Client Information
Emergency Contact
Please list those whom are authorized to pick up your pet
Veterinarian
Pup Information
Vaccination Records
Please list the current expiration dates for the following vaccinations
Medical History
NOTE: IF YES, YOU WILL NEED TO FILL OUT AND SIGN A MEDICATION ADMINISTRATION FORM FOR EACH PUP
Personality
I, the undersigned, hereby acknowledge and agree that all the information in this application is complete
and accurate to the best of my knowledge. I further attest that if I am not the sole owner or
representative of the cat subject to this application that my signature is sufficient to enter into this
application for and on behalf of any other owner or representative.
The K9 Experience, LLC Boarding and Service Agreement
NOTICE TO THE PUP OWNER/GUARDIAN
PLEASE READ CAREFULLY. THIS AGREEMENT INCLUDES A RELEASE OF LIABILITY AND WAIVER OF LEGAL RIGHTS AND DEPRIVES YOU OF THE RIGHT TO SUE THE K9 EXPERIENCE, LLC (REFERRED TO IN THIS AGREEMENT AS "K9X") OR RELATED PARTIES. DO NOT SIGN THIS AGREEMENT UNLESS YOU HAVE READ IT IN ITS ENTIRETY AND UNDERSTAND ITS EFFECT, POLICIES, PROCEDURES, PET RELEASE, WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNIFICATION AGREEMENTS.
Policies, Procedures, Terms and Conditions
- Owner/Guardian: I represent that I am the owner and/or authorized guardian of my pet and I am fully authorized to enter this agreement.
- Refusal of Service: I understand K9X reserves the right to deny services to any pet for any reason at any time.
- Pet Requirements: I represent that my pet meets all of the following requirements: (1) is four months of age or older, (2) is current on his/her required vaccinations, (3) is on a monthly flea and tick preventative medication, (4) has been in good health for 30 days prior to check-in, (5) is not aggressive or toy protective, (6) I have completed the Dog Profile, (7) my dog will enter and exit K9X facility on a leash.
- Vaccinations: I certify that my dog has the following vaccinations: (1)
- Health: I represent that my pet has not had any contagious illnesses of any kind for 30 days prior to check-in. I am aware and understand that K9X employees are not veterinarians and do not have backgrounds in animal medicine. K9X employees cannot diagnose or detect illnesses in the pets that are staying at K9X. I agree to assume all risk associated with the administration of medication by K9X during my pet's stay. In addition, I acknowledge and am aware that vaccines do not protect against all contagious illnesses that may affect my pet. I hereby agree to indemnify K9X, its owners, directors, officers, employees and agents against any claims made against K9X, its owners, directors, officers, employees and agents as a result of my failure to inform K9X of any pre- existing medical conditions that my pet may have.
- Fleas and Ticks: I agree that if any fleas or ticks are discovered on my pet during check-in or at any other time while my pet is receiving services at K9X, that my pet may receive a flea bath and flea spot treatment at my expense.
- Veterinarian Care: I agree to allow K9X to obtain veterinarian medical treatment for my pet, if, in its sole discretion, it appears that the pet is ill, injured or exhibits any other behavior that would reasonably suggest that my pet might need medical treatment. Medical treatment may require transportation of my pet to receive care and I hereby authorize such transportation. I grant K9X full authority to make decisions involving the medical treatment of my pet during its stay at K9X. I agree that I am fully responsible for the cost of any such medical treatment and transportation.
- Veterinarian Liability: I agree that I am assuming all risk of illness, disease, harm or otherwise to my pet by allowing my pet to participate in services at K9X. Furthermore, I agree that I am assuming all risk of the consequences associated with any decisions made by K9X relating to the medical care and transportation of my pet. I agree to be solely financially responsible for any and all veterinary care of my pet while in the care of K9X, or as a result from time spent at K9X. In addition, I agree that if my pet is injured by another pet, I hereby release K9X, its owners, employees, and agents from all liability and financial responsibility for such injury. I further understand that if my pet bites a human or pet, that K9X may contact the appropriate authorities.
- Transportation: I agree that if my pet is transported to or from K9X by K9X, its employees or agents that I agree to hold K9X, its owners, directors, officers, employees, or agents harmless in the event of injury or accident during transportation.
- Dog Care: I understand that K9X utilizes playgroups where multiple dogs interact. I understand that dogs play with their mouth and paws, which can result in nicks and scratches on my pet. While K9X provides reasonable care and supervision in the playgroups, I understand and agree that K9X employees may not notice these nicks or scratches before my pet's departure and, therefore, I might not be notified.
