Waiver of Liability & Informed Consent Release

Waiver of Liability & Informed Consent Release

Owner's Name: __________________________________ Pets Name: ____________________

I, the undersigned, have enrolled myself and my pet in the Fear-Free Puppy/Kitten Classes offered by the Animal Health Clinic of Funkstown. I certify that I have been informed and understand that there is always some unavoidable risk of injury involved when working with animals. I acknowledge that pets can be inherently difficult to control and that not all pets will be under control, at all times, resulting in the possibility of injury or illness to myself, my pet, my family members, or third parties. Additionally, I have had full opportunity to discuss all concerns I have about the foregoing risks with an Animal Health Clinic of Funkstown staff member.

As lawful consideration for participating in the classes, I hereby waive, release, discharge and agree not to sue and to indemnify, defend and hold harmless The Animal Health Clinic of Funkstown. This release of liability includes, but is not limited to any injury, death, sickness or personal injury or property damage my pet, or I, may suffer while on or around the premises where the instruction is held.

I understand that treats of various types may be offered to my pet or other pets present, and I understand that if I or my pet have any known food allergies we may be at risk.

This Waiver of Liability & Informed Consent Release shall be legally binding on the Releasing Party. Should the Releasing Party assert a claim to the contrary to what I have agreed to in this Waiver of Liability and Informed Consent Release, the claiming party shall be liable for all expenses (including attorney's fees, court costs and consultant fees) incurred by both the Releasing Party and the Released Party. No waiver or modification of any provision herein shall be valid unless expressly agreed to in writing by both the Released Party and the Releasing Party.

Photo Release: I hereby consent to my pet and myself being the subject of the photographs and/or audiovisual recording and authorize the Animal Health Clinic of Funkstown to exhibit for educational and advertising purposes as still photographs, video or other media for use in brochures, posters, website, social media or other forms of public release. I hereby release Animal Health Clinic of Funkstown from any and all claims for damages for libel, slander, invasion of privacy or any other claim based on use of the above-described material(s).

I represent that I am at least 18 years of age.

Owner's signature: __________________________________________ Date: ________________

Animal Health Clinic of Funkstown 26 East Baltimore Street, PO Box 669, Funkstown, MD 21734 Phone: 301-733-7579 Website: Email: ahcf@

Puppy Pals or Kitten Mingle Social Mixers

Participation requirements:

1. Pet Parents need to have attended the Puppy/Kitten Socialization Class. 2. Puppies must be age 9 1/2 -12 weeks old or kittens age 7 1/2 -12 weeks old 3. Pets must have resided with current owner for at least 7 day 4. If your Pet is sick, please do not bring them to Kitten Mingle/Puppy Pals. Pets showing any signs

of coughing, sneezing, nasal/or ocular discharge vomiting, diarrhea, or lethargy at the time of the event will not be permitted to attend. If you have a question about what is allowed, please contact the Animal Health Clinic of Funkstown at 301-733-7579. 5. Our staff reserves the right to expel pets that show aggression towards people or other pets. Please be sure to disclose any aggressive tendencies that your pet may have to the Animal Health Clinic of Funkstown prior to attending. 6. Puppies must have an appropriately fitted collar and leash and kittens must have an appropriately sized carrier. 7. Young children must be supervised by an additional adult so the primary handler of the pet can devote their full attention on them. 8. Classes will be held rain or shine. 9. Pets must have been seen by a licensed veterinarian and show proof of vaccination appropriate to a pet's age including the following:

a. Puppies: A minimum of ONE Canine Distemper core vaccine given at least 10 days prior to attending as well as ONE Kennel cough vaccine, ONE Canine influenza vaccine, and a deworming regimen with an age/weight appropriate product.

b. Kittens: A minimum of ONE Feline Distemper core vaccine given at least 10 days prior to attending, a NEGATIVE FELV/FIV test and a deworming regimen with an age/weight appropriate product.

Optional additional items may include:

? Soft Bite-size treats ? Poop Bags ? A Toy to help keep your pet occupied

I have read and understand the Animal Health Clinic of Funkstown's class rules and regulations and agree to abide by them to the extent applicable.

Owner's signature: __________________________________________ Date: ________________

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