Waiver

Waiver

Owner’s Information

Name
Name
First
Last
Address
Address
City
Province
Postal Code

Emergency Contact Information

Emergency Contact Name
Emergency Contact Name
First
Last

Client Approved Pick Up List

Vet Information

Pet Information

Pet Behavior and Medical Disclosure

If you have multiple pets – please answer “Yes” even if the question only applies to one pet
My pet(s) are spayed or neutered
My pet(s) like to dig
My pet(s) can climb fences
My pet(s) are aggressive with other dogs
My pet(s) are aggressive towards humans
For safety concerns for staff, customers, and other boarders, if your dog is aggressive with other dogs or humans, we cannot book your dog. 

Your answers indicate your pet is aggressive towards other dogs and humans. For safety concerns for staff, customers, and other boarders, if your dog is aggressive with other dogs or humans, we cannot book your dog. 

My pet(s) require medication
I consent to allow Sturgeon County Kennels Ltd. to socialize my pet with other pets.
I consent to allow Sturgeon County Kennels Ltd. to take pictures of my pets.
By selecting “Yes” I grant Sturgeon County Kennels Ltd. and its representatives and employees the right to take photographs of my pet, and to publish the same electronically.
I certify that my pet is in good health and has not previously harmed or shown aggressive behavior towards any animal or person.
I certify that my pet has not had any communicable diseases within the last ninety (90) days.
I understand and agree that if my pet develops a communicable disease during or after any stay at Sturgeon County Kennels Ltd. that I hereby release Sturgeon County Kennels Ltd. from any liability from such communicable disease.

Your answers indicate your pet is aggressive towards other dogs and humans. For safety concerns for staff, customers, and other boarders, if your dog is aggressive with other dogs or humans, we cannot book your dog. 

Vaccinations

My pet(s) are fully vaccinated

Maximum file size: 20MB

Dogs require rabies, DHLPP/DAPP/DA2PP, and bordetella.

Cats require rabies and FVRCP. Feline leukemia is recommended but not required.

YOU CANNOT BOARD WITHOUT CURRENT VACCINE RECORDS. WE WILL NOT ACCEPT YOUR DOG WITHOUT UP TO DATE RECORDS.

Your answer indicates your pet does not have up-to-date vaccine records. These are required before boarding. IF YOU DO NOT PROVIDE US WITH UPDATED VACCINE RECORDS, WE WILL NOT ALLOW YOUR PET TO BOARD.

ON-CALL VETERINARIAN

May we use our on-call veterinarian in case of emergency (Dr. Iqbal Muhammad, Gibbons Veterinarian Clinic)

FOOD & MEDICAL AUTHORIZATION & INDEMNIFICATION

I hereby authorize Sturgeon County Kennels Ltd. to administer food and medication to my pet as required. I understand and agree that Sturgeon County Kennels Ltd. will administer food and any medication to my pet in accordance with my instructions, but are not adequately trained to perform any medical procedures on my pet.

In the event of a medical emergency, I authorize Sturgeon County Kennels Ltd. to act on my behalf and to have my pet treated by an accredited veterinarian. I understand and agree that medical care may be given under whatever conditions are necessary to preserve the life, limb, or wellbeing of my pet. If I cannot be contacted, I understand and agree that sole discretion for the administration of medical treatment to my pet shall reside with Sturgeon County Kennels Ltd., in consultation with an accredited veterinarian.

I agree to release Sturgeon County Kennels Ltd., its officers, and employees, as applicable, of and from any liability in connection with any medical treatment relating to my pet.

I further agree to be fully responsible for any expenses incurred with respect to medical treatment of my pet, and to fully reimburse and indemnify Sturgeon County Kennels Ltd. for any expenses incurred in treating my pet.

Consent

VOLUNTARY ASSUMPTION OF RISK, RELEASE FROM LIABILITY, INDEMNIFICATION AGREEMENT, AND WAIVER OF CLAIMS (the “Waiver”)

Assumption of Risks to My Pet, including, but not limited to: cat or dog bites and/or other forms of pet attacks; injury and/or illness from participation in socialization activities or exercising; the administration of food, medication, or medical treatment; participation in routine kennel activities and maintenance; injuries, death, or loss of property generally.

Assumption of Risks to Myself, including, but not limited to: cat or dog bites and/or other forms of pet attacks; slip and fall injuries; illness, injuries, death, or loss of property generally.

I, the undersigned “Releasor”, am aware that the dog or cat kennel service (the “Kennel Service”) operated by Sturgeon County Kennels Ltd. (the “Releasee”) may involve risks, dangers and hazards to my pet. I acknowledge & accept that the Releasee cannot predict when and where such risks, dangers, & hazards will occur.

