Irp-cdn.multiscreensite.com



Heather Watley, Certified Professional Dog Trainer621 Haughton Trace Ct., Haughton, LA 71037318.505.3731licksandloves@Club Licks & Loves Hotel Boarding Form(Please Type or Print)Name(s): ______________________________________________________________________________________________________________Address: ______________________________________________________________________________________________________________City: _____________________________________________________State: _____________________ZIP: _____________________________Phone: ________________________________________Email: _________________________________________________________________Emergency Contact(s): __________________________________ Emergency Contact Phone: _____________________________Dog’s Name: _____________________________________________ Dominant Breed: _________________________________________Dog’s Gender: ___________________________________________ Dog’s Age: ________________ Dog’s DOB: ___________________Where did you acquire your dog (i.e. shelter, breeder, etc.) ______________________________________________________For how long have you had your dog? ___________________________________________ Neutered/Spayed? __yes __noList of medications your dog is currently taking: _________________________________________________________________Allergies? __yes __no If yes, to what? _______________________________________________________________________________(Please check the correct response) My dog:YES NOis permitted to run free in the house unsupervisedwalks well on a leash (does not pull and stays by my side)sleeps in my bedis permitted to run in a fenced yard when supervisedis permitted to run in a fenced yard unsupervisedlays on the furniturealways has access to his/her foodstays in crate when left alonestays with me when he/she is off leashHow did you hear about Licks and Loves? __________________________________________________________________________Please provide your veterinarian’s information below:Veterinarian hospital or clinic: ______________________________________________________________________________________Veterinarian’s name: _________________________________________________________________________________________________Location: ______________________________________________________________________________________________________________Phone number: _______________________________________________________________________________________________________I give permission for Licks and Loves to verify my dog’s vaccination status with my veterinarian.Signature: _____________________________________________________________________________________________________________Feeding instructions: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Puppy Boarding Fee Per Day…………………………………... $25.00$_______________________________Dog Boarding Fee Per Day ………………………………………$20.00 $_______________________________Secondary Puppy Boarding Fee Per Day …………………. $20.00$_______________________________Secondary Dog Boarding Fee Per Day ………………………$15.00$_______________________________Medication Fee Per Day …………………………………………..$2.00$_______________________________Dog Food Provision Fee Per Day ………………………………$5.00$_______________________________Dog/Puppy Pickup/Drop Off Fee ……………………………..$15.00 each way$_______________________________Bathing and Nail Trim ……………………………………………..$20.00 each$_______________________________Nail Grinding……………………………………………………………$15.00$_______________________________ARRIVAL DATE: _____________________________________DEPARTURE DATE: _________________________________TOTAL DUE UPON DEPARTURE:$_______________________________Contract and Liability Release (Boarding House Copy):The dog’s behavior now and in the future is solely the responsibility of the owner of the dog. Should any behavior on the dog’s part now or in the future result in damage to property, owner or persons of some third party, owner agrees to assume full responsibility and liability to such third party for any such damage, and to absolve Licks and Loves Dog Training Services and Heather Watley and any referring organization and or other participants for any and all obligations to pay such damage to third party. All dogs are handled or cared for by Licks and Loves Dog Training Services and Heather Watley and any referring organization and other participants without any liability whatsoever on Licks and Loves Dog Training Services and Heather Watley and any other referring organization and or other participants for loss or damage from disease, death, running away, theft, fire, injury to persons, other dogs, other animals, or property by said dog, or other unavoidable causes. In case of emergency: If your dog has an unforeseen emergency and has to be rushed to a vet, our first choice will be to take them to the vet on file. If they are not available, for any reason, Licks and Loves Dog Training Services and Heather Watley reserves the right to take the dog to any vet of Licks and Loves Dog Training Services and Heather Watley's choosing. Owners are responsible for payment of vet visit unless the incident was due to negligence on Licks and Loves Dog Training Services and Heather Watley's part. Licks and Loves Dog Training Services nor Heather Watley shall make every reasonable effort to drive carefully and safely while transporting pets for owners who utilize the pick-up or delivery service, or any other reason pets may be transported. Owner agrees not to hold Licks and Loves Dog Training Services or Heather Watley liable for injury or death of pet due to accident during transport unless a representative of Licks and Loves Dog Training Services’ driving is found to be grossly negligent. In the case of a medical emergency, the maximum dollar amount that owner authorizes to be spent on veterinary care is $____________ (please fill in amount, i.e. $1000, $5000, unlimited, etc.) If pet dies while boarding at Licks and Loves Boarding House, the Boarding House will immediately attempt to notify the owner via the emergency contact information left by owner. The body will be stored at either the owner’s veterinarian or as per owner’s instructions.The owner agrees that Licks and Loves Dog Training Services and Heather Watley assumes NO ownership or guardianship and there for No liability associated with animal. Licks and Loves Dog Training Services and Heather Watley shall exercise reasonable care for the pet delivered by the Owner to Licks and Loves Dog Training Services and Heather Watley for boarding. Agreed by Owner and Licks and Loves Dog Training Services and Heather Watley that Licks and Loves Dog Training Services and Heather Watley’s liability, in no event exceeds the lesser of the current chattel value of a pet of the same species or the sum of $200.00 per animal boarded expressly agree it. The Owner further agrees to be solely responsible for all acts of behavior, if it bites another pet or people of said pet while it is in the care of the Licks and Loves Dog Training Services and Heather Watley, for boarding.The owner specifically represents that he or she is the sole owner of the pet, free and clear of