Mom & Dad Info

Name: *

Address: *

City/State/Zip: *

Home Phone: *

Cell Phone:

Work Phone:

Email: *

Drivers License#:

Doggie Info

Name: *

Breed: *

Weight: *

Color: *

Age: *

Birthday(mm/dd/yy): *

Sex: *

Spayed/Neutered: *

Microchip/Tattoo#:

Company:

(CARES COZY INN recommends that you pet be microchipped and/or tattoed)

FEEDING INSTRUCTIONS: CARES requests that all owners provide their own pet's food. Each meal should be individually packaged into Ziploc baggies and labeled with the pet's first and last name. Larger containers or bags of dog food should only be provided for dog's staying 2 weeks or longer. Don't worry; if mom or dad forget to bring food, additional cost will be incurred and we will get your brand.

Brand of Food: *

Type of Food: *

Amount fed in AM: *

Amount fed in PM: *

Special Instructions:

Emergency Contact Info (Family or Friend)

Name: *

Home Phone: *

Work Phone: *

Cell Phone: *

Please list anyone who has permission to pick up your dog(s) other then the name listed above:

Policies & Requirments

All PETS must remain current on Rabies, Distemper, Parvo and Bordetella vaccines to participate in cageless boarding.

All boarding reservations require a 50% deposit in order to confirm space. Holidays deposits are

non-refundable. In case of a cancellation, deposits will stay on file with us for future credit available to be used towards boarding, grooming, bathing, and retail in CARES COZY INN & GROOMING.

Pets having symptoms of diarrhea, vomiting, coughing and/or sneezing should not be brought to CARES. These symptoms may be easily spread to other PETS. If your pet has any of these please contact your veterinarian for treatment and keep your pet at home until he/she is feeling better.

For safety reasons all guests must be on leash or in a carrier while entering and departing our lobby.

Dog interaction is not recommended between dogs on leash while in our lobby. We will properly introduce all dogs in our assigned off-leash areas.

All PETS must be spayed or neutered by 7 months of age in order to board.

All pets must be picked up by the end of business hours. Pets picked up after closing will be charged a

late fee of $25 for the first 30 minutes. Pets left later than 30 minutes after closing time must board for the night and extra boarding charges will be the responsibility of owner.

FOR OFFICE USE

CARES COZY INN & GROOMING AGREEMENT

THIS IS A CONTRACT BETWEEN “CARES COZY INN & GROOMING” AND PET OWNER(S)

1. OWNER AGREES TO PAY THE COST FOR BOARDING, GROOMING, ON THE DATE THE

PET IS CHECKED INTO CARES COZY INN.

2. OWNER FURTHER AGREES TO PAY ALL COSTS AND CHARGES FOR SPECIAL SERVICES REQUESTED,INCLUDING BUT NOT LIMITED TO ANY AND ALL VETERINARY COSTS FOR THE PET DURING THE TIME THE PET IS IN OUR CARE. OWNER FURTHER AGREES THAT THE PET SHALL NOT LEAVE THE KENNEL UNTIL ALL CHARGES INCURRED ARE PAID TO CARES COZY INN BY OWNER.

3. BY SIGNING THIS CONTRACT AND LEAVING PET WITH CARES COZY INN, OWNER CERTIFIES TO THE ACCURACY OF ALL INFORMATION GIVEN ABOUT SAID PET.

4. IT IS EXPRESSLY AGREED BY THE OWNER AND CARES COZY INN THAT CARES COZY INN & GROOMING SHALL IN NO EVENT EXCEED THE LESSER OF CURRENT CHATTEL VALUE OF A PET OF THE SAME BREED OR SPECIES OR THE SUM OF $200.00 PER ANIMAL. THE OWNER FURTHER AGREES TO BE SOLELY RESPONSIBLE FOR ANY AND ALL ACTS OR BEHAVIOR OF SAID PET WHILE IN THE CARE OF CARES COZY INN & GROOMING.

5. OWNER SPECIFICALLY REPRESENTS THAT HE OR SHE IS THE SOLE OWNER OF THE PET, FREE OF ALL LEINS AND ENCUMBRANCES.

6. OWNER SPECIFICALLY REPRESENTS TO CARES COZY INN THE PET HAS NOT BEEN EXPOSED TO RABIES, PARVO, OR DISTEMBER WITHIN A THIRTY DAY PERIOD PRIOR TO ANY STAY.

7. OWNER AGREES, THAT IF PET SHOWS ANY SIGNS OF FLEAS OR TICKS DURING ITS STAY, THAT CARES COZY INN MAY BATHE PET AND OWNER WILL BE CHARGED ACCORDINGLY (SEE GROOMING/BATH

PRICES)

8. IF PET BECOMES ILL OR IF STATE OF THE ANIMAL’S HEALTH OTHERWISE REQUIRES PROFESSIONAL ATTENTION, CARES COZY INN, IN IT’S SOLE DISCRETION, MAY ENGAGE THE SERVIES OF A LOCAL VETERINARIAN OR PROVIDE APPROPRIATE MEDICAL ATTENTION TO THE ANIMAL AND ANY AND ALL EXPENSES THEREOF SHALL BE PAID BY THE OWNER.

9. 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 CARES COZY INN.

10. OWNER UNDERSTANDS THAT DURNING ANY AND ALL HOLIDAYS, DEPOSIT REQUIRED FOR

RESERVATION IS NON-REFUNDABLE AND CAN ONLY BE USED AS CREDIT TOWARDS FUTURE CARES COZY INN & GROOMING SERVICES.

11. OWNER IS AWARE THAT BY LEAVING PET(S) AT CARES COZY INN, OR ANY OTHER PET FACILITY, THAT THEY ARE AT A HIGHER RISK OF CONTRACTING KENNEL COUGH OR OTHER VIRUSES. ALTHOUGH ALL PETS ARE REQUIRED TO BE VACCINATED, NO VACCINE IS 100% GARAUNTEED. THERE ARE SOME STRAINS OF KENNEL COUGH NOT COVERED BY THE BORDETELLA VACCINE. I UNDERSTAND I WILL BE RESPONSIBLE FOR ANY AND ALL MEDICAL BILLS UNCURRED TO MY DOG(S) ILLNESSES.

I, MY HEIRS, AND ANY ASSIGNS, HEARBY RELEASE CARES COZY INN, IT’S AGENTS, OFFICERS,

SUBCONTRACTORS, EMPLOYEES, ANIMAL OWNERS, CUSTOMERS, AND POTENTIAL CUSTOMERS OF CARES COZY INN, FROM ANY AND ALL LIABILITIES FOR INJURIES TO MYSELF, MY PET, OR ANY OTHER PROPERTY OF MINE WHICH ARISE IN ANY WAY OUT OF SERVIES AND/OR PRODUCTS PROVIDED BY OR AS A CONSEQUENCE OF MY ASSOCIATION WITH CARES COZY INN. I ACKNOWLEDGE AND UNDERSTAND THAT EVERY PET REACTS DIFFERENTLY WHILE BOARDING AND THAT ANIMALS, BY NATURE, ARE UNPREDICTABLE. DOGS AND ANIMALS MAY, WITHOUT WARNING, BITE OR CAUSE INJURY TO HUMANS AND OTHER PETS. I ACKNOWLEDGE AND UNDERSTAND THAT THERE ARE CERTAIN RISKS INVOLVED IN LEAVING MY PET IN A CAGELESS ENVIRONMENT, INCLUDING BUT NOT LIMITED TO DOG AND CAT FIGHTS, DOG AND CAT BITES TO HUMANS OR OTHER PETS AND THE TRANSMISSION OF DISEASE. WITH MY SIGNATURE BELOW I ACKNOWLEGE AND ACCEPT EXCLUSIVE AND SOLE RESPONSIBILITY AND AGREE TO PAY FOR MY OWN PET’S MEDICAL EXPENSES NO MATTER THE CAUSE. I ALSO AUTHORIZE THE RELEASE OF SAID PETS MEDICAL RECORDS FROM MY VETERINARIAN.

SIGNATURE: _____________________________________________

DATE: _________________________

CARES COZY INN & GROOMING Credit Card Authorization Signature on File

I, ________________________________HERBY AUTHORIZE CARES COZY INN TO SEEK AND OBTAIN VETERINARY CARE FOR MY PET IN THE EVENT OF ILLNESS AND/OR INJURY. I DO UNDERSTAND THAT CARES COZY INN WILL ATTEMPT TO NOTIFY ME IN THE EVENT OF ANY MEDICAL EMERGENCY, ILLNESS, AND/OR INJURY, HOWEVER, ANY VETERINARY COSTS INCURRED IS MY SOLE RESPONSIBILITY. I HERBY AUTHORIZE THE USE OF MY CREDIT CARD FOR SAID PURPOSE.

I ALSO AUTHORIZE CARES COZY INN TO CHARGE MY CREDIT CARD FOR ANY AND ALL SERVICES RENDERED FOR MY PETS’ STAY INCLUDING, BUT NOT LIMITED TOO, BOARDING, GROOMING AND BATHING.

PLEASE NOTE THAT ALL CREDIT CARD CHARGES WILL BE RAN THROUGH CARES PAYPAL ACCOUNT.

SIGNATURE

VISA________ MASTERCARD________

CREDIT CARD #:

EXPIRATION DATE:

SIGNATURE:

PRINT NAME:

TODAY’S DATE:

This release does not eliminate the need for presenting the card upon times when pet owner is physically present.

Boarding Application