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Emma Marie's Dog Walking

Photographs
Occasionally, photographs or video footage may be taken of dog(s) that are using any of the services provided by Emma Marie's. The client gives permission for any resulting photographs or videos of Owner's dog(s) to be used for advertising or educational material, understanding that the resulting photographs or videos are the sole property of Emma Marie's.

Payment
Owner agrees to pay the rates described below unless otherwise noted for the dog walking service in effect on the date dog(s) is admitted to Emma Marie's and on each Friday of the week services are rendered. Owners further agrees that the dog(s) will not be walked until Owner pays all past due charges to Emma Marie's. Owner further agrees to comply with the operating hours of Emma Marie's. Emma Marie's has the right to refuse services to anyone.

$30 for 30 – 40 minute walk and additional $5 per dog in same household

Veterinary and Dog Health Care
Owner agrees to pay all cost and charges for all veterinary cost for the dog(s) during the time period that the dog(s) is enrolled with Emma Marie's Dog Walking. If the dog(s) becomes ill, the Owner shall be notified as soon as possible. If the Owner does not inform Emma Marie's immediately regarding measures being taken, or if the state of the dog's health reasonably demands quick action, Emma Marie's shall have the right to call a veterinarian, as designated above or if no veterinarian is designated, to call a veterinarian chosen by Emma Marie's or take the dog to said vet in either case; and such expenses, being reasonable in amount shall be paid promptly by the Owner of the dog(s). For any reason that the dog dies while in the care of Emma Marie's or agents. Owner agrees to allow Emma Marie's to get a neacropsy done to determine cause of death.

Release
I do hereby waive and release Emma Marie's and it's agents from any and all liabilities of any nature for the actions of myself, my dog(s), or any person who holds a key to my home; except those arising from gross negligence or willful misconduct on the part of Emma Marie's. Emma Marie's agrees to provide all services in kind, humane, reliable and trustworthy manner. Clients agrees to notify Emma Marie's of any concerns within 24 hours of their return.

I understand that Emma Marie's can terminate this Contract if my dog becomes a threat to the safety of health of Emma Marie's employees of the community due to aggressive behavior. Emma Marie's will contact client if dog(s) display aggressive behavior or tendencies. Emma Marie's is required to report any bite incidents to authorities. I acknowledge I am responsible for medical expenses and damages resulting from an injury to an Emma Marie's staff member or other person or animal caused by my dog(s). Emma Marie's reserves the right to refuse service to any client, at any time, for any reason. I attest that all of the above information is true to the best of my knowledge. If anything changes from what is listed, I will inform Emma Marie's in writing before the next service is scheduled.

This signed document gives Emma Marie's authorization to enter the above listed address as needed to perform the necessary services. I authorize this contract to be valid approval for services so as to permit Emma Marie's staff to enter my home without additional signed contract or written authorization.

Disclaimer
Owner agrees to indemnify and hold Emma Marie's harmless, from and against all loss, damage, or expense, including attorney's fees, resulting from misrepresentations by Owner or Owner's agents or resulting from Owner's dog(s) including, without limitation, any person claiming to be the Owner or Owner's dog(s) and any person claiming to be the Owner or Owner's dog(s) and any person claiming damage or injury by Owner's dog(s).

By Signing this contract, Owner certifies to the accuracy of all information given about said dog on this contract and is the sole Owner of the dog, free and clear of all liens and encumbrances.

I have read and agree to the terms

Today's Date: December 10, 2019

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
In case of Emergency:*

Should any medical condition arise, including non-life threatening situations, and neither the emergency contact or I can be reached, it is agreed that Emma Marie's or its selected agent can and will make any needed decision concerning medical treatment at my designated veterinarian or if my vet is unavailable, at the veterinarian of Emma Marie's choice up to the amount of $:

Dog Name:

Where will your dog be before the walk?

Where would you like your dog left afterwards (crate,bedroom,left loose, etc)?

Do you use anything other than a collar and leash when walking your dog (harness, halti, gentle leader, pinch collar, etc.)?

Location of dog walking items:

Any specific location that you would like us to walk your dog?

After Walk Routine


Water - Amount:

Treat - Amount:

Type:

Meal - Amount:

Location:

Other:

What would you like us to do if it is raining?

The Key & Alarm

Choose one:*

Location to leave key:
Alarm code?*
No
Yes

If so:
Set after walk?*
No
Yes

What kind of walk?

$30 for 30-40 min walk / additional $5 same dog household.*

If custom:
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
In case of Emergency:*

Should any medical condition arise, including non-life threatening situations, and neither the emergency contact or I can be reached, it is agreed that Emma Marie's or its selected agent can and will make any needed decision concerning medical treatment at my designated veterinarian or if my vet is unavailable, at the veterinarian of Emma Marie's choice up to the amount of $:

Dog Name:

Where will your dog be before the walk?

Where would you like your dog left afterwards (crate,bedroom,left loose, etc)?

