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Willow Creek Pet Center

Stay n’ Play Day Care Waiver of Liability and Indemnity Form

This Agreement between WILLOW CREEK PET CENTER (hereinafter WCPC) and (NAME OF OWNER) (hereinafter Owner), owner of (NAME OF ANIMAL), a (BREED OF ANIMAL) (hereinafter Animal), for Stay n' Play day care services is dated this day of , , (DATE).

  1. OWNERSHIP. Owner represents that Owner is the registered owner of Animal with full authority to act on behalf of Animal in all matters. Owner shall be responsible for transporting Animal to and from the training location(s).
  2. ANIMAL CONDITION. Owner represents Animal is in good health, current on all vaccinations, has been free from illness for the past thirty days, has no ongoing behavior problems that would endanger people or animals at the training locations, and does not have a history of aggressive behavior toward people or animals. Owner has made certain representations about the Animal to WCPC and understands and agrees that WCPC, its agents, and its employees may rely on Owner's representations of Animal's health and condition.
  3. REASONABLE CARE. Owner agrees WCPC will provide Animal reasonable care while in WCPC's possession and control for Stay n' Play daycare and training, and that no guarantee is being made for the health of any animal while in WCPC's possession and control.
  4. RELEASE OF LIABILITY AND INDEMNITY AGREEMENT. Owner agrees to be solely responsible for all acts and behavior of Animal. Owner acknowledges Animal may come in contact with unknown humans, dogs, and other animals. Owner agrees that WCPC shall not be liable for any damage or injury to Animal whatsoever, arising out of, resulting from, or in connection with such training and related activities, whether incurred during training or not, including but not limited to weight loss, rough hair coat, kennel cough, upper respiratory infections, diarrhea, fleas, injury of any kind (including from other animals), death, loss by disaster, theft, running away, and claims of negligence against WCPC, its employees or agents, whether Animal is on the premises of WCPC or not, except where any such damage or injury is caused by the gross negligence of WCPC, its agents, or its employees. Owner hereby releases and holds WCPC, its agents, and its employees harmless from all liabilities, claims, and/or causes of actions arising out of, in connection with, or resulting from WCPC's care, treatment, boarding, or training of Animal. Owner further agrees to indemnify WCPC from and against any and all damages sustained or suffered by reason of the training for any claims or injuries arising out of said training.
  5. INDEMNIFICATION AND DEFENSE OF WCPC FOR DAMAGE CAUSED BY ANIMAL. Owner agrees to be solely responsible for all acts and behavior of Animal. Owner acknowledges Animal may come in contact with unknown humans, dogs, and other animals. Owner agrees to defend and indemnify WCPC, its employees and agents for any claims, demands, or lawsuits made or brought by third parties against WCPC claiming injuries or damages arising from, as a result of, or in connection with the behavior or actions of Owner's Animal.
  6. WCPC Plus CLUB. WCPC makes every effort to avoid accidental injury and illness to the animals in our care. But in a social environment, it is not always possible to prevent all injuries and illness. For WCPC Club members, WCPC will provide care, at no additional cost to you, for the following common injuries and illness resulting from a shared animal environment: kennel cough, flu, lacerations, abrasions, torn toe nails, and paw pad injuries.
    (INITIAL) I accept WCPC Plus Club membership for the cost of an additional $3.00/day and an additional $1.50/half day and consent for my Animal to be treated by WCPC.
    (INITIAL) I decline WCPC Plus Club membership and understand my Animal may be treated while in WCPC care and I will be billed for the cost of care.
  7. ILLNESS. In the event Animal becomes ill, Owner will be notified at (TELEPHONE NUMBER). If Owner is not immediately available or does not immediately answer a telephone call from WCPC, Owner authorizes WCPC to initiate any and all appropriate treatment until Owner can be reached. Owner agrees to pay all the related expenses associated with the treatment of Animal.
  8. GENERAL PROVISIONS. This Agreement shall bind and inure to the benefit of the respective heirs, personal representatives, successors, and assigns of Owner and WCPC. This agreement shall be governed by, construed, and enforced in accordance with the laws of Utah. All disputes, claims, and questions regarding the rights and obligations of the parties under the terms of this Agreement are subject to arbitration, conducted under the rules of commercial arbitration of the American Arbitration Association. The invalidity of any portion of this agreement will not and shall not be deemed to affect the validity of any other provision.

I acknowledge that I have read and understand the foregoing Agreement, and agree to be bound by its terms, conditions, representations, and statements.
Owner:
Date: ,

Stay n' Play Behavior Questionnaire

  1. How long have you owned your dog?
  2. Does your dog get along with other resident animals, if you have any?
    YesNo - If no, please explain:
  3. Has your dog ever growled or bit another person or dog?
    YesNo - If yes, please explain:
  4. Is there any person, type of dog, or situation that your dog dislikes?
    YesNo - If yes, please explain:
  5. Has your dog readily shared food, water or toys with other animals?
    YesNo - If no, please explain:
  6. Has your dog ever growled or snapped at anyone who has taken his/her food or toys away from him/her?
    YesNo - If no, please explain:
  7. Has your dog ever socialized off leash with a large group of dogs (10 or more)? YesNo
  8. Has your dog ever climbed/jumped a fence or barrier?
    YesNo - If yes, please explain:
  9. Does your dog have any areas on his/her body where they do not like touched by humans?
    YesNo - If yes, please explain:
  10. Does your dog play well with dogs of all sizes?
    YesNo - If no, please explain:
  11. Is there anything else we should know about your dog?
    YesNo - If yes, please explain:

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