PET LIABILITY WAIVER AND RELEASE OF CLAIMS

DOCUMENT INFORMATION

SERVICE PROVIDER/FACILITY INFORMATION

[PROVIDER/FACILITY LEGAL NAME]
- Type of Business: [TYPE - e.g., Boarding, Daycare, Training, Dog Park, Event]
- Address: [ADDRESS]
- Phone: [PHONE]
- Email: [EMAIL]

SECTION 1: OWNER/PARTICIPANT INFORMATION

1.1 Pet Owner Information

1.2 Pet Information

SECTION 2: SERVICE/ACTIVITY DESCRIPTION

2.1 Type of Service or Activity

This Waiver applies to the following service(s) or activity(ies):

☐ Pet boarding
☐ Pet daycare
☐ Pet grooming
☐ Dog walking
☐ Pet sitting
☐ Pet training (group or private)
☐ Dog park/play area access
☐ Pet event/competition
☐ Pet photography
☐ Pet transportation
☐ Veterinary services
☐ Pet adoption event
☐ Other: [SPECIFY]

2.2 Service Period

☐ Single date: [DATE]
☐ Date range: [START DATE] to [END DATE]
☐ Ongoing/recurring services
☐ Membership period: [START DATE] to [END DATE]

SECTION 3: PET HEALTH AND BEHAVIOR DISCLOSURE

3.1 Health Certification

I certify that my pet:

☐ Is current on all required vaccinations (rabies, DHPP/FVRCP, bordetella, etc.)

☐ Is free from infectious or contagious diseases to the best of my knowledge

☐ Is free from fleas, ticks, and other parasites or has been recently treated

☐ Has no known medical conditions that would make participation dangerous, OR known conditions are disclosed below

Known Health Conditions:
☐ None
☐ The following conditions exist: [DESCRIBE]

3.2 Behavioral Disclosure

I certify that to the best of my knowledge:

☐ My pet has NOT displayed aggressive behavior toward humans

☐ My pet has NOT displayed aggressive behavior toward other animals

☐ My pet has NOT bitten any person or animal

OR:

☐ My pet HAS displayed the following behavioral concerns that I am disclosing:
[DESCRIBE INCIDENTS, INCLUDING DATES AND CIRCUMSTANCES]

3.3 Temperament Description

☐ Friendly and social with people and other animals
☐ Shy or nervous in new situations
☐ Selective about which people/animals they interact with
☐ High energy/excitable
☐ Calm/relaxed
☐ Other: [DESCRIBE]

SECTION 4: ACKNOWLEDGMENT OF RISKS

4.1 Understanding of Inherent Risks

I understand and acknowledge that participating in pet-related services and activities involves inherent risks, including but not limited to:

☐ Bites, scratches, and injuries from my own pet, other animals, or during normal pet care activities

☐ Exposure to illness or disease despite vaccination requirements and sanitation protocols, including but not limited to kennel cough, canine influenza, parvovirus, parasites, and other communicable conditions

☐ Allergic reactions to grooming products, food, treats, or environmental factors

☐ Escape despite reasonable precautions and security measures

☐ Injury during exercise, play, or interaction with other animals or the environment

☐ Stress, anxiety, or behavioral changes from separation, new environments, or interaction with other animals

☐ Property damage to my pet's belongings or personal items

☐ Accidental injury during transportation, handling, or normal care activities

☐ Worsening of pre-existing conditions whether known or unknown

☐ Death in rare and extreme circumstances, despite proper care

☐ Injury to myself while on the premises or during service-related activities

4.2 Voluntary Participation

☐ I acknowledge that my participation and my pet's participation in these services/activities is completely voluntary

☐ I have had the opportunity to ask questions about the risks involved

☐ I choose to accept these risks and participate regardless

SECTION 5: WAIVER AND RELEASE OF LIABILITY

5.1 Waiver and Release

PLEASE READ CAREFULLY. THIS IS A RELEASE OF LIABILITY AND WAIVER OF CERTAIN LEGAL RIGHTS.

In consideration for being permitted to participate in services/activities provided by [PROVIDER NAME] ("Provider"), I, the undersigned, on behalf of myself, my heirs, executors, administrators, personal representatives, and assigns, hereby:

RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE [PROVIDER NAME], its owners, officers, directors, members, managers, employees, agents, volunteers, contractors, affiliates, successors, and assigns (collectively, "Released Parties") from any and all liability, claims, demands, actions, causes of action, damages, costs, or expenses of any nature arising out of or related to:

☐ Any injury, illness, disability, or death to my pet

☐ Any injury, illness, or damage to myself

☐ Any damage to my property

☐ Any act or omission of the Released Parties

☐ Any interaction between my pet and other animals or persons

☐ My pet's escape, loss, or theft

☐ Any other occurrence during my pet's time in the care of the Released Parties

WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASED PARTIES OR OTHERWISE, EXCEPT FOR GROSS NEGLIGENCE OR WILLFUL MISCONDUCT.

