Daycare/ Boarding Waiver & Consent Form

• I represent that my pet(s) is/are in good health, is/are current on all required vaccinations (Dogs – DHPP, Leptospirosis, Rabies, Canine Influenza and Bordetella; Cats – FVRCP and Rabies) and have had a negative fecal test within the past 6 months.
• I understand that while my pet(s) is/are fully vaccinated, vaccines are not guaranteed and there is a small risk that my pet(s) may contract a contagious disease or illness (such as Canine Influenza or Bordetella/Kennel Cough in dogs, upper respiratory infections in cats). I agree that should this occur, I am responsible for my own pet’s care, medical attention, and the associated costs.
• I represent that my pet(s) is/are free of fleas, ticks, and lice and has/have not been ill within the past 30 days.
• I understand that should fleas, ticks or lice be observed on my pet(s) a flea/tick/lice treatment will be applied to my pet(s) and I will be responsible for any associated charges (cost is dependent on size of pet, species, and severity of infestation).
• I agree to disclose any previous or current medical issues/concerns for my pet(s) so that the facility’s staff can decide on suitability for daycare/boarding.

• Dogs – I represent that my dog(s) is/are social and has/have not harmed or shown threatening behaviors towards any person or other dogs. I understand that the facility reserves the right to remove my dog(s) from the play area and place my dog(s) in a separate holding area should my dog(s) display any unwanted behaviours.
• Dogs and Cats – I understand that if my pet(s) act aggressively toward another pet or the facility staff resulting in injury to the pet or staff, that I will accept responsibility for any veterinary care needed on behalf of the injured pet or any medical care needed on behalf of the staff member as a direct result of my pet(s) actions.
• I understand that special-needs pets, young pets, and senior pets naturally have a higher risk of injury, stress-related illnesses, weakened immune systems, or exacerbation of any pre-existing condition and am waiving any claim for injury or illness experiences by my pet while in the care of the facility.
• I understand that if my pet unexpectedly passes while in the care of the facility my pet will be transported to Old Mill Veterinary Hospital, where he/she will be held until I can be reached for further instructions.
• In the event of the unexpected passing of my pet, I understand that if the facility is unable to transport to Old Mill Veterinary Hospital, that the facility will transport my pet(s) to the nearest 24-hour veterinary hospital, and I will be notified to discuss further instructions.
• I understand that if my pet(s) nails are too long and could potentially cause deep scratches or breaking skin of staff or other pets, or predispose my pet to injuring him/herself, a nail trim may be required by the facility at an additional cost.
• I give permission for the facility to bathe my pet if he/she soils his/her fur (feces or urine) while in the care of the facility and understand that additional costs will be incurred (up to $100 depending on size and disposition of pet).
• I give permission for the facility’s staff to contact my veterinarian should any injuries or illnesses occur that require medical attention, and I agree that I am solely responsible for any medical expenses incurred on behalf of my pet(s).

• Daycare – I understand that if my pet(s) is/are over the age of 7 months, is/are not spayed or neutered, and is/are exhibiting “intact” behaviors or signs of a heat cycle, that I will be immediately contacted by the facility for pick-up.
• Boarding – I understand that if my dog(s) is/are over the age of 7 months, is/are not spayed or neutered and is/are exhibiting “intact” behaviors or signs of a heat cycle, that my pet(s) will be placed in boarding for individual care, away from other pets and I will be responsible for any additional charges.

• I understand that cancellations must be done 48-hours prior to the reservation date, or I may be charged a fee for failure to cancel timely.
  I understand that the facility reserves the right to refuse admittance to any pet(s) that does not meet or maintain the health, temperament or other daycare/boarding standards. The determination shall be made at the sole discretion of the facility.
• I understand that prepaid daycare/boarding packages are nonrefundable and expire 12 months from the date of purchase.
  I understand that payment in full is due at time of pick-up.
• If my authorized representative or I cannot pick up my dog(s) at the agreed pick-up time, I authorize the facility to provide additional overnight and daycare services at my own expense.
• I understand that I am charged for the day in regardless of drop off time. I understand that I am not charged for the day out if I pickup by 12(noon)

ROUTINE VETERINARY VISITS at OLD MILL VETERINARY HOSPITAL WHILE BOARDING:

All wellness services provided during boarding stays will be performed via a scheduled appointment to ensure clear communication about the patient’s health and recommended treatments.

If you would like to have your pet examined by Old Mill Veterinary Hospital (OMVH) while they are staying at the facility, please schedule with OMVH directly (in person at the time of drop-off, or at 703-779-2903) for a time when you will be available to discuss your pet’s care recommendations with the veterinary team.

MEDICAL RELEASE FORM

This is a required form for all Old Mill Boarding Kennel & Grooming participants receiving services.

First and foremost, the safety and well-being of your pet(s) is of the highest importance to us. Ensuring that your pet remains safe and well cared for is our first responsibility and as such we take it very seriously. We do our best to have our pet parents screen for pre-existing health conditions but some factors may be beyond our control. In the event that a pet appears ill, injured, or exhibits any other behavior that would reasonably suggest that the pet needs medical treatment (including anesthesia) while at our facility or participating in a service that we provide, it is imperative that we are immediately able to get them medical treatment at the closest available facility. We will call ahead to the veterinary offices in closest proximity geographically to our facility to ensure that they can handle the emergency. Your pet will be rushed to the closest facility available for treatment and you will be notified. We notify the owner after we have secured a medical treatment center for the pet to avoid unnecessary delays in your pet receiving emergency medical care. Our goal is to get your pet medical attention as quickly as possible and for that reason, it is a requirement that our pet parents sign this medical release form.

PET AND VETERINARY INFORMATION

Pet Names and Descriptions:

I give full authority to the facility and the facility staff to request and retrieve veterinary medical records for my pet(s), as listed herein, and release Veterinarian from any liability for the release thereof.