By submitting this form, you acknowledge that you have read and agree to the following terms: 1. I represent that I am the legal owner or agent for the owner of the dog described in the correlating application form. 2. I release Hillaton Pet Resort, its staff, owners, representatives, and agents from any and all liability which I or my dog may suffer including but not limited to injury, sickness, damage or death resulting from participation in daycare, overnight boarding, or outdoor trail walks. 3. I represent that my dog is in good health, is current on all required vaccinations, is free of fleas, ticks, and lice, and as not been ill with any known contagious viruses in the last 30 days. 4. I understand that while my dog is fully vaccinated that vaccines are not guaranteed and there is a small risk that my dog may contract a contagious disease or illness. I agree that should this occur I am responsible for my own pet’s care and medical attention. 5. I agree to allow 12 days waiting period after my dog as had their vaccinations to allow the vaccines to reach full protection potential and to ensure my dog has not has any negative reaction to the vaccines. Should I allow my dog to stay at Hillaton Pet Resort less than 12 days after vaccination I understand that my dog could be at risk of contracting a contagious virus/disease. 6. I understand that although all dogs are fully supervised that incidents of injuries may occur from playing with the other dogs, which include but not limited to bites, scrapes, scratches, and sprains. 7. I represent that my dog is sociable and has not harmed or shown threatening behaviors towards any person or any other dog. I understand Hillaton Pet Resort reserves the right to remove my dog from the play area and place my dog in a separate holding area should my dog display any unwanted behaviors. 8. I understand that Hillaton Pet Resort reserves the right to permanently remove a dog from its daycare or boarding facilities at any time. 9. I allow Hillaton Pet Resort staff to contact my veterinarian or any other accessible vet clinic as deemed necessary should any injuries require medical attention. I agree that I am solely responsible for any medical expenses acquired for my dog. 10. I agree to disclose any previous or current medical issues or concerns of my dog so that Hillaton Pet Resort staff can make a determination of suitability for daycare and/or boarding. 11. I release Hillaton Pet Resort from any liability should my dog injure another dog or person and accept medical and legal responsibility for my dog’s actions. 12. I release Hillaton Pet Resort from any liability should death of my dog occur for any reason while in daycare or overnight boarding. 13. I agree that my dog may be recorded on camera and its images may be used for Hillaton Pet Resort promotional materials. 14. I agree to drop off/pick up my dog at the indicated times for daycare and boarding. Drop off between 8-9am and pick up between 4:30-5:30pm, unless otherwise organized in advance with HIllaton Pet Resort staff. We can accommodate earlier drop offs and later pick up times for an additional $5 if organized in advance. Late pick ups, not organized in advance, will incur a charge of $10. 15. Please provide payment for boarding services at Hillaton Pet Resort at the end of your dog’s stay, before or when you pick up your dog. For daycare please either pay at the end of each day, or if your dog is attending multiple days of daycare in a week, at the end of the last day for that week. 16. In the event that you, your emergency contact, or any other person you have authorized to us in writing does not pick up your dog on the agreed upon departure date, you hereby authorize us to continue to provide boarding and any additional services at your expense. If such dog is deemed abandoned under provincial laws Hillaton Pet Resort will use its discretion permitted by law to follow the Abandoned Pet Procedure. ABANDONED DOG PROCEDURE: We will attempt to contact you by telephone and/or in writing using the information that you have provided, advising you that if your dog is not picked up within 7 days, your dog will be deemed to be abandoned and we will deliver your dog to a third party adoption partner, animal shelter, or attempt to find a new owner for your dog. If you fail to pick-up your dog for any reason, you release Hillaton Pet Resort, its staff, owners, representatives, and agents from further liability and responsibility for your dog. With my signature below I certify that I have read and understand the agreement and waivers. I agree to abide by the regulations and accept all terms and conditions as set out. Your name Today's Date Client intake form Your name Address Cellphone Work phone Home phone Your email Emergency contact information Emergency contact name Relationship to you Contact number Contact email Veterinary Information If your veterinarian is not available, we will use the veterinarian on at Annapolis Animal Hospital. Clinic name Veterinarian's name Telephone number Please contact your veterinary clinic and inform them when you will be going out of town and your pet(s) will be staying with us. Pet Information (You will need to fill out one form per dog) Pet's name Breed Sex MaleFemale Spayed / Neutered YesNo Birth date Weight (approximate) Colour and markings How long have you owned the dog? Any allergies, medical conditions or behavioural problems? Type of dog food your dog eats How much food per day and how often? Please provide enough food for the duration of their stay and two days extra. Does your dog take any medication and/or supplements? How much and how often? Any other additional information