5.2 Assumption of Risk

☐ I expressly assume all risks associated with my pet's participation in services/activities provided by Provider, including risks that are known and unknown, inherent and non-inherent, foreseeable and unforeseeable

5.3 Waiver of California Civil Code Section 1542 (if applicable)

☐ I acknowledge that I have read and understand California Civil Code Section 1542, which provides: "A general release does not extend to claims that the creditor or releasing party does not know or suspect to exist in his or her favor at the time of executing the release and that, if known by him or her, would have materially affected his or her settlement with the debtor or released party."

☐ I hereby waive and relinquish any right or benefit I have or may have under Section 1542 or any similar provision of the statutory or non-statutory law of any other jurisdiction.

SECTION 6: INDEMNIFICATION AND HOLD HARMLESS

6.1 Indemnification

I agree to INDEMNIFY, DEFEND, AND HOLD HARMLESS the Released Parties from and against any and all claims, demands, actions, causes of action, damages, losses, liabilities, costs, and expenses (including reasonable attorneys' fees and court costs) arising out of or related to:

☐ My pet's behavior, including but not limited to bites, attacks, or injuries caused by my pet to any person, animal, or property

☐ Any injury, illness, or damage to any person or property arising from my pet's actions

☐ Any inaccurate, incomplete, or false information I have provided regarding my pet's health, vaccinations, or behavior

☐ My failure to disclose known behavioral issues, bite history, or aggressive tendencies

☐ My pet's pre-existing health conditions, whether known or unknown

☐ My violation of any rules, policies, or instructions provided by Provider

☐ My own negligent acts or omissions

6.2 Scope of Indemnification

This indemnification obligation applies to claims brought by:

☐ Third parties (including other pet owners, their pets, Provider's employees, or members of the public)

☐ Family members, guests, or invitees

☐ Any governmental authority

SECTION 7: EMERGENCY TREATMENT AUTHORIZATION

7.1 Emergency Veterinary Care

☐ I authorize [PROVIDER NAME] to seek emergency veterinary care for my pet if I cannot be reached and my pet requires immediate medical attention

7.2 Emergency Contact Information

• Primary Phone: [PHONE]
• Secondary Phone: [PHONE]
• Veterinarian: [NAME, CLINIC, PHONE]
• Emergency Veterinarian: [NAME, CLINIC, PHONE]

7.3 Emergency Treatment Authorization

☐ I authorize emergency treatment up to $[AMOUNT] without prior approval if I cannot be reached

☐ I agree to reimburse Provider for all emergency veterinary expenses incurred

SECTION 8: ADDITIONAL AUTHORIZATIONS AND AGREEMENTS

8.1 Photo/Video Release

☐ I grant permission for Provider to photograph and/or video record my pet for use in:
☐ Internal records
☐ Social media
☐ Website and marketing materials
☐ All of the above

☐ I do NOT grant permission for photos/videos to be used for marketing purposes

8.2 Flea/Tick Treatment

☐ I authorize Provider to apply flea/tick treatment to my pet if parasites are discovered, at my expense ($[AMOUNT])

8.3 Grooming/Hygiene

☐ I authorize Provider to perform emergency grooming or hygiene care (bathing, sanitary trim) if needed for my pet's health and comfort, at my expense

8.4 Separation/Isolation

☐ I authorize Provider to separate or isolate my pet if my pet displays aggressive behavior, shows signs of illness, or for any reason related to safety

8.5 Refusal/Termination of Service

☐ I understand that Provider reserves the right to refuse or terminate services at any time if my pet poses a safety risk, displays aggressive behavior, or for any other reason at Provider's discretion

☐ I understand there may be no refund for services terminated due to my pet's behavior

SECTION 9: SPECIFIC DISCLOSURES AND ACKNOWLEDGMENTS

9.1 Group Play/Interaction Acknowledgment

(If applicable to service)

☐ I understand that group play involves interactions between multiple animals

☐ I understand that injuries may occur during normal play behavior

☐ I accept the risks of group play, including scratches, punctures, and other injuries common in animal interactions

9.2 Dog Park/Off-Leash Area Acknowledgment

(If applicable)

☐ I understand that off-leash areas involve uncontrolled animal interactions

☐ I am responsible for supervising my pet at all times

☐ I am responsible for any damage or injury caused by my pet

☐ I will follow all posted rules and regulations

9.3 Training Acknowledgment

(If applicable)