I understand the Releasee will do its best to provide a safe, healthy and secure environment for my pet. However, I also understand that the Releasee’s Kennel Service involves the socialization of my pet with other animals, the exercising of my pet, and the administration of food and/or medication to my pet, as applicable, which carries inherent risks of injury, illness, and loss of life to my pet. I further understand and accept that my own presence at the premises of the Releasee may involve risks, dangers and hazards to myself.

I agree to mitigate risks by ensuring (i) my dog is leashed and (ii) my cat is in a hard plastic or metal carrier while traveling to and from my vehicle and the individual kennel.

Through my willing use of the Kennel Service, I freely accept and fully assume all risks, dangers and hazards associated with the Kennel Service offered by the Releasee, as well as the potential of injury, illness, or death to either myself or my pet.

I acknowledge and agree that the release from liability, indemnification agreement, and waiver of claims that I am giving under this Waiver applies and extends to all of Sturgeon County Kennels Ltd., its owner(s), employee(s), representative(s) and any other person(s) affiliated with Sturgeon County Kennels Ltd. (collectively, the “Released Parties”).

In consideration of the Releasee allowing me to make use of the Kennel Service offered by them, and for other good and valuable consideration, the receipt and sufficiency of which is acknowledged, I hereby agree as follows:

1) To waive any and all claims that I have or may in the future have against the Released Parties, and to release the Released Parties from any and all liability for any loss, damages, expenses, or injury, including death, that either myself or my pet may suffer as a result of the Kennel Service due to any cause whatsoever, including negligence, breach of contract, or breach of any statutory or other duty of care, including any duty of care owed under the occupiers liability act of Alberta on the part the Released Parties, and including the failure on the part of the Released Parties to safeguard or protect myself or my pet from the risks, dangers, and hazards inherent to the Kennel Service referred to above;

2) To hold harmless and indemnify the Released Parties from any and all liability for any property damage to property of, or personal injury to, any third party resulting from my pet’s participation in the Kennel Service;

3) This Waiver shall be effective and binding upon my heirs, next of kin, executors, administrators, and representatives, in the event of my death or incapacity;

4) This Waiver, and any rights, duties and obligations as between the parties to this Waiver, shall be governed by and interpreted solely in accordance with the laws of the Province of Alberta and no other jurisdiction; and

5) Any litigation involving the parties to this Waiver shall be bought solely within the Province of Alberta and shall be within the exclusive jurisdiction of the courts of the Province of Alberta.

I, the undersigned Releasor, have read and understand this waiver, and I am aware that by signing this waiver I am waiving certain legal rights including the right to sue which I or my heirs, next of kin, executors, administrators, and representatives may have against the Released Parties for any and all loss, injuries and/or death to either myself or my pet caused from unforeseen, unpredictable and/or uncontrollable circumstances.

Consent

BORDETELLA ACKNOWLEDGEMENT & COMMUNICATION POLICY

We are not veterinarians and the following is our understanding of Bordetella (kennel cough). The following is not veterinary advice. Please consult your veterinarian if you have additional concerns about Bordetella.

Bordetella is similar to the human flu. Your dog is vaccinated against common strains, but variants occur that vaccines will not protect against. It can be introduced to the kennel by a non-symptomatic dog and begin circulating to other dogs. Bordetella circulates through direct contact or the air. Not all dogs visiting the kennel will catch Bordetella when there is an ongoing outbreak.

Bordetella symptoms include coughing, low energy, and decreased appetite. Pneumonia can develop in rare and severe cases. Puppies and older dogs are at the greatest risk to develop severe symptoms. The majority of dogs will have symptoms for a few days and recover like humans recover from the flu.

We do our best to maintain a clean and sanitary facility and we enforce vaccination requirements for all visiting dogs. However, Bordetella can be randomly and innocently introduced to our kennel and is outside our ability to control. It is almost impossible to pinpoint which dog introduced it, but it generally comes from dogs recently in social situations like dog parks.

Our communication policy is:

i) Upon FIRST SUSPICION of Bordetella:
a. Email notification to all owners of our suspicion (i) with dogs currently boarding and (ii) with upcoming boarding appointments within the next 1 week.
ii) Upon STRONG SUSPICION of Bordetella:
a. Email notification to the same people plus (iii) owners with upcoming boarding appointments within the next 2 weeks.
You will receive an email and not a phone call due to the volume of notifications.

I acknowledge the realities of Bordetella in kennel environments and accept the communication policy.

Consent

Your answers indicate your pet is aggressive towards other dogs and humans. For safety concerns for staff, customers, and other boarders, if your dog is aggressive with other dogs or humans, we cannot book your dog.