Owner Information
Owner Information

Name: ______________________________________________________________________________________

Address: _____________________________________________________________________________________

City: ______________________________________________State: _______________ Zip: __________________

Home Phone: _____________________________________ Cell Phone: _________________________________

E-mail Address: _______________________________________________________________________________

Emergency Contact

Name: ______________________________________________________________________________________

Home Phone: ________________________________ Cell Phone: _______________________________________

Persons Authorized to drop off and pick up my pet

Name(s): ____________________________________________________________________________________

Veterinarian Information

Vet Clinic/Hospital Name: ________________________________________________________________________

Please Note: All pet's vaccination records should be faxed or brought to our office prior to check-in.  This will help speed up
the check-in process.

                                                                                 Boarding Contract

Beechwood Trails Pet Lodge hereinafter referred to as the “Lodge”, agrees to exercise due and reasonable care and to
keep the premises sanitary and properly enclosed. Your pet(s) will be fed, have access to water at all times and housed in
safe, clean quarters.

The services we provide are done so without liability for loss or damage from disease, death, running away, theft or fire, and
from injury or damage done by your pet(s) to people, other animals or property, or other unavoidable causes. Due diligence
and care has been exercised.

Should any pet become ill or need medical attention, we reserve the right to administer aid and to render care by your local
designated veterinarian, if available, or by our veterinarian. Any expenses incurred up to $250.00 will be covered by our Pets
at Heart Health Warranty (exclusions apply).  Any expenses above $250.00 shall be paid promptly by the Owner.

Owner specifically represents that the pet(s) is kept current on vaccinations and has not been exposed to distemper, parvo,
rabies, or canine cough within 30 days prior to boarding.

Owner agrees to pay the rate for boarding in effect on the date the pet(s) is checked into the Lodge, and further agrees to pay
for all costs and charges for special services requested upon check-in.

No pet will be released until all charges are paid in full or other arrangements satisfactory to the Lodge have been made.
The customer agrees to notify us in advance if there is any change in the pets’ pick up date, or person picking up said pet(s).
Any pet left uncalled for seven days from the scheduled date of pickup, as noted herein, shall be considered abandoned and
will become the property of the Lodge and may be sold or disposed of.

The owner of this pet(s) or his agent agrees to pay reasonable legal fees and costs incurred by the Lodge in the collection of
outstanding bills.

Any controversy or claim arising out of or relating to this contract, or the breach thereof, or as the result of any claim or
controversy involving the alleged negligence by any party to this contract, shall be settled by arbitration in accordance with the
rules of the American Arbitration Association, and judgment upon the award rendered by an arbitrator may be entered in any
Court having jurisdiction thereof. The arbitrator shall, as part of his award, determine an award to the prevailing party of the
costs of such arbitration and reasonable attorney’s fees of the prevailing party.

By signing this Contract and leaving your pet(s) with the Lodge, Owner certifies to the accuracy of all information given on the
Pet and Owner Information pages.

Pet Owner: ____________________________________________________________________

Beechwood Trails Pet Lodge____________________________________________________________________

Date: _________________________