Happy Tails Doggie Daycare & Boarding

1670 S. Enterprise Ave   Springfield, MO 65804    417-881-8644

Application/Waiver

                   
                        
Right click and print application and waiver and fax back with vaccination records to 417-886-9193 or email to
happytailsmo2@yahoo.com. Once we receive this information you may call 417-881-8644 to make your reservation!

                     Happy Tails Doggie Daycare & Boarding

OWNER INFO:

Name:____________________________________Date:______________

Address:__________________City:____________State:____Zip:______
Home # _____________Cell #  ______________Work #______________

Email:________________________________(for Happy Tails use ONLY!)

Vet clinic__________________________ Phone #_________________

Emergency Name  __________________Emergency #  _____________

How did you hear about Happy Tails__________________


DOG INFO:

Dog’s Name______________________  Breed ________________

(Spayed female/Neutered male) _________ D.O.B. ___ /___ /____
*ALL DOGS MUST BE SPAYED OR NEUTERED!

Colors___________________ Weight_____________   Age__________

Medical/Behavior problems?___________________________________

 


Dog’s Name______________________ Breed ________________

(Spayed female/Neutered male) _________ D.O.B. ___ /___ /____

*ALL DOGS MUST BE SPAYED OR NEUTERED!
Colors___________________ Weight_____________ Age__________

Medical/Behavior problems?___________________________________

 

 

*Daycare charges will be applied to boarders if picked up in the afternoon!           Owner Initials_______ 


OFFICE USE ONLY:

1st dog:_________ Rabies due      /       /       DHLPP due        /        /  
Bordatella  due        /       / 

 

2nd dog:_________Rabies due       /        /    DHLPP due    /       /
Bordatella due        /       / 
 


Employee Initials:___________    1st Day:_____________________

*Attach veterinarian vaccination records


           

 WAIVER OF LIABILITY

Assumption of Risk Agreement to Hold Harmless

            I desire to obtain the Dog Day Care and/or Boarding services offered by Kanis, Inc.  (hereinafter “Happy Tails”).  Therefore, I hereby certify and agree as follows:

 

1).  I recognize and understand that attendance at dog day care or boarding is not without risk to myself, members of my family, guests who may attend, and to my dog, and that when my dog interacts with other day care dogs, my dog may receive “sports injuries”,  i.e. nicks, scrapes, and redness of the neck.

 

2).  I understand that some of the dogs that my family, my guests, and myself may be exposed to may be difficult to control and may cause injury, even when handled properly.

 

3).  I hereby waive and release Happy Tails, its employees, officers, directors, and agents of all liability of any nature, for injury or damage which my family, guests, dog or I might suffer, including without limitation, any injury or damage resulting from the action of any dog.  I expressly assume the risk of such damage or injury while attending any Happy Tails function, or while on the grounds building or property of Happy Tails.

 

4).  If, in the discretion of Happy Tails owners or staff, my dog suffers injury, Happy Tails may but is not obligated to , seek medical attention for my dog.  In the event medical services are provided to my dog, I promise to pay the service provider or reimburse Happy Tails for such medical services, as Happy Tails directs.

 

5).  In consideration of and as inducement to the acceptance of my application for boarding or dog day care, I hereby agree to indemnify and hold harmless Happy Tails, It’s employees, officers, directors and agents from any and all claims, suits, or damages resulting from action of any agent, employee, officer or dog on the grounds of Happy Tails, including my own dog(s).

 

______________________________________                       

Signature                                                                  

 

______________________________________                               

Print name               

_____________________
Date                               

  

 

 

 

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