PUPSI INC. SERVICES CONTRACT 8260 CHAPEL HILL RD. CARY NC 27513 DOGS NAME/BREED: _______________________________________ D.O.B.:___________________ WEIGHT: ______ DOGS NAME/BREED: _______________________________________ D.O.B.:___________________ WEIGHT: ______ DOGS NAME/BREED: _______________________________________ D.O.B.:___________________ WEIGHT: ______ OWNER NAME: ___________________________________________________________________________________ ADDRESS: ____________________________________ CITY/STATE: _______________________ ZIP: _____________ PHONE: (H) ___________________________ (W) __________________________ (C) __________________________ EMAIL ADDRESS: _____________________________________ EMERGENCY CONTACT: ________________________ ANIMAL HOSPITAL/VETERINARIAN: ___________________________________________ PHONE: _______________ CURRENT PROBLEMS (MEDICAL OR TRAINING): _________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ RULES AND POLICIES • • • • • • • • • • • • • ALL DOGS MUST BE CURRENT ON INNOCULATIONS (RABIES, BORDATELLA AND DISTEMPER/PARVO) OWNER IS RESPONSIBLE FOR PROVIDING THESE OR HAVING THEM FAXED OR EMAILED BY VET TRAINING STUDENTS MUST PAY IN FULL ON FIRST DAY OF TRAINING CURRENT BOARDING CLIENTS PAY 1/3 OF TOTAL OR 1 DAYS RATE, WHICH EVER IS GREATER AS A NON REFUNDABLE DEPOSIT AT TIME OF BOOKING NEW BOARDING CLENTS PAY IN FULL AT TIME OF BOOKING, NO REFUNDS OR CREDITS FOR CANCELLATIONS UP TO ½ OF TOTAL BOARDING FOR HOLIDAYS MAY BE TAKEN DEPENDING ON AVAILABILITY BALANCE FOR BOARDING MUST BE PAID IN FULL AT TIME OF DROP OFF PUPSI INC HAS A ‘PAY FOR WHAT YOU BOOK POLICY’- THE PERIOD BOOKED WILL BE CHARGED. THERE ARE NO REFUNDS OR CREDITS FOR EARLY PICK UP OR LATE DROP OFF CHARGES START ON DROP OFF DAY (AM OR PM) AND ACCRUE DAILY PER SHIFT (AM OR PM PICK UP). THERE IS A THREE DAY MINIMUM BOOKING FOR HOLIDAYS ALL DEPOSITS ARE NON REFUNDABLE, NO CREDITS GIVEN THERE IS A FEE PER VISIT FOR ADMINISTERING MEDICATIONS PUPSI INC. CLOSES AT 6 PM. ANY DOGS NOT PICKED UP BY THAT TIME WILL BE BOARDED AND CHARGED THEIR BOARDING RATE DAYCARE DAYS ARE NON REFUNDABLE AND NON TRANSFERRABLE I HAVE READ ALL THE ABOVE INFORMATION AND AGREE TO ALL RULES AND POLICIES THEREIN SIGNATURE: ____________________________________________ DATE:_____________________________ OWNER ACKNOWLEDGES THAT THERE ARE CERTAIN RISKS INHERENT IN BOARDING, TRAINING, DAYCARE AND BATHING OF DOGS, NO MATTER HOW CAREFUL PUPSI INC. IS IN CARING FOR THE DOG. THESE RISKS RANGE FROM MINOR INJURIES WHICH MAY OCCUR ON THE PLAYGROUND, SUCH AS SORE/TORN PADS, SCRATCHES OR LOST/DAMAGED COLLARS TO MORE SERIOUS RISKS SUCH AS LOSS OR