Charleston, WVNitro, WV
Name
Email You will be emailed a copy of your submission and the contract to this address, please make sure it is correct!
Address
Home Phone
Work Phone
Cell Phone
Other Phone
Breed
Weight lbs
Color
Age
MonthsYears
Birthday Format: YYYY-MM-DD, use the date selector for easiest input.
Sex MaleFemale
Spayed/Neutered YesNo
Brand of Food CannedDry
How Much Times Fed Per Day: AM PM
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Please list anyone who has permission to pick up your dog(s) other than the names listed above:
A safeword must be given in the event you have someone other than yourself pick up your dog from daycare/boarding. This is an extra level of security for your pup. What word would you like to use?
How did you hear about House of Hounds?
City/State/Zip
Phone
Does your dog have any medical conditions such as seizures or any type of disorder or allergies we should be aware of?
Does your dog get upset during thunderstorms? YesNoUnsure
Can your dog jump a six foot fence? YesNoUnsure
What form of flea and heartworm preventative do you use?
How much exercise or activity is your dog used to on a daily basis?
Is your dog permitted to have table food? YesNoSometimes
Please describe any tricks or commands your dog knows
Describe your dog's temperament
Where in your home is your dog used to sleeping at night?
Does your dog have any bad habits we should be aware of? YesNo
If yes, please explain
Does your dog have a history of biting humans or animals? YesNo
Has your dog ever growled or snapped at someone who touched one of his/her toys or food? YesNo
Do we have permission to take your dog(s) for field trips or leash walks off the House of Hounds premises? YesNoUnsure
Please list any special instructions for your dog
This is a contract between House of Hounds and Pet Owner(s)
Owner agrees to pay the rate of $30-50 per night boarding based on weight, grooming, and daycare on the date and time the pet is picked up from House of Hounds.
Owner further agrees to pay all costs and charges for any and all services needed or requested, including, but not limited to, any and all veterinary costs for the pet during the time that the pet is in our care, and any veterinary costs incurred during the pet's stay. Owner further agrees that the pet shall not leave the premises until all charges incurred as referenced herein are paid to House of Hounds.
By submitting this form/signing this contract and leaving your pet with House of Hounds, owner certifies the accuracy of all information given about said pet.
It is expressly agreed by the owner and House of Hounds that House of Hounds liability, if any, as a result of and/or in connection with services rendered per this contract, shall in no event exceed the lesser of current chattel value of a pet of the same breed or species of owner's pet or the sum of $200.00 (two hundred dollars) per animal. The owner further agrees to be solely responsible for any and all misconduct of said pet resulting in damage to House of Hounds and/or another pet while in the care of House of Hounds
Owner specifically represents and warrants that he or she is the sole owner of the pet, free of all liens and encumbrances.
Owner specifically represents and warrants to House of Hounds the pet has not been exposed to rabies, distemper, kennel cough, and/or any other serious illness within a thirty day period prior to any stay
Owner agrees, if my pet shows any signs of fleas or ticks during pets stay, that House of Hounds may bathe pet and I will be charged accordingly (see grooming prices)
If pet becomes ill or if state of the animal's health otherwise requires professional attention, while in the care of House of Hounds, House of Hounds, in its sole discretion, may engage the services of a local veterinarian or provide appropriate medical attention to the animal and any and all expenses incurred as a result thereof shall be paid by the owner. In the event of a medical emergency, House of Hounds reserves the right to take your pet to the nearest veterinarian, including the emergency veterinarian. Owner is solely responsible for all charges incurred as a result thereof.
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 House of Hounds.
I understand that during any and all holidays my deposit for boarding is non-refundable and can only be used as a credit toward future boarding, daycare, and/or grooming.
I HAVE READ, UNDERSTAND AND AGREE TO ITEMS 1-10. OWNERS INITIALS:
I, my heirs, executors, administrators, personal representatives, and any assigns hereby release House of Hounds, its agents, officers, subcontractors, employees, animal owners, customers, and potential customers of House of Hounds from any and all liabilities for injuries to myself, my pet, or any other properties of mine which arise as a result of services and/or products provided by or as a consequence of my association with House of Hounds. I ACKNOWLEDGE AND UNDERSTAND THAT EVERY PET REACTS DIFFERENTLY AND THAT ANIMALS, BY NATURE, ARE UNPREDICTABLE. DOGS MAY, WITHOUT WARNING, BITE OR CAUSE INJURY TO HUMANS AND OTHER PETS. I ACKNOWLEDGE AND UNDERSTAND THAT THERE ARE CERTAIN RISKS INVOLVED IN PET OWNERSHIP, TRAINING AND CARE, INCLUDING BUT NOT LIMITED TO, DOG FIGHTS, AND DOG BITES TO HUMANS AND/OR OTHER PETS AND THE TRANSMISSION OF DISEASE. With my signature below, I understand the risk involved in putting my dog in a cageless environment and acknowledge and accept exclusive and sole responsibility for all medical expenses to my pet no matter the cause. I also authorize the release of said pet's medical records from my veterinarian. I have read, understand, and agree to all of these items in the House of Hounds Client Agreement.
E-Signature (by typing your FULL name and submitting this form, you are agreeing to the terms above.)
Date Format: YYYY-MM-DD, use the date selector for easiest input.
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