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CAREERS
Hours 3662 North 250 West
West Lafayette, IN 47906
(765) 463-2611

Boarding Form

Name:

Phone #:

Name:

Phone #:

1. Pet Name:

2. Pet Name:

3. Pet Name:

4. Pet Name:


Boarding Agreement:

The undersigned hereby requests that their pet be allowed to board at Klondike Kennels. Prior to drop off the undersigned shall disclose to staff all information about their pet(s) health and temperament, including any incident of aggression. Any change in health or temperament or incident occurrence shall be disclosed in writing to Klondike Kennels prior to future visits.

It is understood and agreed that the undersigned's pet will be assessed by the staff for compatibility and compliance at every boarding visit, with Klondike Kennels reserving the right to terminate this agreement based on such assessment findings. Klondike Kennel reserves the right to request a trial day board at our discretion at any time during active or inactive periods of boarding in determining continued compatibility with boarding and owner agrees to pay any fees incurred for such assessment.

Klondike Kennels reserves the right to deny the undersigned for any reason, and to terminate this agreement of the undersigned and/or pet(s) from the facility for any reason. In the event this agreement is terminated no refunds will be made.

Release and Waiver of Liability and Assumption of Risk:

The undersigned understands that attendance in a boarding stay means that the undersigned is taking certain risks of damage or injury or exposure to health risks, including infectious disease to the undersigned's pet. The undersigned realizes that when pets are together in a confined area, some accident injury or sickness may result and that pets and property might be injured or damaged.

Because the undersigned wants to board his/her/their pet, the undersigned hereby agrees to assume any and all risks, whether known or unknown and assumes full responsibility for any injury or illness to the undersigned's pet.

In exchange for the opportunity to board, the undersigned hereby releases and discharges Blair Animal Clinic, P.C., Klondike Kennels, Inc. and their officers and employees, directors, property landlord or appointees or representatives from any and all liability, claimed, demands, causes of action, loss, damage, injury or illness to the undersigned's pet, including any death and/or serious injury which may result while the undersigned's pet are on the Klondike Kennels premises. The undersigned sears or affirms that they are 18 years old or older and have the legal capacity to enter into a binding contract. The undersigned intends for this release to be binding upon his/her/their heirs, beneficiaries, next of kin, personal representative or executor, and assignees.

Addendum:

Due to the increased availability of boarding, daycare and dog park facilities in our community and other pet events where dogs can have direct contact with one another there is increased risk of exposure to illness, including canine infectious respiratory disease complex. These viruses (similar to a cold in humans) are something we cannot vaccinate for. We want to make all of our patrons aware that risk of exposure is increased when ogs participate in any activities where groups of dogs have contact with one another. In an effort to stave off the spread of respiratory illness to other facilities we ask that you list other facilities your dog frequents in the event we need to reach out to them as a way to prevent the spread of respiratory illness between different facilities.

Date:

Name:

Pet Care Agreement

Date:

Name:

Pet Health Information:

Major Health Problem(s):

Allergies:

Medication(s):

Major Health Problem(s):

Allergies:

Medication(s):

Major Health Problem(s):

Allergies:

Medication(s):

Major Health Problem(s):

Allergies:

Medication(s):

Emergency Medical Treatment Release

Date:

Name:

Date:

Name:

Date:

Name:

Pet Care Records

Pet 1 Name:

Pet 2 Name:

Pet 3 Name:

Pet 4 Name:

Pet 1 Color:

Pet 1 Breed:

Pet 1 Age:

Pet 1 Sex:

Pet 2 Color:

Pet 2 Breed:

Pet 2 Age:

Pet 2 Sex:

Pet 3 Color:

Pet 3 Breed:

Pet 3 Age:

Pet 3 Sex:

Pet 4 Color:

Pet 4 Breed:

Pet 4 Age:

Pet 4 Sex:

Pet 1 Collar & Leash:

Pet 1 Bedding:

Pet 1 Toy(s):

Pet 1 Food & Treats:

Pet 2 Collar & Leash:

Pet 2 Bedding:

Pet 2 Toy(s):

Pet 2 Food & Treats:

Pet 3 Collar & Leash:

Pet 3 Bedding:

Pet 3 Toy(s):

Pet 3 Food & Treats:

Pet 4 Collar & Leash:

Pet 4 Bedding:

Pet 4 Toy(s):

Pet 4 Food & Treats:

Pet 1 AM:

Pet 1 NOON:

Pet 1 PM:

Pet 2 AM:

Pet 2 NOON:

Pet 2 PM:

Pet 3 AM:

Pet 3 NOON:

Pet 3 PM:

Pet Name, Medication name, reason, dosage, am/noon/pm:

Pet Name, Medication name, reason, dosage, am/noon/pm:

Pet Name, Medication name, reason, dosage, am/noon/pm:

Pet Name, Medication name, reason, dosage, am/noon/pm:

Pet Name, Medication name, reason, dosage, am/noon/pm:

Pet Name, Medication name, reason, dosage, am/noon/pm:

Pet Name, Medication name, reason, dosage, am/noon/pm:

Pet Name, Medication name, reason, dosage, am/noon/pm:

Pet Name, Medication name, reason, dosage, am/noon/pm:

Pet Name, Medication name, reason, dosage, am/noon/pm:

Blair Animal Clinic