ESCAPE OF THE DOG, SERIOUS INJURY, ILLNESS CONTRACTED FROM ANOTHER ANIMAL, OR DEATH. THE OWNER UNDERSTANDS AND ASSUMES THESE RISKS IN PLACING THE DOG WITH PUPSI INC. IN THE ESTABLISHMENT, DURING IN HOME TRAINING OR OFF SITE LOCATIONS. THE OWNER AGREES THAT HE/SHE DOES NOT AND WILL NOT HOLD PUPSI INC., ITS OFFICERS, DIRECTORS, EMPLOYEES AND AGENTS RESPONSIBLE FOR ANY LOSS ON ACCOUNT OF ANY SUCH INJURY, MAJOR OR MINOR, UNLESS SUCH INJURY, ILLNESS, LOSS OR DEATH WAS CAUSED BY GROSS NEGLIGENCE OR AN INTENTIONAL ACT OF PUPSI INC., ITS OFFICERS, DIRECTORS, EMPLOYEES OR AGENTS. ADDITIONALLY, IF OWNER WANTS THEIR DOG TO PARTICIPATE IN DAYCARE OR OTHERWISE SOCIALIZE WITH OTHER DOGS, OWNER ASSUMES ALL RISKS AND IS RESPONSIBLE IF THEIR DOG INJURS ANOTHER DOG. OWNER AGREES TO BE RESPONSIBLE FOR ANY VET BILL INCURRED FROM ANY SUCH INJURY. I AUTHORIZE PUPSI INC. TO ACT AS MY AGENT TO CONTRACT FOR ME SUCH VETERINARY MEDICAL CARE AS, IN THE JUDGMENT OF PUPSI INC. MAY BE NECESSARY FOR MY DOG WHILE MY DOG IS IN THE CARE OF PUPSI INC. I ACKNOWLEDGE THAT I AM FINANCIALLY RESPONSIBLE TO BOTH THE VETERINARIAN AND TO PUPSI INC. FOR THE VETERINARIAN CHARGES AND FEES. IT IS THE POLICY OF PUPSI INC. TO TAKE ALL DOGS IN ITS CARE TO A LOCAL PET CLINIC IF NEEDED. PUPSI INC. DOES PROVIDE BATHING AND GROOMING SERVICES. DOGS IN DAYCARE AND BOARDING DO PLAY OUTDOORS (RAIN AND SWIMMING POOLS) AND ARE SUBJECT TO GETTING WET, DIRTY OR MATTED. I UNDERSTAND THAT LONGER COATED DOGS HAVE A TENDENCY TO GET MATTED WHEN WET. THE ONLY WAY PUPSI INC. CAN COMBAT THIS IS WITH A TRIM OR SHAVE DOWN AT THE BEGINNING OF THE STAY OR BEFORE DEPARTURE. IF OWNER WANTS THEIR DOG BATHED, BRUSHED OUT AND RETURNED CLEAN, DRY AND FREE OF MATTES OWNER MUST INDICATE SO AT THE BEGINNING OF THE BOARDING OR DAYCARE STAY. IF A BATH OR GROOMING SERVICE IS REQUESTED OWNER AGREES TO PAY THE CURRENT PRICE FOR SIZE AND TYPE OF DOG. I WILL NOT HOLD PUPSI INC. RESPONSIBLE FOR COAT OR SKIN CONDITIONS DISCOVERED DURING STAY. AUTHORIZE: __________ DECLINE: __________ WOULD YOU LIKE YOUR DOG TO PLAY, SOCIALIZE OR GO OUTSIDE WITH OTHER DOGS WHILE IT IS AT PUPSI INC. BEING FULLY AWARE OF THE POSSIBLE HAZARDS LISTED ABOVE? AUTHORIZE: __________ DECLINE: __________ BY SIGNING, I (OWNER) AGREE TO ALL CONTRACT RULES AND POLICIES AS STATED ABOVE AND AUTHORIZE PUPSI INC. TO CHARGE MY CREDIT CARD ACCORDINGLY AND KEEP ON FILE UNTIL REQUESTED OTHERWISE: SIGNATURE:________________________________________________ DATE:_______________________________ VISA/MC/DISCOVER: _______________________________________________ EXP DATE: ______________________
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