Pet Information


Vaccinations

A copy of Vaccinations will be required upon first visit.





Medications





Diet



Dog Survey




Canine Question



Please tell us about your dog.

Check all that apply






BarksSnarlsGrowlsSnapsBitsI'm Not SureNo problem


BarksSnarlsGrowlsSnapsBitsI'm Not SureNo problem


BarksSnarlsGrowlsSnapsBitsI'm Not SureNo problem


BarksSnarlsGrowlsSnapsBitsI'm Not SureNo problem


BarksSnarlsGrowlsSnapsBitsI'm Not SureNo problem


BarksSnarlsGrowlsSnapsBitsI'm Not SureNo problem


UTI (urinary tract infection)SeizuresEar InfectionsAnxiety/Anxiety AttacksHeat StrokeLimpingEye SecretionsEye InfectionsCronic DiarrheaNone


PLEASE READ CAREFULLY

THIS AGREEMENT INCLUDES A RELEASE OF LIABILTY AND WAIVER OF LEGAL RIGHTS AND DEPRIVES YOU OF THE RIGHT TO SUE Lucky Dog Day Care and Resort of South Tampa. DO NOT SIGN THIS AGREEMENT UNLESS YOU HAVE READ IT IN ITS ENTIRETY AND UNDERSTAND ITS EFFECT.

POLICIES AND PROCEDURES

RELEASE, WAIVER OF LIABILITY, ASSUMPTION OF RISK

AND INDEMNIFICATION AGREEMENT

In consideration for my dog (the “Guest”) being permitted to be a client at Lucky Dog Day Care and Resort of South Tampa (“Lucky Dog”) for day or overnight boarding, I hereby enter into this Policies and Procedures, Release, Waiver of Liability, Assumption of Risk and Indemnification Agreement (the “Agreement”) and make the following representations and agree to all of the following policies, procedures, terms and conditions.

1. I represent and certify that all information contained herein and in the Guest Application is true and accurate.

2. OWNERSHIP: I represent and warrant that I am the sole owner of the Guest.

3. GUEST REQUIREMENTS: I represent and warrant that my Guest meets the following requirements and that he/she: (a) has successfully completed the Lucky Dog Guest Behavioral Interview; (b) is four (4) months of age or older; (c) is spayed or neutered (if over six (6) months of age); (c) is current on his/her Rabies, Distemper and Bordetella vaccinations; (d) has not been exposed to rabies, distemper or been ill within a thirty (30) day period prior to attending Lucky Dog; (e) is in good general health and free of ticks and fleas; and (f) is not aggressive or protective of toys; and (g) shall attend Lucky Dog with a quick release collar that contains an identification tag bearing the Guest’s name and owner’s current contact information. My Guest will enter and exit the Lucky Dog facility with a leash.

4. DUTY TO DISCLOSE: I have disclosed and shall continue to disclose on an ongoing basis, any and all medical or other conditions, including but not limited to personality concerns or behaviors that may affect, limit or prevent my Guest’s ability to participate in play time or otherwise attend Lucky Dog.

5. RESORT PARTICIPATION: I understand that participation by my Guest in play time is at the sole discretion of Lucky Dog and that, in Lucky Dog’s sole discretion, my Guest may be separated from other dogs or asked to leave for any reason.

6. GUEST FEES: I agree to pay for all camp fees, services and products with the current and valid credit card number I have provided in the Guest Application, or by cash or check at the time I pick up my Guest after each visit to Lucky Dog. I agree to pay the rate for day-care or boarding in effect on the date my Guest is checked into Lucky Dog. I agree to pay all costs and charges for special services requested and all veterinary costs for my Guest during the time my Guest is in the care of Lucky Dog and agree that the Guest shall not leave Lucky Dog until all charges are paid in full.

7. GUEST FOOD: I understand that my Guest will not be provided lunch and that if I want my Guest to eat lunch, I must bring a sealed container marked with my Guest’s name and feeding instructions. Lucky Dog will provide overnight Guests with food in accordance with the instructions provided in the Guest Application.

