BOARDING AGREEMENT I ______________________________ am leaving my dogs: 1. _____________________ from:_______________to: _________________ 2. _____________________ Approximate pick up time: ______________ am/pm 3. _____________________ EXTRA’S GROOMING SCRAMBLED EGG BARKFEST Once per Day $5.00 Once per Day $2.00 Nail Clipping $10.00 Bath and Board Nails, Bath, and Brush FROZEN YOGURT ONE ON ONE PLAY Every other day Every other day 0ther 0ther (indicate # of Plays) (indicate # of Days for Eggs) STUFFED KONG STUFFED BONE Once Per Day $2.49 Once Per Day 7.99 Once Per Day 2.00 Every other day Every other day Every other day Other Other Other (indicate # of Plays) (indicate # of Kongs) (indicate # of Bones) LEGAL STUFF By signing this form, I agree that I will pay my complete boarding bill upon pick up of my pet. If my pet requires medical attention while under the care of Lodge Your Paws and my emergency contact is not available, I give permission for Lodge Your Paws to take any required action at their sole discretion to bring my pet to a veterinarian. I understand that it is my responsibility to pay the veterinarian bill upon pick up of my pet. My dogs are current on their vaccines including DHLPP, Rabies and Bordetella. I understand that Bordetella (canine cough), must be administered 3 days prior to staying at the Lodge if administered intranasal and 10 days prior if administered by injection. I also understand that even though my pet has the required updated vaccines, there is still a chance of my pet becoming ill (same as children) during their stay and I agree that Lodge Your Paws is not liable if this was to occur. If I abandon my dog(s) with Lodge Your Paws, I authorize Lodge Your Paws to take any action they deem appropriate. Administering medication is $0.75 per dose. Name of person picking up if other than the owner (ID Required at pick up) ___________________. I, the undersigned, have read, understand and agree to the terms and conditions of this boarding agreement. X Signature of Owner (Please Complete other side) Date BOARDING AGREEMENT FEEDING INSTRUCTIONS: Cup(s) AM NOON PM Special Instructions: Cup(s) AM NOON PM Cup(s) AM NOON PM If your dog is a picky eater or won’t eat, can we add a food topper? YES NO MEDICAL INFORMATION: Veterinarians Office: Is your dog on medication? YES NO YES YES If yes, medication dosage: Medication time given: OFF LEASH PLAY Lodge Your Paws follows safe off leash play procedures when socializing our guests. By allowing my dog(s) to socialize I understand that that my dog(s) may become injured through play and do not hold Lodge Your Paws liable for injuries that may result. YES NO (Please Initial) EMERGENCY CONTACT: My emergency contact(s) is/are aware my dog(s) are boarding at Lodge Your Paws. Initial Here here I permit Lodge Your Paws to contact and, if deemed necessary, release my dog(s) to the contact(s) belowe. Please ensure your emergency contact(s) can make important decisions on your behalf. Name: Contact: Relation: Name: Contact: Relation:
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