Please legibly fill out the form below and bring it with you on the date of your reservation to ensure quality care for your pet(s), and to expedite check-in services. Call or visit our website if you have any questions or concerns. Thank You! Customer Info: *All reservations must be made by phone prior to arrival. Last Name: _______________________ If New: First Name: ________________________ Mobile Phone: _______________________ Address: ______________________________________________ City: ______________________ State: _____ Zip: _____________ Pet(s) Info: Pet(s) Name: ________________/________________/________________ Breed: ________________/________________/________________ If New: D.O.B.: _________/_________/_________ Reservation Info: Hours: If New: Sex (if spayed or neutered, please indicate): _______/_______/_______ Mon.-Fri. 8-11am, 3-6pm / Sat. 8-11am only / Sun. 4-6pm only Arrival Date: ____________ Time (Office Use): __________ Departure Date: ____________ Time (Office Use): __________ Bathe Before Home? Yes___ No___ (includes nails, anal glands, coat conditioner, ear cleaning, brushing, and cologne) Prices vary - see staff Yard Play? Yes___ No___ (15 min. of play in yard area with compatible dogs or with staff only) $5/dog/release, $3/additional pet in same kennel How Often: Daily: ___ Twice Daily: ___ Even Days: ___ Odd Days: ___ Specific Number/Dates: ____________________ Nature Walks? Yes___ No___ (20 min. scenic walk around Law’s 3 acre lake) $8/dog/walk How Often: Daily: ___ Twice Daily: ___ Even Days: ___ Odd Days: ___ Specific Number/Dates: ____________________ Insurance? Yes___ No___ (coverage of up to $250 for kennel cough or diarrhea stressed illness) $15/pet, claims must be made within 15 days of boarding Billing (Office Use): Departure Date: ______________ Departure Time: ______________Total Board Days: ____________ x $______________ Total: $________ Holiday Dates: __________________________ Total Holiday Days: __________________ x $______________ Total: $________ Bath/Groom: ____ Notes: _________________________ Cost: $___________ / $____________ / $____________ Total: $________ Yard Play: ____ Number_____________ x $________ Total: $________ Nature Walks: ____ Number_____________ x $________ Total: $________ Insurance: ____ Number____________ x $________ Total: $________ Pick Up or Delivery: ____ Number_____________ x $________ Total: $________ Pre-Total: $________ Free Boarding $ -_____ / Voucher $ -_____ / Deposit $ -_____ / Picture $_____ / Membership $_____ / CC Surcharge $_____ = Total: $________ Contractual Agreement: Law’s Country Kennel agrees to exercise reasonable care in regards to the handling and boarding of all animals. Reasonable care shall similarly be exercised in feeding and housing all animals and in keeping quarters safe and clean. Owner acknowledges and agrees: Animals may be taken off the premises to receive veterinarian care if, in the judgment of Law’s Country Kennel, an emergency trip is deemed necessary. In such an event, Law’s Country Kennel shall have the right to seek any veterinary service which, within its discretion and judgment, is deemed advisable. Owners with older dogs, or those requiring special attention, shall be charged for any additional service (such as grooming/bathing) which, in the judgment of Law’s Country Kennel, is deemed necessary in order to maintain an appropriate level of care for the animal. There is inherent risk involved with the handling and boarding of animals, and owner hereby agrees to release and hold harmless Law’s Country Kennel and its employees, representatives and contractors from and against any losses, liabilities, claims and/or damages, including but not limited to, disease, death, escape, theft, fire or other unavoidable cause, associated with the animal or its care, boarding or other services provided while at Law’s Country Kennel unless same results from the negligence or willful misconduct of Law’s Country Kennel. Full payment for services rendered is due within thirty (30) days of discharge. Charges will be made regardless of time of arrival. Any animal picked up before 11:00 a.m. will not be charged for that day. Owner shall be liable for any and all costs and expenses (including attorney fees) incurred by Law’s Country Kennel for collection of past due accounts. Owner represents and warrants: That he/she is the legal owner of the animal, and that title to the animal is not mortgaged in any way. To the owner’s knowledge, the animal has no dangerous propensities or abnormal propensity to cause the harm. As owner of the animal, I hereby agree to the terms and conditions stated above. Signed ______________________________ Date: ___________ I received back in good condition the foregoing animal. Signed ______________________________ Date: ___________
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