8. PERSONAL PROPERTY: I agree that Lucky Dog shall not be responsible or liable for any lost, stolen or damages to personal property belonging either to me or to my Guest. I also understand and agree that my Guest’s collar may be removed in the play area to prevent injury to any dog. If my Guest causes any damage to the Lucky Dog facilities or equipment, I agree to be fully responsible and to pay for the full cost of any repair or replacement.

9. GUEST CAM, PHOTOS AND VIDEO RELEASE: To watch my Guest while he/she is at Lucky Dog, I can log onto www. __________ and click the Guest Cam button. I agree to allow Lucky Dog to use my Guest’s name and any images or likeness of my Guest taken while he/she is at Lucky Dog, for use, at any time, in any media, marketing, advertising, illustration, trade or promotional materials.

10. CANCELLATION POLICY: I understand and agree that: (a) I will be charged for a full day of day-camp if I fail to cancel my reservation twenty-four (24) hours in advance; (b) I will be charged for a full day of boarding if I fail to cancel my boarding reservation at least forty-eight (48) hours in advance; and (c) if my reservation is within three (3) days of a nationally recognized holiday, I will be charged for a full day of day-camp or boarding if I fail to cancel my reservation at least seventy-two (72) hours in advance.

11. AGGRESSIVE DOGS: I hereby certify that my Guest has not harmed or shown aggressive or threatening behavior towards any person or other dog. I understand that aggressive dogs are not permitted to attend Lucky Dog and that, if my Guest acts aggressively or exhibits unacceptable behavior, he/she may be separated from the other Guests. Lucky Dog will use reasonable efforts to consult me about aggression and ways to address it, however, aggressive dogs may be asked to leave and not to return to Lucky Dog and such determination shall be made at the sole discretion of Lucky Dog.

12. ABANDONED DOGS: I agree that I will not neglect to pick up my Guest from Lucky Dog by the time he/she is scheduled to leave without providing prior notification. I agree that any dog that is left at Lucky Dog without any contact, instruction or notification from me of the ability, willingness or plans to pick him/her up myself or by my personal representative, will be considered abandoned upon the fifth day of such notification failure. I understand and agree that if I abandon my Guest at Lucky Dog, Lucky Dog will, by default, become the legal owner and guardian of the Guest and Lucky Dog shall, in its sole discretion, determine whether to place the Guest for adoption or to relinquish the Guest to an unrelated shelter of its choice. I FULLY UNDERSTAND AND AGREE THAT IF I ABANDON MY DOG AT LUCKY DOG, I MAY BE UNABLE TO RETRIEVE POSSESSION OF MY DOG AND WILL HAVE NO RECOURSE AGAINST LUCKY DOG AS PROVIDED HEREIN.

13. PARTICIPATION RISK: I UNDERSTAND AND AGREE THAT: (A) THERE ARE INHERENT AND POTENTIAL RISKS INVOLVED WITH INTERACTIONS BETWEEN HUMANS AND DOGS AS WELL AS BETWEEN DOGS AND OTHER DOGS WHICH MAY RESULT IN PROPERTY DAMAGE OR BODILY INJURY, INCLUDING BUT NOT LIMITED TO, PERMANENT DISBILITY, SICKNESS OR DEATH TO HUMAN OR DOG; AND (B) THERE MAY BE OTHER RISKS NOT KNOWN NOR READILY FORESEEABLE AT THIS TIME (COLLECTIVELY THE “RISKS”). I FULLY ACCEPT AND ASSUME ALL RISKS AND RESPONSIBILITY FOR ALL RISKS, INCLUDING WITHOUT LIMITATION, ALL LOSSES, COSTS AND DAMAGES INCURRED AS A RESULT OF MY OR MY GUEST’S PARTICIPATION AT LUCKY DOG, INCLUDING ANY VETERNERIAN EXPENSES INCURRED ON BEHALF OF MY GUEST. SICKNESS SHALL BE DEFINED TO INCLUDE ANY ILLNESS, INCLUDING BUT NOT LIMITED TO BORDETELLA (KENNEL COUGH) AND ANY OTHER FORM OF CONTAGIOUS ILLNESS.

