Butler Creek Animal Hospital - 2020 Playcare Agreement
Please fill out this form for each of your dogs that will be attending Playcare.
EMERGENCY Contact Number
How would you like us to communicate NON- emergency information?
Cell Phone Number
Street Address Line 2
District of Columbia
Antigua and Barbuda
Bosnia and Herzegovina
Central African Republic
Cocos (Keeling) Islands
Democratic Republic of the Congo
Turkish Republic of Northern Cyprus
Papua New Guinea
Republic of the Congo
Saint Kitts and Nevis
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Sao Tome and Principe
Trinidad and Tobago
Tristan da Cunha
Turks and Caicos Islands
United Arab Emirates
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Please list all people authorized to pick up your pet.
Terms and Conditions:
I understand that all pets are checked for fleas and ticks upon admittance. If evidence of either is found, a Capstar will be given at my expense.
I understand that my dog, if 7 months of age or older, must be spayed or neutered prior to attending Playcare.
I understand that my dog must be current on required vaccinations/testing and I will provide Butler Creek Animal Hospital with the vaccination history if vaccinations and/or testing were done at another veterinary hospital. I agree to provide Butler Creek Animal Hospital with updates of my dog’s vaccination records. I acknowledge that it is my responsibility to ensure that my dog continues to be fully vaccinated and that Butler Creek Animal Hospital reserves the right to remove my dog from the facility if it is not fully vaccinated.
I understand that Butler Creek Animal Hospital has relied upon my presentation that my dog is in good health and has not injured or shown aggression or threatening behavior to any person or dog in admitting my dog for services at their facility.
I understand that Butler Creek Animal Hospital owners, staff, partners, and volunteers, will not be liable, financially or otherwise, for injuries to my dog, myself, or any property of mine while my dog is participating in services provided by Butler Creek Animal Hospital. I hereby release Butler Creek Animal Hospital of any liability of any kind arising from my dog’s participation in any services provided by Butler Creek Animal Hospital.
I understand and agree that any problems with my dog, behavioral, medical, or otherwise will be treated as deemed best by the staff of Butler Creek Animal Hospital in their sole discretion, and in what they view as the best interest of the animal. I understand that I am solely responsible, financially, or otherwise, for any harm or damage caused by my dog while my dog is attending any services at Butler Creek Animal Hospital.
I understand that there are risks and benefits associated with group socialization of dogs. I agree that the benefits outweigh the risks and that I accept the risks. I understand that while the socialization and play are closely and carefully monitored by Butler Creek Animal Hospital to prevent injury, it is still possible that during the course of normal play my dog may receive minor nicks and scratches from roughhousing with other dogs. Any injuries to my dog will be pointed out to me by staff upon pick-up.
I understand and approve the use of any training tools that the Head Trainer and Trainer’s agents deem necessary and in the best interest of the animal. These can include “The Touch”, treadmill time, the pack walk (sometimes off Butler Creek Animal Hospital property), basket muzzle, training collar (tone, vibration, and electric stimulus settings), and slip leads.
I understand that if in the event of a medical emergency, Butler Creek Animal Hospital has the authorization to have a licensed veterinarian examine and treat my pet as the veterinarian deems necessary. I further agree that I am solely responsible financially for any medical treatment my pet(s) receives as a result of a medical emergency while attending services provided by Butler Creek Animal Hospital.
I understand by allowing my dog to participate in services offered by Butler Creek Animal Hospital, I hereby agree to allow Butler Creek Animal Hospital to take photographs or use images of my pet in print form or otherwise for publication and/or promotion.
I understand and authorize that if my dog is not picked up on time or by a date specified in a separate agreement, that Butler Creek Animal Hospital will take whatever action deemed necessary for the continued care of my dog. I will pay Butler Creek Animal Hospital the cost of any such continuing care. I understand that if I do not pick up my animal and ignore attempts made by Butler Creek Animal Hospital to contact me, Butler Creek Animal Hospital will proceed according to the guidelines provided by Georgia Statute 4-11-9.3 Abandonment of animals by owner: procedure for handling. I also acknowledge that I will be fully responsible for all attorney’s fees and associated costs if I abandon my dog.
I understand that discounted Playcare packages are only available if they are paid for in advance and that these packages are non-refundable. Fees are due and payable at the end of each day.
This agreement and waiver is valid from the date below and grants permission for future Playcare services without the need for additional authorization each time Butler Creek Animal Hospital cares for my dog.
I have read and fully understand the terms and conditions set forth above.
Should be Empty: