Countryside Grooming and Boarding Liability Release
release all liability from Countryside Grooming and Boarding and/or JaNeen and Derrick Burrows, owners of Countryside Grooming and Boarding at 910 West River Road, Worland, Wyoming 82401. In case of injury, accident or illness, do understand that Countryside Grooming and Boarding will take the very best care of my dog(s) and every precaution for the health and welfare of my dog(s 1. agree to pay the rate for boarding effective on the date the dog is checked into the kennel. 2. further agree to pay all costs and charges for special services requested and all necessary costs for the dog(s) during the time said dog is in the care of the kennel. 3. By signing this contract and leaving my dog(s) with the kennel, I certify to the accuracy of all information given about the said dog(s 4. further understand and agree that in admitting my dog(s) to Countryside Grooming and Boarding, staff have relied on my representation that my dog(s) is/are in good health and have not harmed or shown aggressive or threatening behavior towards any person or any other dog. hereby indemnify Countryside Grooming and Boarding it owners and representatives, with regard to any claims arising from the aggressive behavior of my dog. 5. I agree that Countryside Grooming and Boarding will not be responsible or liable for lost, stolen or damage to personal property belonging to me. 6.I understand and agree that Countryside Grooming and Boarding and their staff and volunteers, will not be liable for any problems which develop, including but not limited to, loss by fire, theft, running away, death or injury, and hereby release and discharge Countryside Grooming and Boarding, its owners, employees and representatives from any and all claims, damages, liability and/or causes of action of any kind arising from my dog(s) attendance at the kennel except where any such loss is caused by negligent or intentional act of an employee or representative of the kennel. 7. specifically represent to Countryside Grooming and Boarding that the dog(s) have not been exposed to rabies or distemper within a 30 day period prior to boarding and that the dog(s) has all the necessary vaccinations (Rabies, Distemper (DHLPP) and Bordetella Evidence of these vaccinations has been provided at time of boarding. 8. I understand that the dog(s) must be treated for fleas and ticks prior to arrival. If fleas or ticks are found on the dog(s) during boarding the staff of Countryside Grooming and Boarding will treat the dog(s) at the owners expense. 9. All charges incurred shall be payable upon pickup of dog(s), or when billed by kennel at address listed on contract. The kennel shall have and is hereby granted a lien on the dog(s) for any and all unpaid charges resulting from boarding dog(s) at the kennel. 10.Countryside Grooming and Boarding will make every effort to keep all dogs safe however I recognize that there are inherent risks of illness or injury when dealing with animals. Such risks include, but are not limited to problems resulting from rough play and canine cough. 11. am aware that my dog will co-mingle with dogs owned by different owners in a supervised environment unless otherwise specified during the consultation 12. If my dog becomes ill understand that will be notified pursuant to the contact information I have provided when my dog was checked into the kennel. If do not immediately notify Countryside Grooming and Boarding regarding which measures wish to be taken or in the event emergency action is required, in the sole discretion of Countryside Grooming and Boarding, a veterinarian may be contacted and my dog may be evaluated by such veterinarian or transferred to the veterinarian as deemed necessary. I agree to promptly pay for any such expenses incurred in
connection with such veterinarian services.
I certify that have read, understood and agree with the policies of Countryside Grooming and Boarding set forth on this
page and that agree with the conditions and statements of this agreement. Signature of Owner: