Country Hills Pets - Dog Park Release Form

Dog Park Release Form

Welcome to Country Hills Pet Hospital Dog Park Community!
I understand that it is required that my dog is currently a patient at Country Hills Pet Hospital (has had an exam within the last year ).*
(Initial)
I understand that it is required that my dog is up to date on the DHPP, Lepto, Bordetella, and Rabies vaccinations. *
(Initial)
I understand that it is required that my dog has had a negative fecal test within the past year per formed at Country Hills Pet Hospital.*
(Initial)
I understand that Country Hills Pet Hospital is not liable for any injuries, disease or parasites that my dog may develop.*
(Initial)
I understand that Country Hills Pet Hospital has the right to close the dog park for any reason (maintenance, weather , ect.). *
(Initial)
I under stand that Country Hills Pet Hospital has the right to ask me to leave if my dog is aggressive or causing other damages*
(Initial)
I have read and understand the above statements and any questions have been answered to my satisfaction by a staff member. I am the owner of the pet (s) listed and authorize Country Hills Pet Hospital to use this information as needed for the use of the Dog Park Community.
Pets Names*
Owner Printed Name*
Email*
example@example.com
Signature of Owner *

Clear
Date Signed*

MonthDayYear
Date
Our goal is to ensure a fun but safe environment for all of our patients. Please drop off this signed waiver during business hours or sign the waiver on our website! Thank you!
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