Do you use anything other than a collar and leash when walking your dog (harness, halti, gentle leader, pinch collar, etc.)?

Location of dog walking items:

Any specific location that you would like us to walk your dog?

After Walk Routine


Water - Amount:

Treat - Amount:

Type:

Meal - Amount:

Location:

Other:

What would you like us to do if it is raining?

The Key & Alarm

Choose one:*

Location to leave key:
Alarm code?*
No
Yes

If so:
Set after walk?*
No
Yes

What kind of walk?

$30 for 30-40 min walk / additional $5 same dog household.*

If custom:
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
In case of Emergency:*

Should any medical condition arise, including non-life threatening situations, and neither the emergency contact or I can be reached, it is agreed that Emma Marie's or its selected agent can and will make any needed decision concerning medical treatment at my designated veterinarian or if my vet is unavailable, at the veterinarian of Emma Marie's choice up to the amount of $:

Dog Name:

Where will your dog be before the walk?

Where would you like your dog left afterwards (crate,bedroom,left loose, etc)?

Do you use anything other than a collar and leash when walking your dog (harness, halti, gentle leader, pinch collar, etc.)?

Location of dog walking items:

Any specific location that you would like us to walk your dog?

After Walk Routine


Water - Amount:

Treat - Amount:

Type:

Meal - Amount:

Location:

Other:

What would you like us to do if it is raining?

The Key & Alarm

Choose one:*

Location to leave key:
Alarm code?*
No
Yes

If so:
Set after walk?*
No
Yes

What kind of walk?

$30 for 30-40 min walk / additional $5 same dog household.*

If custom:
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
In case of Emergency:*

Should any medical condition arise, including non-life threatening situations, and neither the emergency contact or I can be reached, it is agreed that Emma Marie's or its selected agent can and will make any needed decision concerning medical treatment at my designated veterinarian or if my vet is unavailable, at the veterinarian of Emma Marie's choice up to the amount of $:

Dog Name:

Where will your dog be before the walk?

Where would you like your dog left afterwards (crate,bedroom,left loose, etc)?

Do you use anything other than a collar and leash when walking your dog (harness, halti, gentle leader, pinch collar, etc.)?

Location of dog walking items:

Any specific location that you would like us to walk your dog?

After Walk Routine


Water - Amount:

Treat - Amount:

Type:

Meal - Amount:

Location:

Other:

What would you like us to do if it is raining?

The Key & Alarm

Choose one:*

Location to leave key:
Alarm code?*
No
Yes

If so:
Set after walk?*
No
Yes

What kind of walk?

$30 for 30-40 min walk / additional $5 same dog household.*

If custom:
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
In case of Emergency:*

Should any medical condition arise, including non-life threatening situations, and neither the emergency contact or I can be reached, it is agreed that Emma Marie's or its selected agent can and will make any needed decision concerning medical treatment at my designated veterinarian or if my vet is unavailable, at the veterinarian of Emma Marie's choice up to the amount of $:

Dog Name:

Where will your dog be before the walk?

Where would you like your dog left afterwards (crate,bedroom,left loose, etc)?

Do you use anything other than a collar and leash when walking your dog (harness, halti, gentle leader, pinch collar, etc.)?

Location of dog walking items:

Any specific location that you would like us to walk your dog?

After Walk Routine


Water - Amount:

Treat - Amount:

Type:

Meal - Amount:

Location:

Other:

What would you like us to do if it is raining?

The Key & Alarm

Choose one:*

Location to leave key:
Alarm code?*
No
Yes

If so:
Set after walk?*
No
Yes

What kind of walk?

$30 for 30-40 min walk / additional $5 same dog household.*

If custom:
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
In case of Emergency:*

Should any medical condition arise, including non-life threatening situations, and neither the emergency contact or I can be reached, it is agreed that Emma Marie's or its selected agent can and will make any needed decision concerning medical treatment at my designated veterinarian or if my vet is unavailable, at the veterinarian of Emma Marie's choice up to the amount of $:

Dog Name:

Where will your dog be before the walk?

Where would you like your dog left afterwards (crate,bedroom,left loose, etc)?

Do you use anything other than a collar and leash when walking your dog (harness, halti, gentle leader, pinch collar, etc.)?

Location of dog walking items:

Any specific location that you would like us to walk your dog?

After Walk Routine


Water - Amount:

Treat - Amount:

Type:

Meal - Amount:

Location:

Other:

What would you like us to do if it is raining?

The Key & Alarm

Choose one:*

Location to leave key:
Alarm code?*
No
Yes

If so:
Set after walk?*
No
Yes

What kind of walk?

$30 for 30-40 min walk / additional $5 same dog household.*

If custom:
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
In case of Emergency:*

Should any medical condition arise, including non-life threatening situations, and neither the emergency contact or I can be reached, it is agreed that Emma Marie's or its selected agent can and will make any needed decision concerning medical treatment at my designated veterinarian or if my vet is unavailable, at the veterinarian of Emma Marie's choice up to the amount of $:

Dog Name:

Where will your dog be before the walk?

