AUTHORIZATION: I certify that I am the legal Owner, or the authorized caretaker of the dog named below.
AGE: I certify that the dog named below is at least 16 weeks old.
VACCINATIONS: I certify that the dog named below is healthy and current on vaccinations for 1) Rabies, 2) DHPP or DA2PP (Distemper, Hepatitis or Adenovirus, Parvovirus and Parainfluenza), and 3) Bordetella (i.e. Kennel Cough). If not provided already, I agree that I will provide Pampered Puppies electronic copies of veterinary records proving vaccinations have been completed at least 14 days in advance of the visit.
GOOD HEALTH: I certify that the dog named below is in good health and not under the care of a veterinarian for a specific illness or ailment at this time.
STERILIZATION: If over the age of 9 months, I certify that the dog named below is neutered or spayed.
FLEAS & TICKS: The dog named below is flea and tick free. If it is observed to have fleas or ticks, a flea/tick treatment will be done and charged to me ($30).
IMMUNE SYSTEM: I understand special-needs dogs, young puppies, and senior dogs naturally have a higher risk of injury, stress-related illnesses, weakened immune system, or exacerbation of any pre-existing condition. As such, by using our facility I am waiving any claim for injury, illness, or even death experienced by the dog named below while in the care of Pampered Puppies.
AGGRESSION: I certify that the dog named below has never bitten or displayed aggression toward other dogs or toward people.
All dogs must pass a behavior assessment in order to participate in group activities. No dog will be admitted to daycare or training class who shows any signs of aggression. Any dog that demonstrates aggression or other behavior deemed unacceptable by Pampered Puppies staff may be dismissed and/or crated.
RIGHT OF REFUSAL: Pampered Puppies reserves the right to refuse admittance to any dog or dismiss any dog that does not meet or maintain the health, temperament or other daycare standards. The determination shall be made at the sole discretion of Pampered Puppies.
PERSONAL PROPERTY: I am solely responsible for any harm, including to other dog(s), to employees, or to invitees of Pampered Puppies, or to the equipment, facilities, or other property of Pampered Puppies, caused by my dog(s). I also agree that Pampered Puppies shall not be responsible or liable for any lost or damaged personal property belonging to me.
RELEASE OF LIABILITY: I understand and accept that during normal dog play, the dog named below may sustain injuries. Dog play is monitored by Pampered Puppies staff, but scratches, punctures, torn ligaments, and other injuries may occur despite supervision. I further understand and agree that Pampered Puppies, nor any of its employees, will be liable for any illness, injury, death, and/or escape of my dog provided that reasonable care and precautions are followed. I hereby release Pampered Puppies staff of any liability of any kind whatsoever arising from or as a result of my dog visiting Pampered Puppies.
I hereby certify that I have read and understand this Waiver and Release of Liability. By signing this agreement, I agree to be bound by its terms and conditions.