Rescue Transfer Form

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.

TRANSFERED FROM

First Name / Last Name *

Address *

City / State / Zip *

Mobile Phone Number *

Email Address *

Date of Transfer *

Electronic Signature *

/s/First Name / Last Name

TRANSFERRED TO

Rescue Group *

EIN # *

Contact Name *

First Name / Last Name

Address *

City / State / Zip *

Email Address *

Mobile Phone Number *

Electronic Signature *

/s/First Name / Last Name

PET INFORMATION

Pet Name *

Breed *

ID # *

Microchip # *

Date Pulled *

This contract relieves Humans And Animals United, Inc. (hereinafter HAAU) of any and all liability henceforth regarding this animal; such as medical bills, legal issues arising from the health or temperament of this animal, etc. All information provided is fully disclosed to the best of our knowledge at time of transfer, i.e., pets arriving as strays may have issues not known to us. The transfer of this pet is in the best interest of the pet itself, and upon execution of this contract the pet can be adopted out by the receiving rescue.

For HAAU transfers:

The Animal being adopted came to HAAU as a stray or was surrendered or abandoned by its previous owner, and its medical history prior to HAAU awareness is unknown. Accordingly, the Adopter or third party organization agrees to hold Humans and Animals United, Inc., (HAAU) and the Rescue Group, it’s owner, directors, employees, facilitators, family members, volunteers, associated businesses, and any and all parties with information regarding this Animal harmless from any claim related to medical care, temperament, past history, or any other related or non-related issue regarding the Animal or for Adopter’s or third party’s other pets if they contract a disease or become harmed from the Animal.

The Adopter or third party organization further understands that animals can be unpredictable and hereby acknowledges and agrees that HAAU, the Rescue Group, and their respective agents, volunteers, and employees have not made any warranties regarding the future condition, temperament, or conduct of the Animal.

The Adopter or third party organization hereby accepts the Animal “as is” and agrees to assume all risks and responsibilities associated with ownership of the Animal, including bites or physical harm to another animal or human.

The Adopter or third party organization further agrees to release, indemnify, and hold harmless HAAU and the Rescue Group and their respective officers, employees, agents, and instrumentalities from any and all liability, losses, or damages, even if caused by the sole negligence of HAAU or the Rescue Group, including attorneys’ fees and costs of defense, as a result of any claims, demands, suits, causes of actions, or proceedings of any kind or nature, whether known or unknown, arising out of, relating to, or resulting from the adoption, care, ownership, maintenance, retention, temperament, conduct, or condition of the Animal.

Electronic Signature of Acceptance: *

/s/First Name / Last Name

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.