Releasing agencies may adopt any additional rules to implement the Dog and Cat Sterilization Act, provided said rules do not conflict with the provisions or purpose of the Dog and Cat Sterilization Act to require the spaying and neutering of all dogs and cats adopted from releasing agencies. The sterilization agreement to be used by releasing agencies shall be in substantially the following form:

STERILIZATION AGREEMENT

This Agreement is made and entered into this ____ day of

__________, 19__, by and between:

(Releasing Agency) (New Owner)

________________________________________________________

Name Name

________________________________________________________

Address Address

________________________________________________________

City TelephoneCity Telephone

In consideration of the releasing of said animal, and in further consideration of mutual obligations herein, Releasing Agency releases the following animal to the New Owner:

_________________________________________________________ (describe animal)

1. Releasing Agency agrees to release the above listed animal into the care of the New Owner and refund the New Owner's spay/neuter deposit provided that:

(1)The animal is sterilized by a graduate licensed

veterinarian by ______________________

(give date)

(2)A written statement signed by the veterinarian

performing the sterilization, that the animal has

been sterilized by the stated date is given to the

Releasing Agency.

2. New Owner accepts the above listed animal and agrees:

(1)To have the animal sterilized by a graduate

licensed veterinarian by __________________

(give date)

(2)To provide written evidence to the Releasing Agency

from the veterinarian performing the sterilization

that the animal has been sterilized by the above

date listed.

This Agreement shall be binding upon the assigns, heirs, executors and administrators of the respective parties.

The parties hereto have hereunto set their hands the day and year

first above written.

______________________________

Releasing Agency (signature of

agent)

______________________________

New Owner (signature of)

Added by Laws 1986, c. 204, § 5, eff. Nov. 1, 1986.