☐ I understand that training results are not guaranteed

☐ I understand that behavioral modification takes time and consistency

☐ I accept responsibility for practicing training techniques at home

9.4 Transportation Acknowledgment

(If applicable)

☐ I authorize Provider to transport my pet in Provider's vehicle

☐ I understand the risks of vehicle transportation including motion sickness, anxiety, and vehicle accidents

☐ I accept these transportation risks

SECTION 10: VACCINATION AND HEALTH REQUIREMENTS

10.1 Vaccination Verification

I certify that my pet has the following current vaccinations:

Dogs:
☐ Rabies - Expires: [DATE]
☐ DHPP (Distemper, Hepatitis, Parvo, Parainfluenza) - Expires: [DATE]
☐ Bordetella - Expires: [DATE]
☐ Canine Influenza - Expires: [DATE]
☐ Other: [SPECIFY]

Cats:
☐ Rabies - Expires: [DATE]
☐ FVRCP - Expires: [DATE]
☐ FeLV - Expires: [DATE]

☐ Vaccination records have been provided/are on file

10.2 Health Requirement Acknowledgment

☐ I understand that vaccination and health requirements are for the protection of all animals and are mandatory

☐ I understand that my pet may be refused service if vaccination requirements are not met

☐ I understand that even with vaccination requirements, illness transmission may still occur

SECTION 11: LIMITATION OF LIABILITY

11.1 Damage Caps

☐ I agree that in no event shall the total liability of the Released Parties exceed the fees paid for services during the period in which the incident occurred, OR $[AMOUNT], whichever is less

11.2 Exclusion of Damages

☐ I agree that the Released Parties shall not be liable for any indirect, incidental, consequential, special, punitive, or exemplary damages, including but not limited to emotional distress, loss of companionship, or sentimental value

SECTION 12: GENERAL PROVISIONS

12.1 Governing Law

This Waiver is governed by the laws of [STATE], without regard to conflicts of law principles.

12.2 Venue

Any legal action arising from this Waiver shall be brought exclusively in the courts of [COUNTY], [STATE].

12.3 Severability

If any provision of this Waiver is found invalid or unenforceable, the remaining provisions shall continue in full force and effect.

12.4 Entire Agreement

This Waiver constitutes the entire agreement between the parties regarding its subject matter and supersedes all prior agreements and understandings.

12.5 Modifications

This Waiver may only be modified in writing signed by both parties.

12.6 Binding Effect

This Waiver shall be binding upon me, my heirs, executors, administrators, personal representatives, successors, and assigns.

12.7 Duration

This Waiver shall remain in effect:
☐ For the single service/activity date specified
☐ For the service period specified
☐ For the duration of my membership/ongoing services
☐ Until revoked in writing by me (does not affect incidents that occurred prior to revocation)

SECTION 13: ACKNOWLEDGMENT AND SIGNATURE

13.1 Final Acknowledgments

BY SIGNING BELOW, I ACKNOWLEDGE AND AGREE THAT:

☐ I have carefully read this entire Waiver and Release of Claims and fully understand its contents

☐ I am aware that this is a waiver and release of liability and a contract between myself and [PROVIDER NAME]

☐ I am signing this Waiver freely and voluntarily

☐ I understand that I am giving up substantial legal rights, including the right to sue for negligence

☐ All information I have provided about my pet is true, accurate, and complete

☐ I have disclosed all known health conditions, behavioral issues, and bite history

☐ I understand and accept the risks described herein

☐ I agree to the indemnification and hold harmless provisions

☐ I authorize emergency veterinary care as specified

☐ I have had the opportunity to ask questions and have received satisfactory answers

☐ I am at least 18 years of age

☐ I have received a copy of this Waiver

SIGNATURE

PET OWNER:

Signature: _________________________________

Printed Name: _________________________________

Date: _________________________________

WITNESS (Optional but Recommended):

Signature: _________________________________

Printed Name: _________________________________

Date: _________________________________

PROVIDER REPRESENTATIVE:

Signature: _________________________________

Printed Name: _________________________________

Title: _________________________________

Date: _________________________________

ADDITIONAL PETS

If this Waiver covers additional pets, list them below:

I acknowledge that this Waiver applies to all pets listed above.

Owner Initials: _______ Date: _______

IMPORTANT NOTICE:

This document contains a waiver and release of legal rights. You are advised to read it carefully and, if you have questions, consult with an attorney before signing.

This Pet Liability Waiver is provided for informational purposes only and does not constitute legal advice. The enforceability of liability waivers varies by state and circumstance. Consult with a qualified attorney to ensure this waiver is enforceable in your jurisdiction and appropriate for your business.