Home for the Paws

AGREEMENT FOR KENNELLING

HFTP Pty Ltd trading as Home for the Paws

ABN: 20 118 128 635

2 Pollards Road, North Tumbulgum, NSW, 2490

CHECK IN DATE: ___/___/20___ - APPROX CHECK IN TIME: ________AM/PM

CHECK OUT DATE: ___/___/20___ - APPROX CHECK OUT TIME: _____AM/PM

MONDAY TO SATURDAY (8:00am – 11:00am & 3:00pm – 4:00pm)

SUNDAY (4:00pm – 5:00pm)

Closed to the public. Good Friday, Easter Sunday, Christmas Day, Boxing Day and New Years Day

For the comfort and safety of your pet(s) it is important that they are dropped off as early as possible

(AM), so they can familiarise themselves with the kennel surroundings as well as allowing kennel

staff time to settle in our new guest so they to can enjoy their holiday. Even if your pet(s) stay with us

regularly this is also advised.

Home for the Paws

AGREEMENT FOR KENNELLING

HFTP Pty Ltd trading as Home for the Paws

ABN: 20 118 128 635

2 Pollards Road, North Tumbulgum, NSW, 2490

I, the undersigned, and the Owner / Guardian / Duly Authorized Agent for the Owner acknowledge and agree that:

I am leaving the Pet(s) under the care of the Kennel for the following period

From_____/_____/20___      Until_____/_____/20___

In the event that the Pet(s) become ill in my absence and I am not available for consultation, I

authorize the following procedure by ___________________________________________________

Address: __________________________________________________________________________

Suburb:_______________________________________________________P/Code: _________

Phone: (____)___________________

Name of your Vet:___________________________________

Or by the nominated veterinarian if the above veterinary surgery is unavailable or unable to do so:

·Any diagnostic and treatment procedures considered necessary by the attending

veterinarian(s):

YES / NO (Please circle one)

Diagnostic and treatment procedures considered necessary by the attending veterinarian(s) to a

maximum fee of

the Pet(s) condition or if he/she continues to degenerate or suffer, I also authorise humane

euthanasia at the discretion of the attending veterinarian(s):

I understand I am responsible for all treatment costs incurred if my Pet(s) require to be taken to a

veterinary surgery.

As the Owner / Guardian / Duly Authorized Agent for the Pet(s) I hereby acknowledge having read

this Agreement (which includes the attached schedule).

Name:________________________Signature:__________________     Date:_____/_____/20____

Home for the Paws

The Kennel agrees to exercise due and reasonable care to keep the premises of the Kennel safe and sanitary.The Pet(s) will be fed properly and regularly.To the extent permitted by law, the Kennel does not assume and shall not be held responsible for any liability with respect to the Pet(s) of any kind, character, or nature whatsoever, arising out of or from the boarding ofthe Pet(s), or any damages that may accrue from any other cause whatsoever, including loss by fire, theft,running away, death, injury to persons, animal, or property, or death or injury to any other animal caused bythe Pet(s) during the term of this Agreement, whether the Pet(s) be on the premises of the Kennel or not, and the Owner hereby agrees to be and is solely responsible for any and all acts of behaviour of the Pet(s) atnytime within the term and time of this Agreement.

The Owner specifically represents that he is the sole owner of the Pet(s) and that there is not now any lien or mortgage against the Pet(s) and that the Pet(s) has not been exposed to distemper, rabies, or any other disease /infection within the last thirty (30) days.

All charges payable by the Owner to the Kennel are payable in full in advance.

The Kennel shall have, and is hereby granted, a lien on the Pet(s) for any and all unpaid boarding and/or othercharges resulting from boarding of the Pet(s) with the Kennel. The Owner hereby agrees that in the event thatany boarding charges are not paid when they become due and payable in accordance with the terms of thisAgreement, the Kennel may exercise its lien rights, and three (3) days after notice to the Owner or the Emergency Contact may dispose of the Pet(s). Notice shall be conclusively deemed to have been given pursuant to this paragraph if notice in writing such intended disposal shall be mailed by prepaid ordinary post, registered post or electronic means to the Owner or the Emergency Contact at the address details given in this

Agreement and not further notice shall be required.

If the Pet becomes seriously ill, the Owner shall be notified at once, or such attempts shall be made to notify the Owner or Emergency Contact Person that has been nominated. If the Owner or Emergency Contact Person does not immediately inform the Kennel regarding measures to be taken or if the state of the Pet(s) health requires quick action, the right to call a Veterinarian or to administer medicine or to give advisable attentionwithin discretion shall be taken for granted by the Kennel, and such expenses being reasonable in amount shall

be promptly paid by the Owner.

Owner / Guardian / DAA: (Print Name) _________________________________________________

Owner / Guardian / DAA: (Signature) __________________________________________________

Date: _____/_____/20__ Time: __________AM/PM

Dog or Cats Name: _______________________________ D.O.B: ______/______/______

Breed(s):______________________________________ Colour(s):__________________

Special Markings: ________________________________ Age: ___________ years

(PLEASE CIRCLE ONE): Male / Female

Dog or Cats Vet Clinic Details

Vet Clinic: ________________________________________________________________

Vet(s) Name: ____________________________ Phone: ___________________________

Address: __________________________________________________________________

Vaccination Certificate

Due date for next vaccination: ______/______/______

Medication Required - 1

Name of Medication: _________________________________ What for: ____________________

Dosage to be given: __________________________________ Prescribed by: _________________

Medication Required - 2

Name of Medication: _________________________________ What for: ____________________

Dosage to be given: __________________________________ Prescribed by: _________________

Personal belongings you have brought in with your dog or cat

Collar ____________ Lead ____________ Bedding ____________ Toys ____________

Special Diet ________________________ Coat ____________ Treats ________________

Does your dog or cat have any allergies ( Food ETC )? YES / NO

If yes, please describe______________________________________________________________

Is your dog or cat on flea/tick preventative treatment? YES / NO

If YES product used _______________________________________________________________

Is your dog or cat on worming preventative treatment? YES / NO

If YES product used _______________________________________________________________

Is your dog or cat on heartworm preventative treatment? YES / NO

If YES product used _______________________________________________________________

Has your dog or cat been sick / injured lately? YES / NO

If YES, please detail when & treatment________________________________________________

________________________________________________________________________________

Is your dog or cat SOCIAL? YES / NO

Please give details _________________________________________________________________

Has your dog or cat been to another boarding kennel? YES / NO

Please give details _________________________________________________________________