Shawnee Kennels

 

Petís Name _________________________ Breed _____________________

Age ____ Sex _____ Spayed/Neutered ___________________________

Owners Name __________________________________________________

Home Phone # ___________ Cell# _______________________________

Address_________________________________________________________

Veterinarian ____________________________________________________

Phone# ________________________________________________________

Emergency Contact ____________________________________________

Phone #________________________________________________________†††

Known Medical/Physical Disabilities: _________________________

Personality Traits: _____________________________________________

Inoculations: ††Rabies †††DHLP&P††† Bordetella

ANY PET WITHOUT PROPER PROOF OF VACCINES WILL NOT BE ACCEPTED FOR BOARDING AT THIS FACILITY

This is a contract between Shawnee Kennels and the pet owner whose signature appears below.

  1. I am boarding my dog(s) at Shawnee Kennels.If any illness, injury or death should occur while dog(s) is boarded here, it would be at my expense. I would not hold the others dogs, their owners, Phillip Elliott, Bonnie Elliott or Shawnee Kennels at fault.I relinquish any rights for a lawsuit against the same.
  2. Owner agrees to pay the rate in effect on the date pet(s) is/are checked out of the kennel.
  3. If pet(s) become ill or if the state of the pet/petís health otherwise requires professional attention, the Kennel, in itís sole discretion, may engage the services of a veterinarian or administer medicine or give other requisite attention to the pet(s) and the expenses thereof shall be paid by the owner.
  4. Abandoned pet(s) shall be turned over to the animal control officer.
  5. By signing this contract and leaving his/her pet(s) with the Kennel, Owner certifies to the accuracy of all information given about said pet(s).
  6. Owner specifically represents that he/she is the sole owner of the pet(s).
  7. Owner specifically represents to Kennel that the pet(s) has/have not been exposed to any virus and that petís/petsí inoculations are current.
  8. Kennel shall exercise reasonable care for the pet(s) checked into the Kennel for boarding. The Owner agrees to be solely responsible for any and all acts or behavior of pet(s) while pet(s) is/are in the care of the Kennel.

 

††††† _________________________††††††††† ††††________†††††††††††††††††† _________________________

Ownerís Lic # or SS #††††††††††††† Date††††††††††† †††††††††Ownerís Signature