This form needs to be completed only once, but please list all your dogs if you have more than one. Please complete all fields below.

Owner & Dog Information
Date  
Owner's First Name Dog's Name
Owner's Last Name Dog's Name
Email Address Dog's Name

Please acknowledge the following policy statements by typing your initials the boxes provided. If you do not agree to all statements, please do not complete this form, and contact Stay directly for more information.
I Agree
(initial below)		 Policy Statements
(read carefully)
For myself, my heirs and any assigns, I hereby release Stay, inc, its agents, officers, subcontractors, employees, animal owners, customers and potential customers of Stay, inc from any and all liabilities, financial or otherwise, for injuries to myself, my dog or any other property of mine which arise in any way from our services and/or products provided by or as a consequence of my association with Stay, inc.
In consideration of the services rendered to the Client by Stay, inc, the Client waives any and all claims, actions or demands of any nature, foreseen or unforeseen, that he/she may have now or in the future against Stay, inc. relating to the care, control, health and/or safety of the Client's dog arising from pick up, transport, drop off and stay at the facilities at which the Client's dog is being cared for.
Due to the many outstanding benefits of dog socialization and Stay inc.'s commitment to the safety and well-being of the Client's dog, the Client agrees that the benefits of dog socialization outweigh the risks. Furthermore, the Client requests a socialized environment for their dog while under the care of Stay, inc. The Client understands that when dogs play in groups that nicks or scratches may occur. The Stay, inc staff may or may not notify the Client immediately if the dog sustains any nicks or scratches.
The Client agrees to assume all liabilities and responsibilities, financial or otherwise, for the behavior and health of the Client's dogs. The Client agrees to hold Stay, inc. harmless from any claims, actions or demands against Stay, inc. arising during the pick-up, transport, drop-off and stay at Stay, inc.
The Client authorizes Stay, inc to do whatever they deem necessary for the safety, health and well-being of the Client's dog while under the care of Stay, inc.
The Client agrees to pay the service rates in effect on the date the Client's dog received care at Stay, inc. and to pay for any additional services requested by the Client when the dog is picked up. The Client understands that the dog shall not leave Stay, inc until all charges due are paid by the Client.
The Client agrees that if he/she is a "no show" for any boarding reservation or fails to cancel 24 hours prior to check in, the Client shall be charged for one night's stay if during the non-peak/non-holiday periods. For peak periods/holidays (one week prior to and one week after any Federal holiday or school vacation periods), cancellations must be received 48 hours prior to scheduled reservation or the Client will be charged for one night's stay.
The Client understands that check out time for boarding dogs is noon. If the Client's dog stays past noon, the Client agrees to pay a delayed check out fee of $20.

I understand that before my dog(s) can play or board at Stay,
the following requirements must be met:

My dog must pass a temperament test to ensure he/she is not aggressive towards people or other dogs.

My dog's complete and up to date veterinary innoculation records must be furnished to Stay, Inc. including rabies, parvovirus, distemper, bordetella and heartworm. My dog is free from intestinal parasites. Titer results may be substituted for distemper and parvovirus vaccinations. It is the dog owner's responsibility to request that vet records be sent to Stay—please fax to 773-509-0050.

Proof of current dog license must be submitted to Stay.

A credit card (Visa or Mastercard) is required to hold reservations with Stay.

I have reviewed and submitted this liability waiver to Stay, Inc. By clicking the Submit button below, I certify that all data I have provided and agreed to on this form is correct and truthful to the best of my knowledge.
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