- Aggressive Dogs: I certify that my dog is not aggressive, and I understand that aggressive dogs are not permitted to participate in services at K9X. If my dog acts aggressively or exhibits unacceptable behavior, he/she may be separated from the other dogs and I may be called to come pick up pet immediately in extreme cases.
- Abandonment Notice: I fully understand and agree that if my pet is not picked up by myself or an authorized representative within 14 calendar days after the day my pet is scheduled to depart, that my pet shall be deemed “abandoned." I understand if I abandon my pet at K9X, that K9X, in its sole discretion, will try to re-home my pet, or relinquish my pet to a legal shelter of its choice. I fully understand and agree that if I abandon my pet at K9X, I may be unable to retrieve my pet and will have no recourse against K9X. In addition, I understand that I will still be responsible for the unpaid charges incurred for my pet’s stay.
- Photo and Video Release: I agree to allow K9X to use my pet's name and any images or videos taken while he/she is in the care of K9X in any form or format, for use, at any time, in any media, marketing, advertising, illustration, trade or promotional materials.
- Personal Property: I agree that K9X shall not be responsible or liable for any lost, stolen, or damaged personal property belonging either to my dog or me. I also understand and agree that my dog's collar may be removed in the play area to prevent injury. This includes, but is not limited to, GPS collars and flea collars.
- Service Fees: I agree to pay for all fees, services and products with a credit card, cash, or Venmo at the time of my pet's pickup from each visit at K9X. I give express permission to K9X to charge any of the credit card numbers provided on my dog’s application for any unpaid fees, services or products. I further agree to pay the cost of any debit charges returned or challenged for any reason.
- Cancellation Policy: I understand that all confirmed reservations must be cancelled at least 72 hours prior to my pet's reserved arrival date. I further understand that a no-show or a cancellation made within 72 hours of my pet's arrival date will result in my being responsible for the $60 deposit.
- Check-in & Check-out: I understand that check-in and check-out times are policy, and times outside of those assigned will incur additional fees.
- Duty to Disclose: I represent that I have disclosed and shall continue to disclose, any and all medical conditions or any other conditions, including, but not limited to, personality concerns or behaviors that may affect, limit or prevent my pet's ability to participate in services provided by K9X. I understand that K9X is relying on and will rely on those representations to provide a safe environment for both humans and animals.
- Controversy or Claim: I agree that any controversy or claim arising out of, or relating to this contract, or breech thereof, or as the result of any claim or controversy including the alleged negligence by any party to this contract, shall be settled by arbitration in accordance with the rules of the American Arbitration Association. I further agree that judgment upon award rendered by an arbitrator may be entered in any court having jurisdiction thereof and the arbitrator shall, as part of his award to the prevailing party, include the cost of such arbitrations and reasonable attorney's fee of the prevailing party.
- Texas HB 2063: In reference to Texas HB 2063, this section is our required notice to you, our customer. This section’s purpose is to inform and acknowledge that our facility does not have fire suppression installed, but there is a staff member on site 24/7. Our facility does have smoke detectors that are tied into our monitored alarm system, and they notify NBPD and NBFD should the alarm be triggered. We also monitor the cameras to ensure the safety of all the animals in our facility while we are away. I acknowledge that K9X does not have fire suppression, nor do they have overnight staff.
- Waiver, Release and Indemnification: I release, waive, discharge, indemnify and agree to hold K9X, its owners, directors, officers, employees and agents harmless for any and all manner of damages, injury, claims, loss, liabilities, costs or expenses, attorney's fees, causes of action or suit, whatsoever in law or equity, arising out of or related to the services provided by K9X, its owners, directors, officers, employees or agents including without limitation: (1) any inaccuracy in any statement made by myself or information provided by me, (2) my pet, including but not limited to, destruction of property, dog bites, injury and transmission of disease, and (3) any action by myself that is in breach of the terms of this agreement.
- Sole Agreement: This writing represents the sole agreement between K9X and the Owner/Guardian. This agreement governs the pet(s) named in this agreement and any additional pets I may bring into K9X in the future, even though those pets are not named on this agreement.
- Affirmation:Each time I bring my pet into K9X, I am re-affirming the terms of this agreement, including updated claims, and the truthfulness and accuracy of all the statements I have made in this agreement.
I HAVE READ AND FULLY UNDERSTAND THE TERMS OF THIS AGREEMENT. I HAVE SIGNED THIS AGREEMENT VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE OR GUARANTEE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO K9X, ITS OWNERS, OFFICERS, EMPLOYEES AND AGENTS TO THE GREATEST EXTENT PREMITTED BY LAW. I FURTHER AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID OR UNENFORCEABLE, THE REMAINDER SHALL REMAIN IN FULL FORCE AND EFFECT.