(For Boarding, Day Camp, Dog Park Use, Grooming or Training at KennelResorts)

I,____________________________, hereby certify that my dog(s)and/or cat(s):
will be in good health and will not be ill with any communicable condition when they come to KennelResorts for
boarding, day camp, grooming, training or for use of the dog parks.  I have read and understand the following:

1.         I understand that I am solely responsible for any harm caused by my dog(s) and/or cat(s)                         
while attending KennelResorts.

2.        I further understand and agree that in admitting my pet(s) to KennelResorts has relied on my representation
that my pet(s) is/are in good health, and has/have not harmed or shown “serious” aggressive or threatening
behavior toward any person or another pet.

3.          I further understand that KennelResorts and staff will not be liable for any problems that develop, provided
that reasonable care and precautions are followed, and I hereby release them of any liability of any kind             
whatsoever arising from my pet(s) boarding, exercising, or receiving grooming/training at KennelResorts.

4.         I further understand and agree that if my pet requires medical attention for any reason, as determined at the
discretion of KennelResorts’ staff, I will assume full financial responsibility for that care. Kennel Resorts has my
permission to make health care decisions on behalf of my pet(s).

5.        If applicable, I further understand that KennelResorts reserves the right to terminate and revoke my dog(s)’
annual KennelResorts membership, if for any reason or at any time it is observed that my dog is demonstrating
unacceptable behavior.  If that occurs, KennelResorts will reimburse the owner for the cost of the annual

6.        If applicable, I further understand that during the hours the Dog Park is open to members, KennelResorts is
not responsible for monitoring my dog(s) while in the Dog Park, and that I, the owner, am solely responsible for their
care and actions.

SIGNATURE OF OWNER:________________________________________  DATE:__________________              
       (Every owner will be required to sign and submit this form.)