter for young foster animals as soon as it is appropriate as advised by veterinarians used by HAAU. HAAU will make arrangements for spay/neuter surgery and I agree that I will take this Animal to its spay/neuter appointment and for any other necessary veterinary care as directed by HAAU unless other arrangements have been made by mutual agreement. There are no exceptions to the requirement that the animal must be spayed/neutered before its adoption is complete.

Do you Agree? *

Yes or No

I agree not to attempt to hold HAAU responsible for any damages which the animal may do to any person or property. I specifically relieve HAAU of any responsibility pertaining to any damage to property or personal injury or any occurrence relating to the animal and shall hold HAAU harmless regarding any damage or injury(ies) of any nature whatsoever, and agree to notify HAAU immediately of any damages and/or injury(ies). I agree to return the foster animal to a boarding facility chosen by the rescue in case of any issues. I agree to give HAAU a period of two (2) weeks from notification to them that the animal needs to be returned to HAAU. If the two week period does not take place, then I hereby agree to pay for two (2) weeks of boarding to Humans And Animals United, Inc. within twenty four (24) hours of the release of the animal from my possession.

Type a question

Do you Agree? *

Yes or No

Electronic Signature of Acceptance *

I understand by checking this box, I acknowledge the above signature constitutes a legal signature, confirming that I acknowledge and agree to the above Contract Terms. *

I understand and acknowledge

CONSENT AND NOTICE REGARDING ELECTRONIC COMMUNICATIONS FOR HUMANS AND ANIMALS UNITED INC.(hereinafter referred to as HAAU / Company)

Electronic Signature Agreement

By clicking on SUBMIT at the bottom of this electronic form you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement.

By signing this Agreement electronically, you consent to be legally bound by this Agreement's terms and conditions. You further agree that your use of a keypad, mouse or other device to select an item, button, icon or similar act/action, or to otherwise provide the Company, or in accessing or making any transaction regarding any agreement, acknowledgment, consent terms, disclosures or conditions constitutes your signature (hereafter referred to as "E-Signature"), acceptance and Agreement as if actually signed by you in writing.

You also agree that no certification authority or other third party verification is necessary to validate your E-Signature and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature or any resulting contract between you and the Company.

You also represent that you are authorized to enter into this Agreement for all persons who are authorized to access any of your submitted information and that such persons will be bound by the terms of this Agreement. You further agree that each use of your E-Signature with the Company constitutes your agreement to be bound by the terms and conditions of this Agreement.

Consent to Electronic Delivery

You specifically agree to receive and/or obtain "Electronic Communications” from the Company. The term "Electronic Communications" includes, but is not limited to, any and all current and future notices and/or disclosures we provide to you, as well as such other documents, statements, data, records and any other communications regarding your relationship to the Company.

You acknowledge that, for your records, you are able to retain the Company’s Electronic Communications by printing and/or downloading and saving this Agreement and any other agreements and Electronic Communications, documents, or records that you agree to by using your E-Signature.

You accept Electronic Communications provided via your account with the Company as reasonable and proper notice, for the purpose of any and all laws, rules, and regulations, and agree that such electronic form fully satisfies any requirement that such communications be provided to you in writing or in a form that you may keep.

Paper version of Electronic Communications

You may request a paper version of an Electronic Communication. You acknowledge that the Company reserves the right to charge you a reasonable fee for the production and mailing of paper versions of Electronic Communications. To request a paper copy of an Electronic Communication contact us at haauinc@gmail.com

Revocation of electronic delivery

You have the right to withdraw your consent to receive/obtain communications with the Company at any time. You acknowledge that the Company reserves the right to restrict or terminate communications with the Company if you withdraw your consent to receive Electronic Communications. If you wish to withdraw your consent, contact us at haauinc@gmail.com

Valid and current email address, notification and updates

Your current valid email address is required in order for you to obtain Electronic Communications from the Company. You agree to keep the Company informed of any changes in your email address. You may modify your email address listed with the Company by sending an email notification of address change to haauinc@gmail.com

The Company may notify you through email when an Electronic Communication or updated agreement pertaining to your account is available.

Hardware, software and operating system

You are responsible for installation, maintenance, and operation of your computer, browser and software. The Company is not responsible for errors or failures from any malfunction of your computer, browser or software. The Company is also not responsible for computer viruses or related problems associated with use of an online system.

We require, at a minimum, a functioning modern web browser that was released in the past two years (such as a recent version of Microsoft Edge, Google Chrome, Mozilla Firefox, or Safari) running on an up-to-date operating system (such as Windows 10, OS X Mojave, etc). Unsupported browsers may not receive full functionality of the product.

For example, we support Apple's Safari browser on macOS Mojave or High Sierra (both updated within the past two years), but not Internet Explorer on Windows 8, as Internet Explorer is no longer supported or being updated by Microsoft.

Controlling Agreement

This Agreement supplements and modifies any and all written or verbal agreements that you may have with the Company. To the extent that this Agreement and another agreement contain conflicting provisions, the provisions in this agreement will control (with the exception of provisions in another agreement for an electronic service which provisions specify the necessary hardware, software and operating system, in which such other provision controls). All other obligations of the parties remain subject to the terms and conditions of any other agreement.

It is recommended that you print a copy of this Agreement for future reference.