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BOARDING CONTRACT for
CHASE’S CORNER KENNEL LLC


DATE: _____________________(Read before signing)

NAME OF DOG: __________________________
SEX: ______________ AGE: ________

BREED(S):_____________________________________
COLOR(S):_________________________

OWNER(S): _________________________________________

ADDRESS: ___________________________________________

CITY, STATE & ZIP: __________________________________

HOME PHONE: _________________________
CELL PHONE: ______________________
CELL PHONE: __________________

ALTERNATE EMERGENCY CONTACT: ____________________________________

DOES YOUR DOG: BITE _____________ CLIMB _________
HAS DOG BEEN BOARD BEFORE __________________________

HAVE ANY MEDICAL PROBLEMS: _______________________________________

IS THIS DOG ON MEDICATION? _________
If Yes, WHY? ______________________________________

IS THIS DOG UP TO DATE ON its VACCINATIONS? ________
RABIES ________PARVO ________DHLP ___________
BORDETELLA _____________LYMES _______________
CORONA _______________
(Note: I acknowledge the risks of communal boarding. Dogs together in a concentrated area may
result in spreading of illnesses such as kennel cough. No vaccine is 100% effective against any illness)

IS THIS DOG ON HEARTWORM MEDICATION FROM AT LEAST (APRIL-OCTOBER). _____________________

IS THIS DOG ON ANY FORM OF FLEA AND TICK PREVENTION? _______________________________________
if yes, What form _________________________________
and When _________________________________________

WHAT IS YOUR DOGS FEEDING SCHEDULE? ______________________________________

This is a Contract between Chase’s Corner Kennel and the pet Owner.
Kennel hours of operation are 8am-8pm 7 days a week.
Kennel agrees to exercise due and reasonable care, and to keep the kennel premises sanitary and properly enclosed.
The dog(s) is (are) to be fed properly and regularly, and to be housed in clean, safe quarters.
Owner understands and agrees that dog(s) charges are as follows, they will be charged for the 1st day no matter what time dog is dropped
off, picked up by Noon on pick up day will not be charged for that day, picked up after Noon will be charged for that day.
Owner further agrees that pet(s) shall not leave the Kennel until all charges are paid to Kennel by Owner.
If the pet(s) become ill or if the state of the animal’s health otherwise requires professional attention, Kennel, in its sole discretion, may
engage the services of a veterinarian of its choosing, or administer medicine, or give other requisite attention to the animal, and expenses
thereof shall be paid by Owner.
If dog is left for 7 days after agreed upon pickup day without owner notifying kennel it will be considered an abandoned dog and kennel
owner can call the human society to pick the dog up.
It is understood by Kennel and Owner that all provisions of this Contract shall be binding upon both parties thereunto for this visit and for
all subsequent visits. This Contract contains the entire agreement between the parties.

Is it O.K. for Chase’s Corner Kennel LLC to Photograph your Dog? YES NO

I have received and read Chase’s Corner Kennel LLC Information/Policy/Procedure Flier. YES NO

I have received and understand the Kennel Cough Brochure. YES NO

_____________________________________________
(Owner)

____________________________
(Date)

HOW DID YOU HEAR OF THIS US?
____ VET _____DRIVING BY ____ PHONEBOOK
_____ NEWSPAPER ______ PET STORE
_______ FAMILY/FRIEND _____ OTHER

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