Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Species *

Cat

Dog

8. Please indicate how you would like us to proceed in the event of a non-emergency (such as diarrhea, inappetence, skin/ear infections, lameness) even if it occurs under our care *

Please contact me prior to any examination or treatments. By checking this box, you understand POVS will not examine or treat your pet if we are unable to contact you.

Please make an effort to contact me, but I authorized examination and treatment in the event POVS is unable to reach me. I authorize up to

11. POVS will occasionally use pictures and first names of boarding pets on their web site and social media. Please indicate your wishes bel *

I authorize the use of my pets’ picture and first name

Please do not use pictures of my pet or their name

12. This contract will be valid for one year after signing

The owner, or his agent of the above animal, fully understands and agrees to the above statements. Pend Oreille Veterinary Service shall not be responsible for the animal’s health (such as illness, disease, internal condition etc.), accidents (such as cuts, scratches, bites, broken bones, etc.), loss (such as disappearance, runaway, death, fire, theft, etc.) on or off kennel premises. Pend Oreille Veterinary Services shall be entitled to reasonable attorney’s fees in relying on security or other action or suit to enforce this agreement.