Cedarcrest Animal Hospital 2019 PlayCare Agreement
Please fill out this form for each of your dogs that will be attending PlayCare.
Client's Name
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First Name
Last Name
EMERGENCY Contact Number
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Area Code
Phone Number
How would you like us to communicate NON- emergency information?
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TEXT
EMAIL
PHONE
Phone Number
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-
Area Code
Phone Number
Email
*
example@example.com
Cell Phone Number
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-
Area Code
Phone Number
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please list all people authorized to pick up your pet.
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Pet's Name
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Species
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Sex
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Spayed Female
Intact Female
Neutered Male
Intact Male
Unknown
Age
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Terms and Conditions
I understand that all pets are checked for fleas and ticks upon admittance. If evidence is found, a Capstar will be given at my expense.
I understand that my dog must be spayed or neutered prior to attending PlayCare (if 9 months of age or older).
I understand that my dog must be current on required vaccinations/testing and I will provide Cedarcrest Animal Hospital with proof thereof from my veterinarian. I agree to provide Cedarcrest Animal Hospital with updates of my dog’s vaccination records. I acknowledge that it is my responsibility to ensure that my dog continues to be fully vaccinated and that Cedarcrest Animal Hospital reserves the right to remove my dog from the facility if it is not fully vaccinated.
I understand that Cedarcrest Animal Hospital has relied upon my presentation that my dog is in good health and has not injured or shown aggression or threatening behavior to any person or dog in admitting my dog for services at their facility.
I understand that Cedarcrest Animal Hospital owners, staff, partners and volunteers, will not be liable, financially or otherwise, for injuries to my dog, myself, or any property of mine while my dog is participating in services provided by Cedarcrest Animal Hospital. I hereby release Cedarcrest Animal Hospital of any liability of any kind arising from my dog’s participation in any and all services provided by Cedarcrest Animal Hospital.
I understand and approve the use of any training tools that the Head Trainer and Trainer’s agents deem necessary and in the best interest of the animal. These can include “The Touch,” the pack walk (sometimes off of Cedarcrest Animal Hospital property), basket muzzle, training collar (tone, vibration, and electric stimulus settings), and slip leads.
I understand and agree that any problems with my dog, behavioral, medical, or otherwise will be treated as deemed best by staff of Cedarcrest Animal Hospital. In their sole discretion, and in what they view as the best interest of the animal. I understand that I assume full financial responsibility and all liability for any and all expenses involved in regards to the behavior and health of my dog.
I understand that there are risks and benefits associated with group socialization of dogs. I agree that the benefits outweigh the risks and that I accept the risks. I desire a socialized environment for my dog while attending services provided by Cedarcrest Animal Hospital and while in their care. I understand that while the socialization and play is closely and carefully monitored by Cedarcrest Animal Hospital to prevent injury, it is still possible that during the course of normal play my dog may receive minor nicks and scratches from roughhousing with other dogs. Any injuries to my dog will be pointed out by staff upon pick-up.
I hereby agree to allow Cedarcrest Animal Hospital to take photographs or use images of my pet in print form or otherwise for publication and/or promotion.
I understand that I am solely responsible, financially or otherwise, for any harm or damage caused by my dog while my dog is attending any services provided by Cedarcrest Animal Hospital.
I understand that if my dog is not picked up on time or by a date specified, I hereby authorized Cedarcrest Animal Hospital to take whatever action is deemed necessary for the continuing care of my dog. I will pay Cedarcrest Animal Hospital the cost of any such continuing care upon demand by Cedarcrest Animal Hospital. I understand that if I do not pick up my animal, Cedarcrest Animal Hospital will proceed according to the guidelines provided by Georgia Statute 4-11-9.3 Abandonment of Animals By Owner; procedure for handling. I also acknowledge that I will be fully responsible for all attorney’s fees and associated costs if I abandon my dog.
I understand that if in the event of a medical emergency, Cedarcrest Animal Hospital has authorization to deem necessary the immediate attention of a licensed veterinarian. I further agree that I am financially responsible for any medical treatment my pet(s) receive(s) as a result of a medical emergency while attending services provided by Cedarcrest Animal Hospital.
I understand that pre-paid packages are nonrefundable. Fees are due and payable at the end of each day. Discounted packages are
provided only if they are paid for in advance.
This agreement and waiver is valid from the date below and grants permission for future PlayCare services without the need for additional authorization each time Cedarcrest Animal Hospital cares for one or more of my dogs.
I have read and fully understand the terms and conditions set forth above.
Clients Signature
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Today's Date
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Month
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Day
Year
Date
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