Where would you like your dog left afterwards (crate,bedroom,left loose, etc)?

Do you use anything other than a collar and leash when walking your dog (harness, halti, gentle leader, pinch collar, etc.)?

Location of dog walking items:

Any specific location that you would like us to walk your dog?

After Walk Routine


Water - Amount:

Treat - Amount:

Type:

Meal - Amount:

Location:

Other:

What would you like us to do if it is raining?

The Key & Alarm

Choose one:*

Location to leave key:
Alarm code?*
No
Yes

If so:
Set after walk?*
No
Yes

What kind of walk?

$30 for 30-40 min walk / additional $5 same dog household.*

If custom:
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
In case of Emergency:*

Should any medical condition arise, including non-life threatening situations, and neither the emergency contact or I can be reached, it is agreed that Emma Marie's or its selected agent can and will make any needed decision concerning medical treatment at my designated veterinarian or if my vet is unavailable, at the veterinarian of Emma Marie's choice up to the amount of $:

Dog Name:

Where will your dog be before the walk?

Where would you like your dog left afterwards (crate,bedroom,left loose, etc)?

Do you use anything other than a collar and leash when walking your dog (harness, halti, gentle leader, pinch collar, etc.)?

Location of dog walking items:

Any specific location that you would like us to walk your dog?

After Walk Routine


Water - Amount:

Treat - Amount:

Type:

Meal - Amount:

Location:

Other:

What would you like us to do if it is raining?

The Key & Alarm

Choose one:*

Location to leave key:
Alarm code?*
No
Yes

If so:
Set after walk?*
No
Yes

What kind of walk?

$30 for 30-40 min walk / additional $5 same dog household.*

If custom:
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
In case of Emergency:*

Should any medical condition arise, including non-life threatening situations, and neither the emergency contact or I can be reached, it is agreed that Emma Marie's or its selected agent can and will make any needed decision concerning medical treatment at my designated veterinarian or if my vet is unavailable, at the veterinarian of Emma Marie's choice up to the amount of $:

Dog Name:

Where will your dog be before the walk?

Where would you like your dog left afterwards (crate,bedroom,left loose, etc)?

Do you use anything other than a collar and leash when walking your dog (harness, halti, gentle leader, pinch collar, etc.)?

Location of dog walking items:

Any specific location that you would like us to walk your dog?

After Walk Routine


Water - Amount:

Treat - Amount:

Type:

Meal - Amount:

Location:

Other:

What would you like us to do if it is raining?

The Key & Alarm

Choose one:*

Location to leave key:
Alarm code?*
No
Yes

If so:
Set after walk?*
No
Yes

What kind of walk?

$30 for 30-40 min walk / additional $5 same dog household.*

If custom:
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
In case of Emergency:*

Should any medical condition arise, including non-life threatening situations, and neither the emergency contact or I can be reached, it is agreed that Emma Marie's or its selected agent can and will make any needed decision concerning medical treatment at my designated veterinarian or if my vet is unavailable, at the veterinarian of Emma Marie's choice up to the amount of $:

Dog Name:

Where will your dog be before the walk?

Where would you like your dog left afterwards (crate,bedroom,left loose, etc)?

Do you use anything other than a collar and leash when walking your dog (harness, halti, gentle leader, pinch collar, etc.)?

Location of dog walking items:

Any specific location that you would like us to walk your dog?

After Walk Routine


Water - Amount:

Treat - Amount:

Type:

Meal - Amount:

Location:

Other:

What would you like us to do if it is raining?

The Key & Alarm

Choose one:*

Location to leave key:
Alarm code?*
No
Yes

If so:
Set after walk?*
No
Yes

What kind of walk?

$30 for 30-40 min walk / additional $5 same dog household.*

If custom:
Participant'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*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
In case of Emergency:*

Should any medical condition arise, including non-life threatening situations, and neither the emergency contact or I can be reached, it is agreed that Emma Marie's or its selected agent can and will make any needed decision concerning medical treatment at my designated veterinarian or if my vet is unavailable, at the veterinarian of Emma Marie's choice up to the amount of $:

Dog Name:

Where will your dog be before the walk?

Where would you like your dog left afterwards (crate,bedroom,left loose, etc)?

Do you use anything other than a collar and leash when walking your dog (harness, halti, gentle leader, pinch collar, etc.)?

Location of dog walking items:

Any specific location that you would like us to walk your dog?

After Walk Routine


Water - Amount:

Treat - Amount:

Type:

Meal - Amount:

Location:

Other:

What would you like us to do if it is raining?

The Key & Alarm

Choose one:*

Location to leave key:
Alarm code?*
No
Yes

If so:
Set after walk?*
No
Yes

What kind of walk?

$30 for 30-40 min walk / additional $5 same dog household.*

If custom:
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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