Hayleys Pets Play

Owner Information

Pet owner(s) full name(s)

Address

Contact Number(s)

Email

Emergency contact

Pet Information

Pet's name

Pet (select from list)

Dog
Cat
other

Breed

Date of Birth (if known)

Gender

male
female

Has your pet been spayed/neutered?

yes
no*
will be done at a later date*

*please provide details if you checked "no" or "will be done at a later date"

Identifiable features:

Colour and/or markings

City ID tag #

Tattoo #

Microchip #

Medical Conditions:

User Agreement

By checking this box, you agree to ensure your pet has and will be kept up to date with any and all vaccinations and preventative medications as advised by your veterinarian.

I, the pet owner,

User Agreement

acknowledge that the above information provided is true and correct or the best of my knowledge.

*

Waiver:

User Agreement

I hereby give the walker, Hayleys Pets Play, permission to take my dog on off-leash walks, and trust that this will be done in a safe and defined off-leash area.

I realize that there are certain risks involved with off leash walks and I agree to not hold the walker responsible in any way should any harm befall my dog. I further understand that due to the way that dogs interact with one another, minor cuts and scratches can occur even though the dogs are carefully supervised.

I understand that I am solely responsible for any harm caused by my dog while walking with/and in the care of the walker. I understand that all financial costs in connection with any incident shall be the pet owners responsibility.

While my pet is in the care and custody of Hayleys Pets Play, if I am unreachable in the event of an emergency, I hereby authorize the walker, Hayleys Pets Play, to seek immediate veterinary care for my dog. I understand that all financial costs in connection with veterinary, medical, or other treatment, shall be my responsibility.

I hereby release and agree to save and hold harmless the walker from any and all liability, claims, suits, actions, loss, injury or damage of any nature or kind, or for any liability, claims, suits, actions, loss, injury or damage which I or my dog(s) may sustain or which may be caused in any way by my dog(s). I specifically, without limitation, agree to fully indemnify the sole proprietor of Hayleys Pets Play for any and all such liability, claims, suits, actions, losses, injury or damage.

I agree to abide by the rules and regulations and accept all the terms, conditions and statements of this agreement and confirm the truthfulness of the contents of the form completed by me.

Further to this agreement, check to indicate acknowledgement of the following:

Compensation - The walker shall be paid the agreed upon amount for the requested service. Your invoice will be provided per calendar month. Invoices are requested to be paid in full within 30 days. Reminders will be provided before the next monthly invoice.
Duration - This agreement is effective until either party provides 7 days written notice. However the walker reserves the right for early termination with immediate effect should the dog become aggressive or dangerous. Early termination does not entitle the pet owner to any relief of outstanding or due payments.
Photo and Video Release - The walker reserves the right to use a pet’s name and any images or videos taken while he/she is in the care of Hayleys Pets Play for use at any time, in any media, marketing, advertising, or promotional materials.
Relationship - It is expressly understood that the pet owner retains the services of the walker and Hayleys Pets Play as an independent contractor and not as an employee.
Responsibility - The walker agrees to perform the agreed-on service in an attentive, reliable, and caring manner and the pet owner undertakes to provide all necessary information to assist in this performance.

By submitting this form I certify that I have read and understood the rules and regulations set forth herein and that I have read and understood this agreement.

Name and date: