ABIGOLD’S BOARDING AGREEMENT
(ALL CLIENTS MUST COMPLETE THIS FORM)
CLIENT’S NAME:____________________________________________________________
NAME(S) OF DOG(S):_________________________________________________________
ADDRESS:_________________________________________________________________
HOME PHONE NUMBER:______________________________________________________
WORK PHONE NUMBER:______________________________________________________
CELL PHONE NUMBER:_______________________________________________________
BEST NUMBER IN CASE OF EMERGENCY:________________________________________
IF CLIENT IS NOT AVAILABLE, CALL:___________________________________________
CREDIT CARD AUTHORIZATION
Visa Card Number .. . . . . . . . . . . . . . . . . . ..
. . . . . . . Exp. Date:_____________________________
MasterCard Number . . . . . . . . . . . .
. . . . . . . . . . . . Exp. Date:_____________________________
I understand that valid credit card information is required
to hold all reservations at ABIGOLD. I authorize ABIGOLD to keep
the above credit card account number and expiration date in my file.
By signing below, I authorize ABIGOLD to charge deposits, boarding fees,
day care fees, training fees, cancellation fees, and service fees to this
card as appropriate.
________________________________________
CLIENT’S SIGNATURE
DATE
MEDICAL AUTHORIZATION FOR VETERINARY CARE
I certify that I am the dog’s owner or the dog owner’s agent.
I hereby authorize ABIGOLD to do whatever is necessary in ABIGOLD’s judgment
to care for my dog in case of illness, injury, or emergency situation.
I hereby give Becky Timpano of ABIGOLD permission to take my dog (s) for
treatment to the licensed veterinarian of her choice in case of illness,
injury, or medical emergency while boarding with ABIGOLD. I understand
that I am responsible for all charges incurred.
________________________________________
CLIENT’S SIGNATURE
DATE
AGREEMENT TO ALL TERMS OF ABIGOLD’S BOARDING POLICY
I certify that I am the dog’s owner or the dog owner’s agent.
I have read ABIGOLD’s current boarding policy. I fully understand
and agree to all terms. I understand that I must prepay all fees at drop
off. I agree to pay all deposits, boarding fees, day care fees, training
fees, cancellation fees, and service fees owed to ABIGOLD. I agree
to pay in full for all veterinary services rendered. I understand
that all fees must be paid in full before my dog will be released to me.
_________________________________________
CLIENT’S SIGNATURE
DATE
(Revised 5/02/05)