Pet Boarding Waiver and Consent Form

Pet Boarding Waiver and Consent Form

Kailey's Dog House (K. Lamar Goods & Services LLC)
Pet Owner Information
Pet Owner's Name*

First NameLast Name
Pet Owner's Email*
example@example.com
Pet Owner's Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Pet Information

If only one pet, leave additional fields blank. If more than two pets, add the additional pet information to the paragraph near the end of the form.
Pet's Name*
Pet's Name
Breed Type*
Breed Type
Color
Color
Animal Type
dog, cat, rodent, reptile
Animal Type
dog, cat, rodent, reptile
Age
Age
Does your pet get along with other animals?*
Does your pet get along with children?*
Is your pet potty trained?*
A $20 cleaning fee will be added for un-potty trained pets.
Is your dog comfortable sleeping without and away from you?
How does your dog like to sleep
I give Kailey's Dog House (K. Lamar Goods & Services LLC) permission to use photos and/or videos of my pet for marketing and advertising purposes.*

YesNo
All dogs and cats must be on flea/tick preventatives. By signing, I am confirming that my pet has been and is currently on flea/tick preventatives.*

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Dogs and cats must be current on the following vaccines: Bordetella (kennel cough) RabiesDHPP (Distemper, Hepatitis, Parainfluenza, Parvovirus)

Please upload proof of current vaccines below.
Vaccination Documentation*

Cancelof
Medications
Is there anything else you would like us to know? Please add the information about the third pet here (if applicable).
Vet Information
Vet Name
Phone number
Address
Local Emergency Contact
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Waiver & Consent
1. I confirm that I own the pet or I was given authority by the owner for taking ownership of the pet.
2. I assure Kailey's Dog House (K.Lamar Goods & Services LLC) that this pet is currently in good health condition.
3. I confirm that my pet has a complete and updated vaccinations.
4. I acknowledge that the pet must have a safety collar or harness.
5. I confirm that my pet doesn't have any flea or any communicable disease.
6. I release Kailey's Dog House (K.Lamar Goods & Services LLC), its employees, and owners from any liabilities but not limited to injury, sickness, damage, accident, or death while in the vicinity.
7. If ever I am unable to pick up my pet on time, Kailey's Dog House (K.Lamar Goods & Services LLC) will make multiple attempts to contact the owner and get authorization for the pet to stay with Kailey's Dog House (K.Lamar Goods & Services LLC). I understand that an additional late pick-up fee may be accrued.
8. If my pet needs medical attention, I authorize Kailey's Dog House (K.Lamar Goods & Services) to have my pet seen by the nearest and first available veterinarian. I understand that I am liable for any and all veterenarian costs, including for any preexisting or dormant conditions my pet had prior to being in the care of Kailey's Dog House (K.Lamar Goods & Services LLC).
9. I confirmed that all information I entered in this form is true and accurate.
Signature

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Date Signed*

MonthDayYear
Date
What to bring:
Bowls

leash and collar (harness is preferred for secure and safe walking)

Crate and/or bed (anything that will help them sleep comfortably)

*We prefer that you do not bring toys. We have plenty! Toys normally get lost or cause issues if another dog tries to play with them.
Boarding Start*

MonthDayYear
Date
Hour MinutesAM/PM Option
Boarding End*

MonthDayYear
Date
Hour MinutesAM/PM Option
Please note: Tax and surcharge include the applicable tax rate as well as debit and credit card processing fees.

IF YOUR PET IS STAYING ON ANY OF THE FOLLOWING DAYS YOU MUST ALSO CHECK THE HOLIDAY BOOKING FEE BOX ON THE PRODUCTS LIST BELOW.

May24,25 or 26 (memorial day weekend)

July 4,5 or 6 (Indepence day weeked)

October 31 (Halloween)

November 27,28,29,30 (Thanksgiving)

December 24,25,26,27,28, (Christmas)

December 31 and January 1 (New Years)
My address will be displayed after paymnet is made.

My Products*

Number of Nights (1st pet)

$40.00 Quantity

Number of Nights (2nd pet)

$35.00 Quantity

Number of Nights (3rd pet)

$35.00 Quantity

Not potty trained yet

$20.00 Quantity

Doggy Daycare (12 hours max)

$33.00 Quantity

Rodent or Reptile

$25.00 Quantity

Holiday Booking Fee

$30.00

Enter coupon

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Should be Empty:

Pet Boarding Waiver and Consent Form

Pet Owner Information

Pet Information

Vet Information

Local Emergency Contact

Waiver & Consent

What to bring: