| Pet Care Boarding Agreement (click here for printable version) Pet Host 954-785-4665 PET CARE BOARDING AGREEMENT PET OWNER NAME ________________________________________________________ ADDRESS_______________________________________________________ PHONE______________________________ CELL_____________________________ EMAIL ADD.___________________________________________________________ PET(S) NAME(S) ______________________________________________________________ PET’S BREED _______________________________________________________________ SPECIAL INSTRUCTIONS: ________________________________________________________ COMMANDS: _______________________________________________________________ FEEDING INSTRUCTIONS: _____________________________________________________________ VETERINARIAN CONTACT INFORMATION: _____________________________________________ EMERGENCY CONTACT INFORMATION: ________________________________________________ DATES OF CARE NEEDED: _____________________TO_________________(PICK-UP DATE) IS DOG HOUSEBROKEN ?____________% ARE YOU AWARE OF ANY DISEASES OR ILLNESSES? YES______ NO______ IS DOG UP TO DATE ON FLEA/TICK PREVENTATIVE? YES______ NO_______ AMOUNT PER DAY: $__________________ WEEKEND PER DAY: $___________________ PAID IN ADVANCE, CASH or CHECK (CHECK Made to BRUCE ZELL) In case of returned checks, Pet Owner will be responsible for any and all bank fees. Initial__________ PET OWNER WILL REIMBURSE PET HOST FOR ANY AND ALL NECESSARY COSTS INVOLVED IN EMERGENCY PET CARE INCURRED BY PET HOST. _Initial____________ IS YOUR PET UP TO DATE ON IMMUNIZATIONS? YES_______ NO_______ IS YOU PET ON ANY MEDICATION? YES___ NO___ DESCRIBE_____________ HAS YOUR PET EVER BITTEN ANY HUMAN, OR ANOTHER ANIMAL YES_____ NO_____ PET WILL BE BATHED, GROOMED AND ON FLEA/TICK PREVENTATIVE PRIOR TO PET CARE. THERE WILL BE A $20 CHARGE FOR THE BATHING OF UN-BATHED PETS. Pet Owner will supply food upon arrival. PETS WILL BE PICKED UP IN A TIMELY MANNER. IT IS UNDERSTOOD BY PET OWNER, THAT IF PET(S) ARE NOT PICKED UP WITHIN 10 DAYS OF AGREED PICK-UP DATE AND DO NOT CONTACT PET HOST FOR AN EXTENTION, THEN PET HOST RESERVES THE RIGHT TO CONSIDER PET(S) ABANDONED AND MAY SURRENDER THEM TO THE LOCAL HUMANE SOCIETY OR ANIMAL CONTROL OFFICE AT PET HOST’S DISCRETION. Initial______________ I AGREE THAT PET HOST WILL NOT BE HELD LIABLE FOR ANY INJURY, OR DEATH DUE TO ILLNESS OR NATURAL CAUSE, DURING AND AFTER PET HOST CARE. Initial____________ It is understood that Pet Owner and not Pet Host will be held responsible if pet bites any human or animal while under Pet Host’s care. Pet Owner is aware that any animal biting a human must be reported to the authorities and pet will be quarantined to insure no threat of rabies. Pet Host will not be held responsible for any liability or loss necessitated following my pet biting any human or animal, while under Pet Host’s care. Initial_________ ________________________________DATE:______________ Pet Owner ________________________________DATE:______________ Pet Host (954) 785-4665 |