Colorado Enrollment Forms (Page 3 of 4) in pdf

Colorado 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 v i r o n m e n t a n d because o f 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 breeds, etc.

Behavioral problems.

d. 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.

If my dog(s) become ill or injured, or is suspected to be ill or injured, or if for any other reason veterinary care is indicated, I

authorize Dogtopia to seek and provide veterinary care from my designated veterinarian or a veterinarian of their choice.

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.

I 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.

In the rare and unfortunate event that your dog becomes deceased in our care your dog will be taken to your designated

veterinarian and maintained for pick-up or further instruction.

I authorize my dog(s) to be placed in a crate during boarding and/or daycare.

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 expected 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. 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

Colorado Enrollment Forms Page 3

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