Poochkins Consent Form
I, the undersigned, warrant and certify that I am the owner or person responsible for the dog(s) brought to Poochkins, SK-55, Sector 112, Noida 201301 for the purpose of either boarding or daycare. I also declare that I have read, fully understood, and accept the terms & conditions of Poochkins and agree to abide by them.
I understand I am responsible for and agree to provide Poochkins staff with the latest complete information about my dog(s), including underlying medical conditions, medications, physical limitations, behavior concerns, veterinarian name and contact information, and veterinarian recommendations and limitations for the dog(s) brought to Poochkins. I agree that I am ultimately responsible for determining whether boarding and associated playtime activities or daycare activities are appropriate for my dog(s). I further agree that I am responsible for any risk posed by undisclosed medical conditions or behavior concerns.
I understand that by allowing my dog(s) to participate in any boarding or daycare activities offered through Poochkins, I give my permission for staff to take photographs, and/or videos, and to use the images or videos of my dog in printed matter, internet sites, or other promotional or advertising capacities. Photographs and videos are the property of Poochkins.
I acknowledge that should I give permission for my dog to participate in any group or other playtime activities, I recognize the possible risks involved in this activity, including but not limited to minor nicks and scratches. I accept full responsibility for any illness or injury that might happen to my dog(s) and accept full financial responsibility for any charges that may occur. I also accept full responsibility for any damage or injury to persons, property or other dogs and animals arising out of my dog’s participation in play activities, use of the grounds, facility, or pool, and for the actions and conduct of the undersigned and my dog(s).
Accordingly, I agree to indemnify Poochkins and its owners, employees, and independent contractors, for monetary damages and attorney fees; and further waive all personal claims and releases against Poochkins, its owners, employees, and independent contractors for damage, injury or death sustained by me, arising out of my dog’s participation in the activities and services provided by Poochkins, or presence on or use of the premises where services are performed; and further waive subrogation claims of insurers. As a client of Poochkins, I understand that my dog(s) and any person I bring onto the property enter / swim / participate at our own risk.
It is my express intent that this Release and Hold Harmless Agreement shall also bind the members of my family and all respective heirs, executors, administrators, legal representatives, successors, and assigns, and shall be deemed as a RELEASE, WAIVER, DISCHARGE, AND COVENANT NOT TO SUE the above-named RELEASEES. I hereby further agree that this Waiver of Liability and Hold Harmless Agreement shall be construed in accordance with the laws of India.
By accepting below, I acknowledge that I have read, fully understand, and agree to comply with the terms of this Agreement, Indemnity, Release & Waiver.
Name
Date
Signature
Thank you for choosing Poochkins for your pet care needs.