Transfer Form

I, , agree to adopt as my pet under my rescue organization an animal, whose
breed is known as as an animal under my custody. By signing this agreement,
IHeart Animal Rescue accepts my offer to adopt the animal.

In consideration of adopting the animal, I agree to the following conditions:
- To accept and consider the animal as a household companion, not as an outside pet, and to
provide him with humane care and treatment, including proper food, water, shelter and
exercise, and to give him a reasonable amount of time to adjust to new surroundings.

- To provide proper medical/veterinary care, including yearly checkups, vaccinations and
heartworm prevention medicine, as well as veterinary care for unusual, symptoms such as
loss of appetite, coughing, vomiting, diarrhea, blood in urine/stool, allergies, skin
conditions and lethargy.

- To safeguard the animal from loss or mishap. This means not allowing the animal to run

- To immediately notify iHeart Animal Rescue at (954) 288-3861 if the animal is lost, and
to make every reasonable effort to recover the Animal.

- NOT to change or alter the animal's appearance in any way, shape or form (e.g., cropping,

- To allow IHeart Animal Rescue to make periodic visits to my home during the first 90
days following the signing of this and if considered necessary, to further periodic visits
Address: Email:

I understand the animal's current state of health is accurately represented to the best knowledge of
IHeart Animal Rescue. I further understand that no representations are made as to the
temperamental or mental disposition of the animal. Accordingly, I hereby adopt the animal at my
own risk. I have read and fully understand the terms and conditions of this agreement, and
agree that it is not arbitrary and that the provisions herein are common in pet adoption
contracts. I further understand that if I fail to comply with any of the terms specified herein,
IHeart Animal Rescue has the right to reclaim the animal and to pursue any legal channels to
do so.

"In consideration of IHeart Animal Rescue allowing me to adopt the animal, I promise and
agree to be solely responsible for any damages to people or property caused by the animal(s). I
further promise and agree to indemnify and release IHeart Animal Rescue, its Officers and
Directors, of any and all liability arising from any known, unknown, or any unanticipated
damages to people or property caused by the animal(s). I am fully aware of, understand, and agree
to all the terms and conditions of this RELEASE AND INDEMNIFICATION PROVISION,

Name: Date: