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Rancho Luna Lobos
Dog Boarding Release Waiver

4733 W Browns Canyon Rd
Peoa UT

Rancho Luna Lobos LLC (RLL) will keep the premises sanitary and properly enclosed and exercise reasonable care for the safety of your dog. All dogs will be housed in safe, clean quarters. All dogs will be fed properly and regularly. RLL cannot be liable for damage or loss by or to dogs at this facility.

Owner understands the concept of dog daycare, group play, and overnight boarding is to allow dogs to socially interact with both humans and dogs. Dogs in group play participate in supervised activities such as fetch, jumping, playing with toys; there is always a possibility of injury resulting from rough play between dogs. The owner agrees that any injury to their dog during their use of the facility shall not bring any liability of any type on the part of RLL. 

Owner agrees not to bring their pet into our facility if the dog is showing any signs of being sick, has fleas (owner will be charged for flea bath), or that its behavior may jeopardize the safety and health of other pets and/or our staff. 

Abandonment shall automatically relinquish all rights and claims by the owner to the animal. Abandonment is determined to be the refusal to provide or perform the legal obligations for care of the animal by its owner or agent. 

RLL is authorized by the owner to see veterinary care, including emergency care, at the owner’s expense. If time permits, (RLL) will try and contact you before obtaining any care; however, this form serves as the authorization (RLL) needs to obtain veterinarian care for your dog regardless. The owner is responsible for veterinarian expenses and transportation, whether or not the owner was reached in advance. 

The owner agrees to pay all charges for daycare and boarding before picking up their pet. Your pet will not be released until all charges are paid in full. Boarding check out time is 12:00 pm. Dogs picked up after 12:00 pm will be charged $10.00 for additional daycare services. All daycare dogs must be picked up by the end of the business day. If not picked up by closing time, the dog will be placed in our boarding facility and the owner will charged for $38.00 for a night of boarding and will not be available to pick up until the next business day. 

The owner covenants not to initiate any legal proceedings of any sort against RLL as a result of illness, injury, damage or death to owner’s dog while staying at RLL in absence of gross negligence and agree that, should the owner bring a legal action against Rancho Luna Lobos LLC. The correct result of such a legal action should be a summary dismissal in favor of Rancho Luna Lobos LLC and the owner will also agree to pay Rancho Luna Lobos LLC costs, including, but not limited to attorney’s fees. 

The owner agrees that by signing the Care and Authorization form one time that it remains in full effect and force each and every time the owner brings the owner’s dog or dogs to RLL for any of our services. 

Please cancel bookings as soon as possible. Cancellations and No-Shows that take place less than 24 hours of the scheduled date will be charged a non-refundable daily rate. Cancelled and No-Show holiday bookings are also non-refundable and will be charged the entire scheduled cancelled or no-show visit. I HAVE READ, UNDERSTAND, AND AGREE TO ALL THE PROVISIONS OF THIS AUTHORIZATION. I fully intend to pick up my dog on the specified date. I will notify Rancho Luna Lobos of any changes to the pick up date and assume full responsibility for any additional charges. 

The owner hereby agrees to waive and release RLL and their employees from any right that you may have in law to recover medical payments, bodily injury damages, or property damages for any liability regardless of the cost, provided that the liability is due to ordinary negligence as a result of any injury resulting from the actions of my dog, any other dog, or any humans. I hereby agree to the pet care authorization form as the owner of the dog (s).

I also certify that my dog(s) is/are in good health and do not show any signs of illness that may be contagious. Furthermore, I certify that all the information provided about my dog is accurate to the best of my knowledge. I have read, understand, and agree to all the provisions of this form.

