Pet Pals Resort

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OWNER INFORMATION
First Name:
Last Name:
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PET INFORMATION
Name:
Age:		DOB:,
Breed:		Color:
Sex:		Weight:
Brand of Food:
Times Fed per Day:
At what times:		Use "Ctrl" for multiple selections



Does your pet have any medical conditions or allergies?
If yes, please explain:

Form of flea & tick control:

Is your pet house trained?
Describe your pet's temperament:

Describe any behavorial problems:

Does your pet have a history of destroying bedding?
If yes, you take for responsibilty to pay for bedding or you may provide your own.
Does your pet have any history of biting?
If yes, please explain:

Has your pet ever growled or snapped at anyone that has
touched his/her food or toys?
If yes, please explain:

Special instructions for your pet:

EMERGENCY CONTACT INFORMATION (Family or Friend)
First Name:
Last Name:
Home Phone:
Cell Phone:
Pager:
Work Phone:		Ext.
Persons Permitted to Pick Up my Pet:

VETERINARY INFORMATION
Name:
Address:
City:
State:		Zip Code:
Phone:

CLIENT AGREEMENT

PET PALS RESORT CLIENT AGREEMENT
This is contract between Pet Pals Resort, LLC (hereinafter called “Pet Pals”) and the pet owner whose signature appears below (hereinafter called “Owner”).  Owner is defined as the pet’s custodian, daily caretaker and person(s) /individual(s) responsible for care and well being of the pet.

1.	Owner agrees to pay the rate for boarding in effect on the date the pet is checked into Pet Pals.
2.	Owner further agrees to pay all costs and charges for special services requested, including but not limited to, any and all veterinary costs for the pet during the time the pet is in our care. This can include medical bills, prescriptions or any form of medication.
3.	Owner further agrees that the pet shall not leave Pet Pals until all charges are paid by Owner.
4.	By signing this contract and leaving the pet with Pet Pals, Owner certifies to the accuracy of all information given about said pet.
5.	Pet Pals shall exercise reasonable care for the pet delivered by the Owner to Pet Pals for boarding and day care.  It is expressly agreed by Owner and Pet Pals that Pet Pals liability shall in no event exceed the current chattel value of a pet of the same species or the sum of $200.00 per animal boarded or in day care.  The Owner further agrees to be solely responsible for any and all acts or behavior of said pet while it is in the care of Pet Pals.
6.	Owner specifically represents that he or she is sole owner of the pet, free and clear of all liens and encumbrances.
7.	Owner certifies that the pet has not bitten, attacked, or assaulted anyone or another pet and has not exhibited or displayed any dangerous or vicious behavior, prior to admittance to Pet Pals.
8.	The owner agrees that if the pet shows any signs of fleas or ticks during its stay, Pet Pals may bathe the pet and the Owner will be charged accordingly (see grooming charges).  
9.	Owner specifically represents to Pet Pals that the pet has been vaccinated against rabies, parvo and distemper within the last year. (Veterinary records must accompany signed agreement.)
10.	Owner specifically represents to Pet Pals that the pet has had bortedella vaccination at least two weeks prior to its scheduled stay. (Veterinary records must accompany signed agreement.)
11.	All charges incurred by Owner shall be payable in accordance with Pet Pals policy, whereby at least one-half of estimated charges are payable upon drop-off of pet, with the balance payable upon pick-up of pet.
12.	This contract contains the entire agreement between the parties. All terms and conditions of this contract shall be binding on the heirs, administrators, personal representative and assigns of the Owner and Pet Pals.  This contract is completely integrated and cannot be modified or altered in any manner, unless said modification/alteration is reduced to writing.
Owner, his/her heirs, and any assigns hereby release Pet Pals, its agents, officers, subcontractors, employees, animal owners, customers and potential customers of Pet Pals, from any and all liabilities for injuries to Owner, Owner's pet, or any other property of Owner which arise in any way out of services and/or products by or as a consequence of Owner's association with Pet Pals.  Owner acknowledges and understands that every pet reacts differently and that animals, by nature, are unpredictable.  Dogs and animals may, without warning, bite or cause injury to humans and other pets.  Owner acknowledges and understands there are certain risks involved in pet ownership, training and care, including but not limited to dog and cat fights, dog and cat bites to humans or other pets and the transmission of disease.  Owner, therefore, agrees to indemnify and hold harmless Pet Pals for any and all liabilities, costs, injuries, attorney fees, expenses which may be incurred as a result of Owner's pet's misbehavior.  Pet Pals reserves the right(s) to demand the Owner pick up the pet and pay all expenses incurred immediately in the event that the pet misbehaves or endangers the well-being/safety of other pets, individuals, employees, etc.
Owner also authorizes the release of said pet's medical records from Owner's veterinarian.

I have read and agree to the above

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