BOARDING CONTRACT Owners Name : ______________________________________ Address: ____________________________________ City: _______________________________________ State: __________________ Zip: _________________ Tel: (home) _______________ (bus) _________________ (cell) ________________ E-Mail: _______________________________ Authorization for Boarding and Necessary Veterinary Services for: Name of Dog ____________________ Description: M ___ F ___ NM ___ SF ___ Date of Last Vaccinations: Rabies ______Distemper (DHLP) ______ Parvovirus ______ I, the undersigned owner or authorized agent of the admitted animal ___________________ hereby authorize Beagles & Buddies to board the above animal on their premises and hold Beagles & Buddies blameless for sickness, injury, death, or loss of this animal while boarding. Beagles & Buddies has permission to take said animal to my veterinarian: Name of Veterinarian, Hospital Address & Phone Number: _______________________________________________________________________ In case of sickness, injury or other abnormalities. If Beagles & Buddies are unable to contact said veterinarian, they have the right to take said animal to a local veterinarian of their choice. I also agree to reimburse Beagles & Buddies for the costs of all veterinary services incurred on behalf of this animal while boarding and agree to pay these charges as well as the boarding fees at the time of release of the animal. I further understand that should veterinary care be required, no guarantee of successful treatment is made and hold neither Beagles & Buddies or the attending veterinarian responsible. Beagles & Buddies is authorized to dispose of said animal unless the owner or authorized agent calls for and pays all accrued charges on the animal within 5 days of the date agreed upon for its discharge or unless the time for its discharge has been extended by written request or witnessed telephone call. I understand this action will not, however, relieve me from paying all charges for services rendered and all legal and/or court costs incurred with collection for services. History of Medical Problems: Approximate weight of animal is __________ pounds with a corresponding boarding rate of $______ per day. Problems occurring during this boarding period: I have read the foregoing and agree to all the terms & conditions thereof. Signature of owner/authorized agent: Date______________________________________ Date In __________ Date Out __________