Canine Boarding

GROOM DATE:

DOG'S NAME:

AGE:

SHOT STATUS:


RABIES CERT:


HEALTH / MEDS / SPECIAL NEEDS / COMMENTS:

DROP OFF DATE:

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AGENCY NAME:

PARTY RESPONSIBLE FOR PAYMENT:

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HANDLER NAME:

HANDLER ADDRESS:


HANDLER/RESPONSIBLE PARTY PHONE NUMBER:

VETERINARY NAME:

VETERINARY ADDRESS:


VETERINARY PHONE:

SUBMITTER NAME:
SUBMITTER EMAIL:

1 . THE PARTY SUBMITTING THIS FORM AGREES TO PAY ADLERHORST INTERNATIONAL THE FOLLOWING:

BOARDING: $ 30.00 PER DAY

2. OWNER (NAMED BELOW) FURTHER AGREES TO PAY ALL COSTS AND CHARGES FOR SPECIAL SERVICES REQUESTED AND ALL VETERINARY COSTS FOR THE PET DURING THE TIME SAID PET IS IN THE CARE OF ADLERHORST.

ADLERHORST SHALL EXERCISE REASONABLE CARE FOR THE PET DELIVERED BY THE OWNER TO OUR FACILITY FOR BOARDING. THE OWNER ASSUMES RESPONSIBILITY FOR ANY ACTS OR BEHAVIOR WHILE IN OUR CARE. THE OWNER UNDERSTANDS THAT THE RESPONSIBILITY OF THE HEALTH OF THEIR PET WHILE IN OUR CARE REQUIRES THAT WE MAINTAIN THEM IN A MANNER SIMILAR TO THE CARE GIVEN TO OUR OWN ANIMALS. ADLERHORST ASSUMES NO RESPONSIBILITY SHOULD THE ANIMAL IN OUR CARE BECOMES ILL OR IN THE EVENT OF DEATH. NOTE: IF THE
RESPONSIBLE PARTY OF THE ANIMAL DOES NOT PICK UP THE ANIMAL WITHIN 14 CALENDAR DAYS AFTER THE DAY THE ANIMAL WAS DUE TO BE PICKED UP THE ANIMAL SHALL BE DEEMED TO BE ABANDONED

3, IF THE PET BECOMES ILL OR THE STATE OF THE ANIMAL'S HEALTH OTHERWISE REQUIRES PROFESSIONAL ATTENTION, ADLERHORST, IN ITS SOLE DISCRETION] MAY ENGAGE THE Service’s OF A VETERINARIAN OR ADMINISTER MEDICATION, OR GIVE OTHER REQUISETE ATTENTION TO THE ANIMAL, AND THE EXPENSES THEREOF SHALL BE PAD BY THE OWNER.

I understand that by submitting this form, that this is a Contract with Adlerhorst International.