I,*
, owner of *
, do hereby certify that my dog:
Is in good health and has not been ill with any communicable conditions within the past 30 days. I certify that my dog has not been exposed to Rabies, Distemper, Hepatitis, Leptospirosis, Parainfluenza, Parvovirus, and Bordetella (kennel cough) within a 30-day period prior to enrollment. I further certify that my dog has not harmed or demonstrated aggressive or threatening behavior toward any human being and/or another animal (except as noted above). Initial: *
Bed & Bark by K-9 Coach, hereafter referred to as B&B, takes all reasonable steps to provide a safe environment for dogs in its care. I acknowledge that all dogs are boarded or groomed, or otherwise handled or cared for by B&B personnel and hold without liability B&B or its representatives for loss or damage from disease, running away, theft, fire, injury to persons, other pets, or property by said pet, or other unavoidable causes, that due diligence and care having been exercised. Initial:
*
I also acknowledge that group play with other dogs has inherent risks and hold without liability B&B or its representatives for such risk including injury or loss to my dog while in the care of B&B. Initial: *
If dog is found to have fleas and/or ticks while at Bed & Bark, it will be bathed and treated at the owner’s expense. Initial: *
If the dog becomes seriously ill, the owner shall be notified at once. If the owner does not inform B&B immediately regarding measures to be taken, or if the state of the dog’s health reasonably demands quick action, B&B representatives shall have the right to call a veterinarian, as designated above or, if no veterinarian is designated, to call a veterinarian of our choice or take the dog to said veterinarian in either case or administer medicine or give other advisable attention, within our discretion and judgment and, in case of death, to order an autopsy. If above occur after normal veterinarian hours, use of an Emergency Veterinarian may be justified. You further agree to be solely responsible for the payment of all medical bills for your dog and you release B&B, its officers, directors, agents, and employees of and from any and all responsibility for, or claims, damages, debts, arising out of or related to such medical care, including but not limited to, transportation to/from the veterinarian clinic and choice of veterinarian or animal hospital. Initial: *
For boarding, a non-refundable 50% deposit is due upon registration and the remaining balance is due at pick up - payable by credit card, check or cash. Returned checks will incur a $50 fee. In the event of a cancellation, deposit will be applied to future services. Services cancelled with less than 24 hours notice forfeit 50% deposit and a credit will not be applied. Initial:
*
Any dogs left in our care for two weeks following training, without prior consent and without contact from owner, will be considered abandoned and treated as such. Initial:
*
You may verbally (by telephone) or in writing (by facsimile or otherwise) request that B&B release your dog to someone other than the person(s) listed above, and you release B&B of and from any and all responsibility for releasing your dog to said person authorized by yourself.
Signature: *
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