14. VETERNARIAN CARE AND LIABILITY: If my GUEST becomes ill or if the state of my GUEST’s health otherwise requires professional medical attention, Lucky Dog may, in its sole discretion, engage the services of a veterinarian, administer medicine or give other requisite attention to my GUEST and any and all expenses related thereto shall be my responsibility.

15. WAIVER, RELEASE AND INDEMNIFICATION: I HEREBY EXPRESSLY AND FOREVER WAIVE, DISCHARGE ANY AND ALL CLAIMS, RELEASE FROM LIABILITY, SAVE, HOLD HARMLESS AND COVENANT NOT TO SUE Lucky Dog or its invitees, officers, directors, employees, volunteers, agents and representatives (collectively the “Releasees”) from any and all injury, liability, claim, litigation, action, suit, costs, losses, damages, expenses or demands (including reasonable attorneys fees) of every kind whatsoever arising out of, resulting from or relating in any way to; (a) any act omission of any of the Releasees, including but not limited to negligence; and (b) my or my GUEST’s attendance at Lucky Dog or participation in activities at Lucky Dog (collectively the “Claims”). I FURTHER AGREE TO INDEMNIFY, DEFEND, SAVE AND HOLD HARMLESS the Releasees from any claims, litigation, actions, suits, damages, costs, attorneys’ fees, losses or injuries as the result of any such Claims. I AGREE THAT THIS RELEASE AND AGREEMENT TO INDEMNIFY SHALL BE BINDING ON ME AND MY SUCCESSORS, HEIRS, LEGAL REPRESENTATIVES AND ASSIGNS. I ALSO EXPRESSLY AND FOREVER RELEASE LUCKY DOG AND THE RELEASEES FROM ANY DUTY TO PROTECT ME OR MY DOG(S) FROM INURY OF ANY KIND, AND AGREE THAT EVEN IF LUCKY DOG OR THE RELEASEES CHOOSE TO IMPLEMENT SAFETY PRECAUTIONS, SUCH ACTIONS SHALL NOT ALTER THE FACT THAT I HAVE RELEASED LUCKY DOG AND THE RELEASEES FROM ANY DUTY TO PROTECT ME OR MY DOG(S).

16. ATTORNEY FEES: In the event of any dispute arising from this Agreement or from my Guest’s attendance at Lucky Dog, I agree to immediately pay, on demand, all reasonable attorneys’ fees and other costs incurred by Lucky Dog.

17. ENTIRE AGREEMENT: I understand that this Agreement contains the entire agreement between me and Lucky Dog. I agree that the terms and conditions of this Agreement shall be binding upon me and my successors, heirs, legal representatives and assigns. I agree that if any portion of this Agreement is held to be invalid or unenforceable, that the remainder of this Agreement shall remain in full force and effect.

18. WAIVER OF JURY TRIAL: I HEREBY WAIVE ANY AND ALL RIGHTS TO TRIAL BY JURY AS TO ANY MATTER ARISING UNDER THIS AGREEMENT.

I HAVE READ AND FULY UNDERSTAND THE TERMS OF THIS AGREEMENT AND understand that I have given up substantial rights by signing it and have signed it freely and voluntarily without any inducement, assurance or guarantee and intend it to be a complete and unconditional release of all liability to the greatest extent permitted by law. I agree that it is intended that all terms of this agreement control despite any particular statute or law that would other wise protect me or my dog(s).

I, , hereby acknowledge and agree that all the information provided in this Application is complete and accurate to the best of my knowledge

To Sign: Enter Your Initials From The Name Listed Above