DOGGIE DAYCARE CONSENT FORM – Please fill out and sign Please enable JavaScript in your browser to complete this form.Owner Name *FirstLastEmail *Phone *AddressAddress Line 1Address Line 2CityState / Province / RegionPostal CodeYour Pet’s Veterinary Clinic/HospitalLocal Emergency Contact Person and phone #:(this is for the sole reason of being able to update you with information on our facility and your Fuzzy Cams)You must read and check boxes below for DaycareThis is a contract between Pack Leader, Plus...Doggie Daycare (hereinafter called the PLP) and the pet Owner whose signature/initials appears below.Kennel agrees to exercise due and reasonable care, and to keep the kennel premises sanitary and properly enclosed.The dog(s) is to be fed properly and regularly, and to be housed in clean, safe quartersOwner agrees to pay to PLP the set rate per pet per day for any and all services rendered. It is the responsibility of the Owner to know the daily charges, boarding fees and any other fees they may incur. These fees are on the web site. Owner needs to allow adequate time to read their particular service pages provided on the facility web site. Tell us if you do not have access to the web site prior to boarding or we will otherwise assume you have read the information providedOwner understands and agrees that pet(s) will be charged for a full day of daycare when dropped off; no matter what time they are arriving. Owner understands and agrees that pet(s) picked up after 6pm closing time will be charged for a full day of boarding that will start immediately after 6:15pm that night, if no call or email or text was sent to Pack Leader PlusAll charges incurred by Owner shall be payable upon Pack Taxi pick up or drop off of pet(s). We accept cash, checks, Venmo, Apple Pay and PayPal. Some restrictions apply. The PLP shall have, and is here by granted, a lien on the pet for any and all unpaid charges resulting from services provided by PLP. The Owner here by agrees that in the event the charges are not paid when due in accordance with this contract, PLP may exercise its lien rights upon ten days written notice given by PLP to Owner by certified mail to address shown on contract. PLP may dispose of pet for any and all unpaid charges, at private or public sale, in the sole discretion of PLP, and Owner specifically waives all statutory or legal rights to the contrary. If such sale shall not secure a price adequate to pay such costs of pet care or other charges delinquent, plus costs of sale, then Owner shall be liable to PLP for the difference. All unpaid balances will be turned over to a collection agency after 30 days. All returned check non sufficient funds fees will be due PLP including a $25 returned check fee. If Owner does not pay upon drop off, the dog cannot participate in the days activities and cannot stayIf the pet(s) becomes ill or if the state of the animal’s health otherwise requires professional attention, PLP, in its sole discretion, may engage the services of a veterinarian of its choosing, administer medicine or give other requisite attention to the pet(s) and expenses thereof shall be paid by Owner. This includes needing the proper vaccinations. It is also the Owner’s sole responsibility to inform the Kennel of any veterinarian changes and any vaccination updates. It is also the sole responsibility of the Owner to keep us informed any medication changes or amounts.Interactive daycare is provided; Owner recognizes and accepts potential risks involved in such activity. It is expressly agreed by Owner and PLP that liability shall in no event exceed the lesser of the current chattel value of a pet of the same species or the sum of $400.00 per animal admitted. 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 PLP, to include payment of costs for injury to staff or other animals or damage to facilities caused by the petAny controversy or claim arising out of or relating to this Agreement, or the breach there of, or as the result of any claim or controversy involving the alleged negligence by any party to this Agreement, shall be settled in accordance with the rules of the American Arbitration Association, and judgment upon the award rendered by an arbitrator may be entered in any Court having jurisdiction thereof. The arbitrator shall, as part of the award, determine an award to the prevailing party of the costs of such arbitration and reasonable attorney’s fees of the prevailing party.It is understood by PLP and Owner that all provisions of this Contract shall be binding upon both parties thereunto for this visit and for all subsequent visits. This Contract contains the entire agreement between the parties.There is inherent rough-housing in play. All dogs are screened for aggression, but fights can and will still occur. Every dog bites...even yours. All dogs have a bite threshold. It is also possible for a puncture wound to happen during play sessions. In the event of a fight or injury, if needed, we will contact you and you must contact your vet and PLP will transport the pet there. Or to the closest vet of our choice if it is too severe to travel too far. You will be responsible for any and all bills occurred. PLP always attempts to contact the owner or emergency contact before providing any medical attention by Text or EmailWildlife is present on premises. Including but not limited to- Birds of Prey, Coyotes, Snakes, Skunks, Fish, Bear, Turkey and Deer. Owner agrees and understands that Pack Leader, Plus is not responsible for your own dogs reaction to said Wildlife. As well as, said Wildlife’s behavior on premises is unknown to Pack Leader, Plus towards your dog. PLP will take several precautions to deter Wildlife from interacting with your dog, but if/when interaction happens, Owner of dog will take sole responsibility of their own pet. PLP will NOT be legally or financially responsible for any of the following: monies owed to Vet, injury, death, destruction or damage from Wildlife or nature interaction or act of GodIf there is water play, the owner agrees PLP is not responsible for any accidents that may occur while the dog is in the water or approaching the water.The owner had provided copies of the up to date shot records to PLP. Shots must include: DHLP/DAPP(immunizations)), Bordatella (kennel cough) and Rabies.I THE OWNERhave read the above and understand my responsibilities herein regarding this contract and PLP’s policies. I have read the information on the web site so PLP knows what to expect of me and I know what to expect of PLP. I have also read, understand and CHECKMARKED the spaces required of me throughout this entire contract (15 in total). Pet NameBreedDate Of BirthSexSpayed or NeuteredYesNoWhen we have the pools open, can your dog swimYesNoHas your dog jumped fences or escaped enclosures in any way?YesNoPet NameBreedDate of BirthSexSpayed or Neutered (copy)YesNoIs your dog afraid of thunder, fireworks and other loud noises?YesNoWhat is an average day of exercise for your dog? Type and DurationThey get a LOT here so it is important to know when enough is enough. Some dogs will go home sore or with worn out pads because they are not used to so much play. If you do not tell us, he may get over played here and that is not the kind of tired we want them to be feeling while here or after returning home. Is there anything else we need to know about? Information helps us help you. ALL BOXES MUST BE CHECKED TO BE CONSIDERED FOR DAYCARE Your Signature * Clear Signature Submit