Animal Health Clinic - Daycare Waiver & Release Form

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About You & Your Pet

Name

Phone #

E-mail

Pet's Name

Is your dog friendly/socialized?

Does your dog have food allergies?

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We also offer the following services/extras:

Pooltime ($6 per day)
Birthday Paw-ty ($25)
Grooming & Bath Services (prices vary)

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IMPORTANT POLICIES & INFORMATION:

ALL YEARLY VACCINATIONS & FECAL EXAMINATIONS MUST BE CURRENT.
If proof of current vaccinations is not provided; we will administer the required
vaccinations, during your pet's stay, and charges will be applied to your account.
ALL PETS MUST BE FREE OF FLEAS & TICKS.
If we find that your pet has fleas, we will administer a Capstar ($4,951 If the problem is severe, a bath will be given. You will be responsible, for any charges accrued.
AHC WILL NOT BE RESPONSIBLE FOR COUGHS/COLDS, DIARRHEA, OR OTHER ILLNESS.
Please be aware that colds/viruses will surface, occasionally. Even with vaccinations, the more that a dog is exposed to other dogs, the more susceptible it will be to illness. We take extreme care to disinfect and clean all areas, and provide an environment that does not support the growth/spreading of these germs.
AHC WILL NOT BE RESPONSIBLE FOR UNWANTED PREGNANCIES.
It is recommended to have your pet spayed/neutered, prior to group playtimes. if your pet is in heat and/or not spayed/neutered, please notify a staff member.
AHC WILL NOT BE RESPONSIBLE FOR INJURIES SUSTAINED, DUE TO PLAY/FIGHT.
If an incident occurs, the dog(s) will be checked, and any injuries will be treated that same day. If further treatment is needed, after the date of incident, the pet must be seen at AHC. We will not be responsible for bills accrued by another clinic.
AHC WILL NOT ALLOW A PATTERN OF AGGRESSION.
We will attempt to fit each dog.into a group play environment, unless the owner requests otherwise. If a dog displays unmistakable aggressive behavior, on two (2) occasions, the dog will be removed from the group environment The dog will not be allowed to participate in any group play, without completing an appropriate intervention/training program, at the expense/responsibility of the owner(s).

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I understand and agree to the above policies; and authorize Animal Health Clinic, to provide any treatment, test, or service deemed necessary; should any illness, abnormal condition/disease, or injury be discovered during daycare.

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Client Signature* This field is required.

Clear

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Date