Dated: February 22, 2020

First Owner's Name

First Name*

Last Name*

Phone*
First Owner's Date of Birth*
I certify that I am 18 years of age or older
First Owner's Dog's Information

Dog's Name *
Dog's gender*
Male
Female

Dog's date of birth *
Is your dog spayed or neutered?*
No
Yes

Breed of dog
Current on all Vaccines? (will need to provide proof of immunization)*
No
Yes
History of aggression?*
No
Yes
First Owner's Signature*
Second Owner's Name

First Name*

Last Name*
Second Owner's Date of Birth*
Second Owner's Dog's Information

Dog's Name *
Dog's gender*
Male
Female

Dog's date of birth *
Is your dog spayed or neutered?*
No
Yes

Breed of dog
Current on all Vaccines? (will need to provide proof of immunization)*
No
Yes
History of aggression?*
No
Yes
Third Owner's Name

First Name*

Last Name*
Third Owner's Date of Birth*
Third Owner's Dog's Information

Dog's Name *
Dog's gender*
Male
Female

Dog's date of birth *
Is your dog spayed or neutered?*
No
Yes

Breed of dog
Current on all Vaccines? (will need to provide proof of immunization)*
No
Yes
History of aggression?*
No
Yes
Fourth Owner's Name

First Name*

Last Name*
Fourth Owner's Date of Birth*
Fourth Owner's Dog's Information

Dog's Name *
Dog's gender*
Male
Female

Dog's date of birth *
Is your dog spayed or neutered?*
No
Yes

Breed of dog
Current on all Vaccines? (will need to provide proof of immunization)*
No
Yes
History of aggression?*
No
Yes
Fifth Owner's Name

First Name*

Last Name*
Fifth Owner's Date of Birth*
Fifth Owner's Dog's Information

Dog's Name *
Dog's gender*
Male
Female

Dog's date of birth *
Is your dog spayed or neutered?*
No
Yes

Breed of dog
Current on all Vaccines? (will need to provide proof of immunization)*
No
Yes
History of aggression?*
No
Yes
Sixth Owner's Name

First Name*

Last Name*
Sixth Owner's Date of Birth*
Sixth Owner's Dog's Information

Dog's Name *
Dog's gender*
Male
Female

Dog's date of birth *
Is your dog spayed or neutered?*
No
Yes

Breed of dog
Current on all Vaccines? (will need to provide proof of immunization)*
No
Yes
History of aggression?*
No
Yes
Seventh Owner's Name

First Name*

Last Name*
Seventh Owner's Date of Birth*
Seventh Owner's Dog's Information

Dog's Name *
Dog's gender*
Male
Female

Dog's date of birth *
Is your dog spayed or neutered?*
No
Yes

Breed of dog
Current on all Vaccines? (will need to provide proof of immunization)*
No
Yes
History of aggression?*
No
Yes
Eighth Owner's Name

First Name*

Last Name*
Eighth Owner's Date of Birth*
Eighth Owner's Dog's Information

Dog's Name *
Dog's gender*
Male
Female

Dog's date of birth *
Is your dog spayed or neutered?*
No
Yes

Breed of dog
Current on all Vaccines? (will need to provide proof of immunization)*
No
Yes
History of aggression?*
No
Yes
Ninth Owner's Name

First Name*

Last Name*
Ninth Owner's Date of Birth*
Ninth Owner's Dog's Information

Dog's Name *
Dog's gender*
Male
Female

Dog's date of birth *
Is your dog spayed or neutered?*
No
Yes

Breed of dog
Current on all Vaccines? (will need to provide proof of immunization)*
No
Yes
History of aggression?*
No
Yes
Tenth Owner's Name

First Name*

Last Name*
Tenth Owner's Date of Birth*
Tenth Owner's Dog's Information

Dog's Name *
Dog's gender*
Male
Female

Dog's date of birth *
Is your dog spayed or neutered?*
No
Yes

Breed of dog
Current on all Vaccines? (will need to provide proof of immunization)*
No
Yes
History of aggression?*
No
Yes
Owner's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Dog's Information

Dog's Name *
Dog's gender*
Male
Female

Dog's date of birth *
Is your dog spayed or neutered?*
No
Yes

Breed of dog
Current on all Vaccines? (will need to provide proof of immunization)*
No
Yes
History of aggression?*
No
Yes
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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