K9 Konnect Club Intake Form

I represent that I am the legal owner or authorized by the owner of the dog(s) described on the application.*

I represent that my dog(s) is in good health, is currently on all required vaccination for Canine Distemper, Rabies, and Bordetella (Kennel Cough). Is free of fleas, ticks and lice and has not been ill within the last 30days.*

I understand that while my dog(s) is fully vaccinated, that vaccines are not guaranteed and there is a small risk that my dog(s) may contact a contagious disease or illness. I agree that should this occur, I am responsible for my own pet’s care, medical attention and costs.*

I release K9 Konnect Club, its staff, owners and any representatives from any and all liability which I or my dog(s) may suffer including but not limited to injury, sickness, damage, or death resulting from participation in daycare and boarding.*

I understand that although all dogs are fully supervised, incidents of injuries may occur from playing with other dogs, which includes but not limited to bites, scrapes, scratches and sprains.*

I represent that my dog(s) is social and has not harmed or shown threatening behaviors towards any person or other dog. I understand that K9 Konnect Club reserves the right to remove my dog from the play area and place my dog(s)in a separate holding area should my dog(s) display any unwanted behaviors.*

I allow K9 Konnect Club staff to contact my veterinarian should any injuries or illness require medical attention. I agree that I am solely responsible for any medical expenses acquired for my dog(s).*

In the event that I or my authorized contact cannot pick up my dog(s) at the agreed pick-up time, I authorize K9 Konnect Club to provide additional overnight and daycare services at my expense.*

I understand that boarding is on a 24 hour system, and if I pick up my dog(s) after 24 hours on the pick-up date that I will incur a daycare charge. (e.g. drop-off at 8:00 am and pick up at 8:00 am)*