all liens and encumbrances. Owner specifically represents to Licks and Loves Dog Training Services and Heather Watley that the pet was not been exposed to rabies or distemper within a 30-day period prior to boarding.The owner understands and agrees that if his or her dog is not picked up within fifteen (15) calendar days after the scheduled pick up date, or the owner refuses to pay agreed upon charges, the dog shall be deemed to be abandoned. Unless other arrangements are made, all visits are paid in full at the time of pick up. The owner further agrees that the pet shall not leave the Kennel property until Owner pays all charges to Kennel or proper payment arrangements are agreed upon by both parties. Cash or checks are accepted. All checks must be written to Heather Watley. All checks returned for insufficient funds or otherwise will be subject to a $25.00 charge.The owner agrees to allow Licks and Loves Dog Training Services and Heather Watley and our representatives and employees to use his or her dog’s name and any images or likeness of his or her dog taken while the dog is staying at Licks and Loves Boarding, in any form or format, for use, at any time, in any media, marketing, advertising, illustration, trade or promotional materials.The owner specifically represents to Licks and Loves Dog Training Services and Heather Watley that the pet has not been exposed to rabies or distemper within a thirty-day period prior to boarding.The owner agrees that you have read this entire Agreement, you have had the opportunity to discuss it with us to your satisfaction, and you agree to its terms.I have read the above contract and liability release and agree to all terms and conditions:Signature of owner ___________________________________________________________________ Date _________________________Contract and Liability Release (Dog Owner Copy):The dog’s behavior now and in the future is solely the responsibility of the owner of the dog. Should any behavior on the dog’s part now or in the future result in damage to property, owner or persons of some third party, owner agrees to assume full responsibility and liability to such third party for any such damage, and to absolve Licks and Loves Dog Training Services and Heather Watley and any referring organization and or other participants for any and all obligations to pay such damage to third party. All dogs are handled or cared for by Licks and Loves Dog Training Services and Heather Watley and any referring organization and other participants without any liability whatsoever on Licks and Loves Dog Training Services and Heather Watley and any other referring organization and or other participants for loss or damage from disease, death, running away, theft, fire, injury to persons, other dogs, other animals, or property by said dog, or other unavoidable causes. In case of emergency: If your dog has an unforeseen emergency and has to be rushed to a vet, our first choice will be to take them to the vet on file. If they are not available, for any reason, Licks and Loves Dog Training Services and Heather Watley reserves the right to take the dog to any vet of Licks and Loves Dog Training Services and Heather Watley's choosing. Owners are responsible for payment of vet visit unless the incident was due to negligence on Licks and Loves Dog Training Services and Heather Watley's part. Licks and Loves Dog Training Services nor Heather Watley shall make every reasonable effort to drive carefully and safely while transporting pets for owners who utilize the pick-up or delivery service, or any other reason pets may be transported. Owner agrees not to hold Licks and Loves Dog Training Services or Heather Watley liable for injury or death of pet due to accident during transport unless a representative of Licks and Loves Dog Training Services’ driving is found to be grossly negligent. In the case of a medical emergency, the maximum dollar amount that owner authorizes to be spent on veterinary care is $____________ (please fill in amount, i.e. $1000, $5000, unlimited, etc.) If pet dies while boarding at Licks and Loves Boarding House, the Boarding House will immediately attempt to notify the owner via the emergency contact information left by owner. The body will be stored at either the owner’s veterinarian or as per owner’s instructions.The owner agrees that Licks and Loves Dog Training Services and Heather Watley assumes NO ownership or guardianship and there for No liability associated with animal. Licks and Loves Dog Training Services and Heather Watley shall exercise reasonable care for the pet delivered by the Owner to Licks and Loves Dog Training Services and Heather Watley for boarding. Agreed by Owner and Licks and Loves Dog Training Services and Heather Watley that Licks and Loves Dog Training Services and Heather Watley’s liability, in no event exceeds the lesser of the current chattel value of a pet of the same species or the sum of $200.00 per animal boarded expressly agree it. The Owner further agrees to be solely responsible for all acts of behavior, if it bites another pet or people of said pet while it is in the care of the Licks and Loves Dog Training Services and Heather Watley, for boarding.The owner specifically represents that he or she is the sole owner of the pet, free and clear of all liens and encumbrances. Owner specifically represents to Licks and Loves Dog Training Services and Heather Watley that the pet was not been exposed to rabies or distemper within a 30-day period prior to boarding.The owner understands and agrees that if his or her dog is not picked up within fifteen (15) calendar days after the scheduled pick up date, or the owner refuses to pay agreed upon charges, the dog shall be deemed to be abandoned. Unless other arrangements are made, all visits are paid in full at the time of pick up. The owner further agrees that the pet shall not leave the Kennel property until Owner pays all charges to Kennel or proper payment arrangements are agreed upon by both parties. Cash or checks are accepted. All checks must be written to Heather Watley. All checks returned for insufficient funds or otherwise will be subject to a $25.00 charge.The owner agrees to allow Licks and Loves Dog Training Services and Heather Watley and our representatives and employees to use his or her dog’s name and any images or likeness of his or her dog taken while the dog is staying at Licks and Loves Boarding, in any form or format, for use, at any time, in any media, marketing, advertising, illustration, trade or promotional materials.The owner specifically represents to Licks and Loves Dog Training Services and Heather Watley that the pet has not been exposed to rabies or distemper within a thirty-day period prior to boarding.The owner agrees that you have read this entire Agreement, you have had the opportunity to discuss it with us to your satisfaction, and you agree to its terms.I have read the above contract and liability release and agree to all terms and conditions:Signature of owner ___________________________________________________________________ Date _________________________ ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download