Copyright © 1997-2017 J Neely. All rights reserved.

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Babysiting Pre-Registration Form and Agreement.
(Don't Forget To Bookmark This Page)
Babysitting is $15 per day per pooch.

Complete 'All' *Required Fields and/or optional fields if appropriate.

Call us if this is your first time boarding with us! 503-349-1296

There are five steps to complete.
Step 1 - Call us if we have never watched your pet before. 503-349-1296
Step 2 - Complete the form below, read the information and send us this form (see the 'submit' button at the bottom of the page).
Step 3 - Receive an automatic confirmation e-mail from us after you have submitted this form.
Step 4 - You may go directly to the Online Payment Page to pay for your babysitting online if you wish to make the calculation yourself. Remember to include the drop off and pick up day in your calculation. Or you may request a price billing invoice online via e-mail from us.
Step 5 - Prepay, online if you wish. This will save you time on your drop off day.

All pets must come with a collar and ID tag. We provide everything else! Ruff!

Your Name: * Address: *
City _____: * State __: * Zip: *

Your E-mail Address: *

(H) Phone: * (W) Phone: (C) Phone:

Emergency Contact: * Phone: *

Vet: * Vet Phone: *

First Pets Name: * Breed: * Pets Age: * Gender: * Color: *
Spay/Neuter: * Immunizations Current:

Second Pets Name: Breed: * Pets Age: Gender: Color:
Spay/Neuter: Immunizations Current:

Third Pets Name: Breed: * Pets Age: Gender: Color:
Spay/Neuter: Immunizations Current:

Fourth Pets Name: Breed: * Pets Age: Gender: Color:
Spay/Neuter: Immunizations Current:

Enter Your Drop Off DatePick a date Calendar * Drop Off Time: *

Enter Your Pick Up DatePick a date Calendar * Pick Up Time: *

Special Instructions or Comments:

Terms Of Agreement

Read These Terms Of Agreement
Then go to the bottom of this page and send this form only if you are in agreement with the terms.

This is a contract between J. Neely, herein referred to as Kennel, and the pet owner whose name is listed above. Pet owner is herein referred to as Owner.

Owner agrees to pay the rate for boarding in effect on the date pet is checked into the Kennel. Boarding fees are to be paid at the time of drop off. All other charges incurred are to be paid at the time of pickup. See below.

Owner further agrees to pay all costs and charges for special services requested, and all veterinary costs for the pet during the time the said pet is in the care of the Kennel.

Owner further agrees that the pet shall not leave the kennel until all charges are paid to the Kennel.

Owner certifies to the accuracy of all information given herein regarding the pet.

Kennel shall exercise reasonable care for the pet delivered by the owner for boarding. It is expressly agreed by the Owner and Kennel, that Kennel's liability in no event shall exceed the lessor of the current chattel value of a pet quality pet of the same species or the sum of $200 per animal boarded. The Owner further agrees to be solely responsible for any and all acts or behavior of said pet while it is in the care of the Kennel.

Owner specifically represents that he or she is the owner of the pet, free and clear of all liens and encumbrances.

Owner specifically represents to Kennel that the pet has not been exposed to distemper, or rabies, or bordetella within a thirty day period prior to boarding.

All charges incurred during the boarding shall be due and payable upon pickup of the pet. The Kennel shall have, and hereby is granted, be granted a lien on the pet for any and all charges resulting from boarding pet at the Kennel. The Owner hereby agrees that in the event the boarding charges are not paid when due in accordance with this contract, the Kennel may exercise its lien rights upon ten days written notice given by Kennel to Owner by certified mail to the address shown on this contract. Kennel may dispose of the pet for any and all unpaid charges, at public or private sale, in the sole discretion of the Kennel. Owner specifically waives all statutory or legal rights to the contrary. If such sale shall not secure a price adequate to pay such costs of boarding and other charges incurred, plus costs of sale and collection, then Owner shall be liable to Kennel for the difference. All monies realized by Kennel at such sale, over and above the total due amount shall be paid by Kennel to Owner.

If pet becomes ill or if the state of the animals health otherwise requires professional attention, the Kennel, in its sole discretion, may engage the services of a veterinarian, or administer medicine, or give requisite attention to the animal, and the expenses thereof shall be paid by the Owner.

If pet's health is in a compromised state, either due to age or past medical history, then Owner shall hold the Kennel harmless in the event of any deterioration in health or death of pet's.

Non-refundable. Once this registration has been submitted, then the boarding fee is non-refundable for the time period, including any extentions or changes of time.

This Contract contains the entire agreement between the parties. All terms and conditions of this Contract shall be binding on the heirs, administrators, personal representatives and assigns of the Owner and the Kennel.

If Kennel has to seek satisfaction of this agreement through a collection process or other legal means then, Kennel will be entitled to recover from Owner any and all collection costs, legal costs, court costs, and fees of any kind and incurred by Kennel.

By selecting the 'Send' button, Owner signifies acceptance of Kennels Terms of Agreement.

You may want to print this page for your records - BEFORE - you press the 'Accept and Send' button.