Day Care and In-Home Boarding Agreement and Waiver Form

KATE’S K9 SERVICES

425 Cuckoo’s Nest Road,

Beckwith, ON. K7A 4S7

613-867-3547

Day Care and In-home Boarding Agreement and Waiver Form

Please initial that you have read and understand each point.Please ask for clarification if necessary.

I represent that my dog is in good physical health, is currently up to date on all required vaccinations and has not been ill with any contagious viruses in the last 30 days.

Initial ______

I understand that while my dog is fully vaccinated that vaccines are not 100% effective and there is still a minimal risk that my dog may contract a contagious virus or disease. I agree that should this occur I am fully responsible for my dogs care and medical attention.

Initial ______

I represent that my dog is sociable with other dogs and humans and should my dog injure another dog or human while in attendance and under supervision I release Kate’s K9 Services from any liability and Iaccept all medical and legal responsibilities of my pet’s actions.

Initial ______

I understand that, although dogs are supervised, incidents of dog fights and injury can occur when dogs are chasing and wrestling with each other. I understand that my dog could receive bites, scrapes and scratches from his/her playmates.

Initial ______

In the event of an emergency when I cannot be reached, I authorize the administration of any medical procedures deemed necessary by my veterinarian, or, if unavailable, by any other veterinarian selected by Kate’s K9 Services. My authorization signature on this form allows for immediate veterinary care and indicates my intention to pay any charges resulting from this care.

Initial ______

With my signature below I certify that I have read and understand the agreement and waiver. I agree to abide by the regulations and accept all terms and conditions as set out.

Date: ______Signature: ______

Note: Please Print and Sign Print Name: ______

Kate’s K9 Services

425 Cuckoo’s Nest Road

Beckwith, ON K7A 4S7

613-867-3547

Off- Leash Agreement and Waiver Form

I understand that while at Kate’s K9 Services my dog will be taken for two, 30 minute walks every day and that these walks will take place in an area with no fencing on 25 acres of private property located at 425 Cuckoo’s Nest Road, Beckwith, ON.

Initial ______

I give Kate’s K9 Services permission to take my dog off his/her leash during these walks and I fully understand the risks involved in letting my dog run free in an open area without fences.

Initial ______

I understand some of these risks include: encounters with wild animals such as porcupines, skunks, deer and coyotes. Bacteria andparasites, scratches and punctures from foliage, injury from playing with other dogs, wet and muddy conditions,sprains and strains while running and burrs and thorns caught up in fur.

Initial ______

I represent that my dog is microchipped and/or will be sporting a reliable form of identification on his/her collar that can provide quick and easy contact with a family member or veterinarian.

Initial ______

I release Kate’s K9 Services from any liability should my dog run away or become injured during these off-leash walks.

Initial ______

With my signature below I certify that I have read and understand the agreement and waiver. I agree to abide by the regulations and accept all terms and conditions as set out.

Date: ______Signature: ______

Note: Please Print and Sign Print Name: ______