EASTSHORE HUMANE ASSOCIATION, INC.P.O. BOX 320 – 1100 PARK STREETCHILTON, WI 53014 TELEPHONE/FAX: (920) 849-2390

TRANSFER/AD O P T I O N C O N T R A C TI.D.: NAME: SEX: BREED: AGE: COLOR: SPAY/NEUTER DATE:

THIS IS A LEGAL CONTRACT. PLEASE READ IT CAREFULLY AND ASK QUESTIONS IF YOU DO NOT UNDERSTAND ANY PART OF THIS CONTRACT.

1. I ACKNOWLEDGE RECEIVING THIS ANIMAL FROM THE EASTSHORE HUMANE ASSOCIATION, INC. I SHALL BE RESPONSIBLE FOR THE LICENSING, VACCINATION, HUMANE CARE AND CONTROL, INCLUDING PROMPT VETERINARY SERVICE IF NEEDED FOR THIS ANIMAL.

3. I ACKNOWLEDGE THAT EASTSHORE HUMANE ASSOCIATION, INC. UPON RELEASING ANIMALS FOR ADOPTION, ATTEMPTS TO PROVIDE ANIMALS SUITABLE AND ADAPTABLE FOR THE NEW SURROUNDINGS IN WHICH THEY WILL BE LIVING. SINCE ANIMALS MAY POSSESS HABITS AND TRAITS WHICH MAKE THEM RESTLESS AND IRRITABLE WHEN BROUGHT INTO NEW SURROUNDINGS, I ACCEPT THIS ANIMAL AS IS, WITHOUT ANY WARRANTIES OR REPRESENTATIONS NOT EXPRESSED HEREIN. I HEREBY RELEASE THE EASTSHORE HUMANE ASSOCIATION, INC. FROM ANY AND ALL CLAIMS FOR DAMAGES TO PERSON OR PROPERTY WHICH MAY, IN ANY MANNER, AND AT ANY TIME HEREAFTER, RESULT FROM ANY VICIOUS, MISCHIEVOUS, PLAYFUL, AND OR ANY OTHER TRAIT OF THIS ANIMAL.

4. IF THIS ANIMAL IS FOUND TO BE UNHEALTHY BY A VETERINARIAN WITHIN ONE WEEK OF THIS ADOPTION, I MAY RETURN IT TO EASTSHORE HUMANE ASSOCIATION, INC.

5. I UNDERSTAND THAT EASTSHORE HUMANE ASSOCIATION, INC. DOES NOT CONVEY TITLE TO THIS OR ANY CAT OR DOG BY CONTRACT UNTIL THE ANIMAL HAS BEEN STERILIZED.

TRANSFERRED TO: (PLEASE PRINT): WISH UPON A PAW – NATALIE NELSONADDRESS_1543 KINGSWOOD DRIVE__ CITY___NEENAH______STATE_____WI______ ZIP CODE__54956__________

TELEPHONE NUMBER__920-843-3075_________________ DRIVER’S LICENSE NO.__N425-6308-1968-00______

SIGNATURE OF WISH UPON A PAW REPRESENTATIVE (LEGAL NAME)___NATALIE NELSON_______

DONATION TO OFFSET EXPENSES N/A RECEIVED BY (SHELTER REP) ___________________ DATE_EFFECTIVE FOR 2012 YEAR____