Boarding Waiver – Cat Haven Animal Hospital Boarding Waiver – CatYour Name(Required) First Last Your Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Your Email Address(Required) Your Phone(Required)We use two-way texting to communicate with clients. We also send automatic reminders about appointments and services due. Standard messaging rates apply, and you may opt out anytime by texting STOPPet Name(Required)Pet Species(Required) Cat Pet Breed(Required)Pet Color(Required)Pet Age(Required)Pet Sex(Required) Male Female Spayed or Neutered?(Required) Yes No On Flea & Tick Preventative?(Required) Yes No Proof of flea and tick preventative is required for lodging. What are the primary reasons for bringing your cat to Haven Pet Lodge?(Required)How long have you had your cat?(Required)Where did you get your cat?(Required)Is there a person or situation your cat seems to be uncomfortable with?(Required)Are there areas on your cat's body where he/she does not like to be touched by humans?(Required)Does your cat have any allergies or any other conditions?(Required)Is there anything else we should know about your cat?(Required)Haven Pet Lodge Waiver – Cat(Required) By checking this box I agree to the following terms:All Cats Must: • Be current on rabies, rhinotracheitis, calicivirus, panleukopenia and any other required vaccinations; • Be at least 4 months of age • Be in good general health and free of fleas and ticks • Be non-aggressive towards people • Be in a carrier when entering and exiting Haven Pet Lodge • Complete a pet interview prior to first reservation. – I understand that Haven Pet Lodge has relied upon my representation that my cat is in good health and has not injured or shown aggression or threatening behavior to any person in admitting my cat for services at their facility. – I understand that Haven Pet Lodge owners, staff, partners and volunteers will not be liable, financially or otherwise, for injuries to my cat, myself or any property of mine while my cat is participating in services provided by Haven Pet Lodge. I hereby release Haven Pet Lodge of any liability of any kind arising from my cats’ participation in any and all services provided by Haven Pet Lodge. – I understand and agree that any problems with my cat; behavioral, medical or otherwise, will be treated as deemed best by staff of Haven Pet Lodge at their sole discretion and in what they view is in the best interest of the animal. I understand that I assume full financial responsibility and all liability for any and all expenses involved in regards to the behavior and health of my cat. – Food: Cats will be fed in accordance with the instructions provided in the E-mail confirmation that you provide. You must provide commercial cat food in a container marked with your cat’s name and feeding instructions. – Media Release: I understand by allowing my cat to participate in services offered by Haven Pet Lodge, I hereby agree to allow Haven Pet Lodge to take photographs or use images of my cat in print form or otherwise for publication and/or promotion. – Personal Property: Haven Pet Lodge will not be liable for any lost, stolen or damaged personal property belonging either to you or your cat. If your cat causes any damage to Haven Pet Lodge you will be liable for the full cost of all repairs and replacements. – Fees: You must pay for all services and products by cash or credit card, we do not accept checks. Full payment is due upon check in. You give express permission for Haven Pet Lodge to charge any credit card you provide for unpaid services or products upon the date services have been completed. You further agree to pay any collection costs and the cost of any returned or challenged credit charges. – Aggressive Cats: Although Haven Pet Lodge loves all cats, in order to come to Haven Pet Lodge, your cat may not be aggressive and must pass Haven Pet Lodge’s interview process in Haven Pet Lodge’s sole discretion. Your cat may be asked to not return to Haven Pet Lodge if he/she exhibits aggressive or other unacceptable behavior in Haven Pet Lodge’s sole discretion. – Duty to Disclose: You must disclose on a continuing basis, any and all medical or other conditions, including but not limited to personality concerns or behavioral incidents that may affect, limit or prevent your cat’s ability to participate in any activity or service. In the event of a material change to the information you provided in this application, you agree to submit a new application within 7 days. Acceptance and Acknowledgement of Risk: You fully understand that; • There are inherent and potential risks involved with interactions between humans and cats, which may result in property damage or bodily injury, including but not limited to, permanent disability, sickness or death to human or cat • There may be other risks not known to you or Haven Pet Lodge, nor readily foreseeable at this time (collectively, “risks”). You fully accept and assume all risks and responsibility for all risks, including, without limitation, all losses, costs and damages incurred as a result of your cat’s participation at Haven Pet Lodge, including any veterinary expenses listed in Veterinary Care section below. “Sickness” includes any illness including but not limited to rhinotracheitis, calicivirus, panleukopenia, or any other form of contagious disease. • I am solely responsible, financially or otherwise, for any harm or damage caused by my cat, while my cat is attending any services provided by Haven Pet Lodge. – Veterinary Care: Haven Pet Lodge will have the right to obtain medical treatment for your cat, if, in Haven Pet Lodge’s sole discretion, it appears that your cat may be ill, injured or exhibits any other behavior that would reasonably suggest that your cat may need medical treatment. Reasonable efforts will be made to contact you when Haven Pet Lodge determines that medical treatment is necessary, but if Haven Pet Lodge is unable to contact you or your emergency contact, Haven Pet Lodge and veterinarian may rely on this Acceptance and Acknowledgement of Risk as your consent to treat your cat. You hereby grant the veterinarian and Haven Pet Lodge the right to make medically necessary decisions for your cat’s treatment, and release the veterinarian and Haven Pet Lodge for all liability for the same. If you are unable to be reached but your emergency contact is reached, you herby grant your emergency contact the right to make medically necessary decisions for your cat’s treatment. – Abandonment: I understand that if my cat is not picked up on time, I hereby authorize Haven Pet Lodge to take whatever action is deemed necessary for the continuing care of my cat. I will pay Haven Pet Lodge the cost of any such continuing care upon demand. I understand that if I do not pick up my animal, Haven Pet Lodge will proceed according to the guidelines provided by Section 1834.5 and 1834.6 of the California Civil Code. I also acknowledge that I will be fully responsible for all attorney fees and associated costs if I abandon my cat. – Haven Pet Lodge is owned and operated by Haven Animal HospitalVaccine RecordsMax. file size: 512 MB. Local emergency contact that can pick up your pet(s) in case of emergency, should you be out of town or unavailable.(Required) First Last Phone(Required)CAPTCHASomeone from our team will contact you in 1-2 business days to confirm the details of your appointment. Our office is closed Saturday, Sunday and Monday.
