Medusa’s Paw Release Of Information And Liability Agreement
Owner Information
*
First Name
Last Name
Pet Information
*
Dog(s) Name
Dog(s) name
I understand that I am solely financially responsible for any injury my dog(s) and/or damages to Medusa’s Paw property caused by my dog(s) during their stay at this facility [WI STAT.SECT. 174.02].
*
Please Initial
I also understand that Medusa’s Paw and their staff will not be liable for any injury that may happen to my dog(s), provided reasonable care and precautions are followed. I hereby release Medusa’s Paw of any and all liability that may arise during their activities on this property.
*
Please Initial
I further understand and agree that the staff of Medusa’s Paw will use their best judgement to treat any problems, such as damage to property, which may arise and I will assume full financial responsibility for any expenses incurred.
*
Please initial
I grant permission to the staff of Medusa’s paw to request, receive or verify health and medical information regarding my dog(s) with the staff of my veterinary clinic, if necessary, (a copy of this release may be filed with your veterinary clinic).
*
Please Initial
I certify that I have read and understand the above rules and regulations of Medusa’s Paw and agree to abide by the terms of this agreement.
*
Please initial
When boarding my dog(s) at Medusa’s Paw , I fully understand that there is a risk of injury if my dog(s) interact with other dogs while boarding.
*
Please initial
Do you give consent for your dog(s) to interact with other dogs while boarding at Medusa’s Paw and accept any and all financial responsibility for damages or necessary treatment for your dog(s).
*
I DO
I DO NOT
Signature
*
Date
*
-
Month
-
Day
Year
Date
Continue
Continue
Should be Empty: