Boarding Buddy Tallahassee Registration Form

Pet Name (1)*

Pet Name (2)

Maximum 2 pets per registration form

Your Initials

Your Email Address*

example@example.com

Today's Date

Date

Please complete for each (2) owner, if applicable:

(1) Owner Name (first and last)*

Address*

Street Address

Street Address Line 2

CityState

Zip Code

(1) Occupation

(1) Employer*

(2) Owner Name (first and last)

(2) Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Emergency Number*

(2) Phone Number

If anyone other than the 2 primary owners listed has permission to pick up your pet(s), please give us their first and last names:

Names

Please separate by commas (,)

Name of Veterinarian Office*

Veterinarian's Phone Number

By choosing to utilize the services, participate in activities, and or board my pet(s) at Boarding Buddy of Tallahassee, LLC, I agree to the following:

I agree to pay the rates that are in effect at the time my pet is at Boarding Buddy. I am aware that extra charges may be incurred and I agree to pay them at the time of pick-up. Examples include, but are not limited to, daycare, boarding, grooming, and training.

I understand that on entering Boarding Buddy, my pet will be examined for but not limited to fleas, ticks, scratches, and or wounds.

If my dog participates in playgroup or daycare, I understand that an interactive play setting is not without some risk of injury, that despite all the dogs appearing healthy and being handled with the greatest amount of care and foresight, dogs are not always predictable and the unexpected may occur. I recognize that the benefits of an interactive playgroup are valuable to my dog, and accept the potential risks. I further agree to pay veterinary/medical expenses incurred as a result of injury to or caused by my dog.

If my pet appears to be ill, I authorize Boarding Buddy to engage the services of a veterinarian at my expense, to give other requisite attention, and to make whatever decisions are required for my pet’s veterinary treatment. I agree to pay all veterinary charges incurred by my pet while in the care of Boarding Buddy. I will not hold Boarding Buddy liable for failure to seek veterinary attention or for decisions Boarding Buddy made under this contract.

I understand that Boarding Buddy will exercise all due diligence and care in the guardianship of my pet. I hereby waive and release Boarding Buddy Tally and its owners and agents from any and all liability of any nature, for injury or damage, including that which may result from the action of any dog including my own, and I expressly assume the risk of such damage or injury while my dog participates in or attends any function of Boarding Buddy, while on the grounds or the surrounding area thereto. On behalf of myself and any and all other owners of this pet, I have read and agree to the terms of this contract. I warrant that I have the authority to represent any and all other owners of this pet in signing this contract.

As a condition of using our services for your pets, the following Boarding Buddy Tallahassee Waiver & Assumption to Hold Harmless must be signed by: {1Name6}

Signature**

Clear

Today's Date:*

MonthDayYear

Please Attach Pictures of Your Pet(s) Here :) *vaccinations not accepted here*

Optional but it helps us get a look at who to expect :)

Pet's Name*

Pet's Breed*

Please select the closest breed(s) identifiable to your pet. If your pet's breed is not listed choose other. If your pet is a mix of two or more breeds, please select those breeds.

Pet's Color*

Markings

Pet's Age*

Months or Years

Birth/Adoption Date

MonthDayYear

Birthdate or Adoption Date?

Pet's Rabies Expiration Date

MonthDayYear

Pet's Most Recent Vaccinations

You can email vaccinations later to vaccinations@boardingbuddytallahassee.com. If you have them available, please upload ALL vaccinations relating to your pet, as well as any health records here.

2nd Pet's Name

2nd Pet's Breed

Please select the closest breed(s) identifiable to your pet. If your pet's breed is not listed choose other. If your pet is a mix of two or more breeds, please select those breeds.

2nd Pet's Color

2nd Pet's Markings

2nd Pet's Birth/Adoption Date

MonthDayYear

Birthdate or Adoption Date?

2nd Pet's Age

Months/Years

2nd Pet's Rabies Expiration Date

MonthDayYear

2nd Pet's Most Recent Vaccinations

You can email vaccinations later to vaccinations@boardingbuddytallahassee.com. If you have them available, please upload ALL vaccinations relating to your 2nd pet, as well as any health records here.

If your pet(s) has had temperament issues before such as shyness, fear or aggression, please describe.

Describe any medical or physical limitations your pet(s) may have.

Any additional information to help us care for your pet(s) better.