Consent for Dog Walking / Group Play / Agility
Release and Waiver of Liability for Dog Walking / Group Play / Agility
I give Stream Valley Veterinary Hospital ("Hospital"), Dr. Mary Corey, and her employees permission to have my dog participate in group play as deemed safe and appropriate by the Hospital's staff. I understand that my dog must have had its entire series of examinations, vaccinations, and parasite screenings completed prior to being accepted for daycare. I consent to the related charges and agree to pay as charges are incurred.
I acknowledge that my dog has been and is trained to walk on a leash and that I know of no tendency of my dog to pull off the leash or attack people, dogs, or other animals when on a leash. I am aware and understand that there are risks involved with group play, including but not limited to minor injury, injury by other animals, and even death. I expressly and knowingly accept and assume the risk of injury or death to my dog due to reasonable acts and reasonable standards of care by the Hospital, its agents, employees, officers, directors, members, and staff, but I do not assume such risk as to grossly negligent acts of the Hospital, its agents, employees, officers, directors, members, and staff.
I also give the Hospital, Dr. Mary Corey, and her employees permission to exercise my dog utilizing standard agility equipment as deemed safe and appropriate by the Hospital's staff. I acknowledge that my dog is in good health, has had a health exam within the last six months, and is capable of participating in these exercises. I am aware of and understand the risk involved with the practice of agility, including by not limited to athletic/orthopedic injury, blunt or sharp trauma, and falls.
With the knowledge of the foregoing, and as an inducement for the Hospital to have my dog participate in group play and exercise, I hereby knowingly agree and expressly and irrevocably waive and/or release any and all rights that I, my spouse, my heirs, my personal representatives, my successors and assigns may have to make a claim against the Hospital, its agents, employees, officers, directors, members, and staff.
BY SIGNING THIS WAIVER AND RELEASE, I UNDERSTAND THAT I AM KNOWINGLY AND IRREVOCABLY GIVING UP (WAIVING AND RELEASING) ANY RIGHT I MIGHT HAVE TO SUE OR MAKE A CLAIM WHICH I MIGHT HAVE OR WHICH MIGHT SUBSEQUENTLY ARISE OR OCCUR AGAINST THE HOSPITAL AND THE HOSPITAL'S EMPLOYEES, AGENTS, OFFICERS, AND STAFF OR ITS BOARD OF DIRECTORS, OR ANY LANDOWNERS, THEIR FAMILIES, EMPLOYEES OR TENANTS, OVER WHOSE LAND MY DOG IS WALKED, FOR ANY INJURIES MY DOG MIGHT SUSTAIN WHILE BEING EXERCISED ON THE PROPERTY, AND THAT I AM INDEMNIFYING AND HOLDING HARMLESS THE HOSPITAL, ITS BOARD OF DIRECTORS, EMPLOYEES, AGENTS, OFFICERS, AND STAFF, AND/OR ANY LANDOWNERS, THEIR FAMILIES AND TENANTS, OVER WHOSE LAND MY DOG IS WALKED FOR MY DOG INJURING ANYONE ELSE OR ANOTHER ANIMAL WHILE SO ENGAGED. IT IT MY INTENT TO GIVE UP THOSE RIGHTS AND PROVIDE THIS HOLD HARMLESS AGREEMENT, AND I DO SO KNOWINGLY AND VOLUNTARILY.
SEEN, AGREED AS TO CONDITIONS AND COSTS, AND LIABILITY WAIVER HEREBY GRANTED TO DR. MARY COREY, STREAM VALLEY VETERINARY HOSPITAL, AND ALL ITS EMPLOYEES AND AGENTS:
I have read the above conditions, understand and agree to them. If I neglect to pick my pet up within seven (7) days after drop off, you shall assume that the pet is abandoned, and you are hereby authorized to place the pet as deemed necessary. I understand this does not release me from any incurred charges.