Fillable Enrollment Forms (Page 4 of 4) in pdf

Enrollment Forms

Owner Agreement

, hereby certify that my dog(s):

is/are in good health, have not been ill with any communicable diseases or parasites in the last 30 days,

and have not harmed or shown aggressive or threatening behavior towards any person or any other

dog. I also have read and understand and agree to the following:

I understand t h a t

Dogtopia i s

an open-play e n vi r o nm e n t a n d because of this there are inherent risks,

which even when closely monitored, may result in the following:

Transfer of a communicable illness such as, but not limited to Upper Respiratory illnesses, including Kennel

Cough, also known as the Bordatella virus, "puppy warts" also known as the canine papilloma virus, or parasites.

Injuries, usually benign, such as broken nails, sore pads, puncture wounds, abrasions and cuts,

particularly in shorter coated breeds, etc.

Behavioral problems.

Spa services, such as bathing, may cause skin irritation, shampoo in eyes, etc. For grooming services,

dealing with sharp instruments carries an inherent risk of cuts, nicks, scratches, quicking of nails, etc.

If health or behavioral problems develop with my dog(s), that these will be treated as deemed best by the

staff of Dogtopia within their sole discretion, and that I assume full financial responsibility for any and all

expenses involved.

Dogtopia and their team will not be liable for any health or behavioral problems that develop in my

dog(s), and I hereby release them of any liability of any kind whatsoever arising from my dog(s)

attendance and participation at Dogtopia.

agree to maintain regular flea, tick, and heartworm preventative maintenance programs for as long as my

dog(s) has/have active attendance and participation at Dogtopia.

am solely responsible for any harm, including to any other dog(s), to the employees or invitees of

Dogtopia, or to the equipment, physical plant, or other property of Dogtopia, caused by my dog(s)

while my dog(s) is/are attending

Dogtopia.

Photographs or other graphic, sound, or other image, likeness, recording, etc., may be made of my dog(s)

by Dogtopia and that such may be used for any purpose without compensation, and I release to

Dogtopia all rights that I may possess or claim to such image, likeness, recording, etc.

Payment is required when services are rendered. If any amounts remain due after thirty days, Dogtopia

reserves the right to impose interest at the rate of 1.5% per month until paid. If Dogtopia pursues

collection proceedings, I will pay reasonable attorney’s fees and costs of collection.

I have received, read, understood and agreed to the terms outlined in the Dogtopia document,

"Boarding Information," which are made part of this agreement, and I have read and understood all terms

of this agreement, including the following:

Hours of Operation/Late Fees:

Please refer to our brochure or website for store hours. We impose a $10.00 late fee for dogs picked up after regular

business hours. If your dog is not picked-up within 30 minutes of closing, we will assume that you are boarding and

will impose a $20.00 overnight charge.

Electronic Signature:

By entering my full name below, I am acknowledging that I have read, understand and agree with the above. I

understand that my typewritten name in the field below constitutes my electronic signature, which is equivalent to

my legal handwritten signature.

Date:

Dogtopia

daycare • boarding • spa

Independently owned and operated

Enrollment Forms Page 4

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