Owner (required)

Email (required)

Telephone (required)

Address (required)

City (required)

State (required)

Zip Code(required)

Vet Clinic (required)

Vet Telephone (required)

Pets Name (required)

Pets Sex

Pets Breed

Emergency Telephone Number

Cell

Has your dog ever bitten anyone? (required)

Special Instructions

This is a Contract between Puppy's Playpen, LLC (Pet Care Facility) and the pet owner set for
above whose signatures appear below (hereinafter called Owner)

1. Owner agrees to pay the rate for boarding in effect on the date pet is checked out of
   the pet care facility.
2. Owner further agrees to pay all costs and charges for special services requested, and
   all veterinary costs for the said pet while in the care of the pet care facility.
3. Owner further agrees that the pet shall not leave the pet care facility until all charges
   are paid to the pet care facility by the owner.
4. By signing this Contract and leaving his/her pet with the pet care facility, Owner
   certifies to the accuracy of all information given about said pet. I further understand
   and agree that in admitting my pet(s) is/are in good health and have not harmed or
   shown aggressive or threatening behavior toward and person or dog.
5. The pet care facility shall exercise reasonable care for the pet delivered by the Owner
   to the pet care facility for boarding, daycare or grooming. I further understand and
   agree that Puppy's Playpen, LLC and its staff and volunteers, will not be liable for
   any problems which develop, provided reasonable care and precautions are followed,
   and I herby release them of any liability of any kind whatsoever arising for my pets
   attendance and participation at the pet care facility. It is expressly agreed by Owner
   and pet care facility's liability shall in no event exceed the lesser of the current value
   of the pet of the same species or the sum of 200.00 per animal boarded. The Owner
   further agrees to be solely responsible for any and all acts or behavior of said per
   while it is I the care of the pet care facility. I further understand and agree that any
   problems which develop with my pet(s) will be treated a deemed best by staff and
   volunteers of Puppy's Playpen, LLC, at their sole discretion, and that I assume full
   financial responsibility for any and all expenses involved.
6. Owner specifically represents that he or she is the sole owner of the pet, free and
   clear of all liens and encumbrances.
7. Owner specifically represents to pet care facility that the pet has not been exposed to
   any communicable diseases within the last thirty-day period prior to boarding.
8. All charges incurred by Owner shall be payable upon pick-up of pet, or at pet care
   facility's choice when billed by Puppy's Playpen, LLC. At address listed above. The
   pet care facility shall have, and is hereby granted, a lien on the pet for any ad all
   unpaid charges resulting from boarding, daycare or grooming at Puppy's Playpen,
   LLC. The Owner hereby agrees that in the event the boarding, daycare or grooming
   charges are not paid when due in accordance with this contract, Puppy's Playpen,
   LLC. May exercise its lien rights upon three day written notice given by Puppy's
   Playpen, LLC. to Owner by certified mail to address shown on contract. Puppy's
   Playpen, LLC. May dispose of pet for any and all unpaid charges, at private or public
   sale, in the sole discretion of the pet care facility, and Owner specifically waives all
   statutory or legal rights to the contrary. If such sale shall not secure a price adequate
   to pay such costs of board or other delinquent charges, plus cost of sale, then Owner
   shall be liable to Puppy's Playpen, LLC. for the difference. All monies realized by
   the pet care facility at such sale, over and above the charges due and cost of sale,
   shall be paid by the pet care facility to Owner.
9. If pet, becomes ill of if the stat of the animal's health otherwise requires professional
   attention, the pet care facility, in its sole discretion, may engage the services of a
   veterinarian or administer medicine or give other required attention to the animal and
   the expenses therof shall be paid by the Owner.
10. FEES: If a pass is purchased it is valid for six(6) months from the date of purchase.
    VIP passes can also be purchased for a year from time of purchase.
11. Reservations: Are REQUIRED. Cancellations with less than 24hours notice for
    daycare and 48 hours for boarding will be charges a penalty fee of 25.00.
12. This contract contains the entire agreement between the parties. All terms and
    conditions of this Contract shall be binding on the heirs, administrators, personal
    representatives and assigns of the Owner and Puppy's Playpen, LLC.
13. This contract contains the entire agreement between the parties. All terms and
    conditions of this Contract shall be binding on the heirs, administrators, personal
    representatives and assigns of the Owner and Puppy's Playpen, LLC.

I, , herby certify that my
pet(s):, is/are in good
health and have and have not been ill with any communicable condition in the last 30
days. I further certify that my dog(s) have not harmed or shown aggressive or
threatening behavior toward any person or any other dog. I have read and understand
the foregoing.