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Step 1 of 3 - Client Information
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Name
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Daycare
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Name
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Name(s) of people authorized to pickup your dog(s)
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I understand and agree that (read and check each box below):
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Dog Days of Birmingham, LLC (Herein after referred to as Dog Days of Birmingham) and its members, officers, directors, managers, employees, contractors, and agents will not be liable for problems, damages, or injuries caused by my pet during its visit at Dog Days of Birmingham.
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I, as the pet owner (or as the pets authorized agent), agree to be solely responsible for any and all acts or behavior of my pet while in the care of Dog Days of Birmingham. I hereby release and agree to indemnify and hold harmless Dog Days of Birmingham from any liability arising from my dog's attendance and participation in any Dog Days of Birmingham's daycare and/or play sessions.
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Every dog reacts differently and animals, by nature, are unpredictable and, therefore, present a certain level of risk. I acknowledge and understand that there are certain risks involved in participating in day care or boarding and in owning, training, caring for, handling and being in the presence of dogs, including but not limited to injuries to people, property and animals resulting from dog fights, dog bites to humans or other dogs and the transmission of disease. I hereby accept those risks, for myself and for my dog and agree that Dog Days of Birmingham shall not be held responsible for any injuries suffered
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In case of emergency, I recognize the risks of injury that accompany said transport and acknowledge that this Agreement is being relied upon by this Facility to permit transport of my dog to and from the Facility or any other necessary location. I accept any and all conditions, rules and regulations promulgated by this Facility associated with the activities, use of the facilities and transport, and hereby agree to comply with them and I hereby accept those risks, for myself and for my dog and agree that Dog Days of Birmingham shall not be held responsible for any injuries suffered by myself or my dog as a result of any such incidents at Dog Days of Birmingham.
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Dogs not regularly exposed to the level of activity at the Facility may feel the discomfort of sore muscles, sore joints and fatigue, and dogs not regularly exposed to outside activity or play on hard surfaces may experience sore paws, blisters, bruises or abrasions on the feet (Raw Paw). I hereby accept those risks, for myself and for my dog and agree that Dog Days of Birmingham shall not be held responsible for any injuries suffered by myself or my dog as a result of any such incidents at Dog Days of Birmingham.
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Dogs not regularly socialized do not necessarily know how to behave politely with other dogs. These dogs are at higher risk of incidents including, but not limited to, bites, fights, fear aggression, object guarding, behavior problems and/or acting out. I hereby accept those risks, for myself and for my dog and agree that Dog Days of Birmingham shall not be held responsible for any injuries suffered by myself or my dog as a result of any such incidents at Dog Days of Birmingham.
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Dogs at play during the regular day care get dirty. Dogs with longer hair can get matted from the level of activity at day care. I hereby accept and assume those risks, for myself and for my dog and agree that Dog Days of Birmingham shall not be held responsible for any such incidents at Dog Days of Birmingham.
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Baths and brush outs can be requested and scheduled at my expense.
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Excessively long toenails may cause injury. I will be notified if my dog's nails are too long. If, at my next visit, the nails have not been trimmed, the Facility will have them trimmed at my expense. I hereby accept those risks, for myself and for my dog and agree that Dog Days of Birmingham shall not be held responsible for any injuries suffered by myself or my dog as a result of any such incidents at Dog Days of Birmingham.
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There are extra risks to my puppy of contracting disease or illness by entering the day care or boarding program without being fully vaccinated. I hereby accept those risks, for myself and for my dog and agree that Dog Days of Birmingham shall not be held responsible for any injuries suffered by myself or my dog as a result of any such incidents at Dog Days of Birmingham.
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Water is available at all times; however, my dog may still be thirsty after day care. I will be aware of their water intake as excessive amounts may cause an upset stomach or other problems. I hereby accept those risks, for myself and for my dog and agree that Dog Days of Birmingham shall not be held responsible for any injuries suffered by myself or my dog as a result of any such incidents at Dog Days of Birmingham.
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Dramatic changes in food and/or food quality may cause upset stomachs, diarrhea, and/or colitis. I hereby accept those risks, for myself and for my dog and agree that Dog Days of Birmingham shall not be held responsible for any injuries suffered by myself or my dog as a result of any such incidents at Dog Days of Birmingham.
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I understand that the risks of injury listed above are exemplary and that there may be other risks of injury not listed here that may be faced by myself or my dog. I hereby accept those risks, for myself and for my dog and agree that Dog Days of Birmingham shall not be held responsible for any injuries suffered by myself or my dog as a result of any such incidents at Dog Days of Birmingham.
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In understand and agree that any behavior deemed dangerous or inappropriate by Facility personnel may result in dismissal of my dog(s) from the programs.
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I must pay for all services at the time they are rendered. I understand any unpaid fees by me will be sent to collections, and I will be responsible for all collections and legal fees incurred by such actions taken.
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In admitting my dog(s) into the Facility, the Facility has relied on my representation that my dog(s) is/are in good health, has/have not been ill with any communicable disease within the last 30 days and has/have not harmed or shown aggressive or threatening behavior towards any person or any other dog.
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I have read and understand the Facility's "Rules and Regulations."
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I understand that Facility staff gives all pets involved in any type of incident a cursory examination; however, the Facility's staff is not trained veterinarians and will not be liable for the location, treatment or diagnosis of any injuries incurred on the Facility's premises. If my dog(s) is/are involved in an incident at the Facility, I will check my dog(s) further or seek treatment for my dog(s) by a licensed veterinarian at my discretion and cost.
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Photographs, videotape or digital recordings are taken of the facility, dogs, customers and staff on a regular basis for, among other things, use in advertising by Dog Days of Birmingham. I acknowledge that all such images (electronic, negatives and positives), together with prints and the copyrights therein, are the property of Dog Days. I give Dog Days and persons authorized by Dog Days my consent, permission and authorization, without compensation to me, to use, reproduce and alter the images, in print or electronic format (including on the internet), either alone or in combination with other images, text and graphics. I waive my right to approve the finished photograph, advertising copy, print material or electronic files that may be used in conjunction with the images.
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I grant the Facility and/or its agent's full power of decision concerning the care and well being of my dog(s) while at Dog Days of Birmingham. Should any medical emergency arise, it is agreed that the Facility or its selected agents can and will make any needed decision concerning medical treatment and choice of care giver up to $
and I will be responsible for reimbursing all such costs to the Facility.
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I represent that I am at least 19 years of age and, in all respects, legally able to, and do hereby, make the foregoing agreements and acknowledge that the rights and responsibilities contained herein are binding on myself, my heirs, successors and assigns.
Signature
Date
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