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Daycare Test

 

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How may we contact you when you are travelling? (check all that apply)
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EMERGENCY CONTACT. Whom may we contact if we are unable to reach you?
This is the designated person who can answer questions/make decisions regarding your pet(s) and/or who can contact you in the event that we cannot. This person also has your authorization to pick up your pet if necessary.

Name:

Cell Phone:

OTHERS AUTHORIZED TO PICK UP MY PET:

Name: Relationship:

Name: Relationship:

THIS APPLICATION/AGREEMENT CONSTITUTES A CONTRACT BETWEEN THE FARM AT NATCHEZ TRACE, INC., A TENNESSEE CORPORATION, AND THE PET OWNER WHOSE SIGNATURE(S) APPEAR BELOW (HEREINAFTER “OWNER”):

  1. Owner warrants and represents that he, she or they is/are the sole owner(s) of the pet(s), free and clear of all liens andencumbrances.
  2. By executing this application/agreement, Owner certifies to the accuracy of all information provided by Owner to The Farm.
  3. Owner represents, to the best of his or her knowledge, that the pet has not been exposed to rabies or distemper within athirty (30) day period prior to boarding.
  4. In the event Owner’s pet should need medical/veterinarian attention for illness or injury during his or her stay, The Farm isexpressly authorized to engage the services of a veterinarian, administer medicine, or give other requisite attention to the pet. Owner shall pay for all expenses relating to said medical attention and treatment, including the cost of any required medications.
  5. Owner agrees to pay the rate for overnight lodging and additional Guest Services requested, if any, at the rates in effect on thedate the pet is checked into The Farm as a guest. Owner further agrees that all charges incurred shall be due and payable upon the departure of the pet(s) and that the pet(s) shall not leave The Farm until all charges have been paid in full.
  6. The Farm is hereby granted a lien on the pet(s) for any and all unpaid charges resulting from boarding at The Farm. Owneragrees that in the event all charges are not paid when due in accordance with this Contract, The Farm may exercise its lien rights upon ten (10) days written notice given by The Farm to Owner by certified mail delivered to the address shown above. Pursuant to Tennessee statute, The Farm may sell and transfer the pet(s) for any and all unpaid charges, at private or public sale, in the sole discretion of The Farm, and Owner specifically waives all statutory or legal rights to the contrary. In the event such sale does not secure a price adequate to satisfy all outstanding charges, plus the costs of the sale, then Owner shall remain liable to The Farm for the difference.
  7. Owner agrees to be solely responsible for any and all acts or behavior of Owner’s pet(s) while said pet(s) is/are in the care ofThe Farm.
  8. The Farm shall exercise reasonable care for the pet(s) delivered by Owner to The Farm. It is expressly agreed by Owner thatThe Farm’s liability shall in no event exceed the current chattel value of a pet of the same species, or $250.00 per pet boarded, whichever is less.
  9. This Contract contains the entire agreement between the parties. All terms and conditions of this Contract shall be binding onthe heirs, administrators, personal representatives and assigns of Owner and The Farm.
  10. Owner consents to the photographing, video recording, and/or reproduction of any other manner of the likeness and/oractivities of the pet(s) and further authorizes The Farm to make unlimited use of said reproductions, i.e. website, brochures, advertising, marketing materials, etc. It is understood that there will be no monetary compensation of said use, now or in the future.