Dog Boarding at Broken Rod Bait and Tackle

Owner agrees to pay for boarding on the following dates:

 Drop off Date and time:____________________ Pickup Date and time:______________________  at a rate of $15.00 per Day  at our Fifty Lakes Facility.   For a total number of days _______________

1. Broken Rod Bait,  shall exercise reasonable care for the pet delivered by the Owner to us for boarding. It is expressly agreed by Owner and Broken Rod Bait and Tackle, that our liability in no event exceed the lesser of the current chattel value of a 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 pet while it is in our care. (Owner please initial)

2. Owner further agrees that the pet shall not leave the kennel until all charges are paid.  All charges incurred by Owner shall be payable upon pick-up of pet.

3.  Owner specifically represents to  Broken Rod Bait, that the pet has not been exposed to rabies or distemper within a thirty-day period prior to boarding. And will show proof of immunization upon drop off.

4.   If the pet becomes ill or if the state of the animal’s health, solely in the opinion of  Broken Rod Bait, otherwise requires attention, Broken Rod Bait, at its sole discretion, is authorized to engage the services of a veterinarian or arrange for other requisite attention to the animal up to and including $200.00 or (Owner specify amount___________) whichever is greater.  Owner further agrees to pay all veterinary costs for the pet during the time, it is in our care.

5. By signing this Contract and leaving their pet with us, Owner certifies to the accuracy of all information given about said pet.

6. This contract contains the entire agreement between parties. All terms and conditions of this contract shall be binding on the heirs, administrators, personal representatives and assigns of the owner and Broken Rod Bait 

By signing this contract, I acknowledge, understand & agree to the terms stated above.

OWNER: ____________________________________ DATE: ______________

 Emergency Phone #____________________________

Address______________________________  City ____________________ State______________  Zip________________

Broken Rod Bait and Tackle         Representative: __________________________    DATE: ______________

Pet Information Name __________________ Breed _________________ Food_________________________________________ 

Amount AM /PM:_________________________________________________  

Please list any social or behavioral problems:                                    Please list any medical conditions and or medications: