If you have additional dogs, please fill out one form for each dog. If your information
has changed recently, please update this form and resubmit.
Payments must be made in full or dogs cannot be returned to owners. DDL takes cash and credit/debit cards. If dogs are not picked up within 15 days of expected departure date, DDL has the right to RCW 16.54.101 and 16.54.020. NO REFUNDS.
PLEASE DO NOT bring dogs to DDL if they are knowingly sick and contagious. Similar to children's daycare, dogs carry germs and can get colds, eye infections and play nips.
DDL is not responsible for vet bills in the event that your dog becomes ill.
If your dog becomes ill or injured, where do you want us to transport him/her, or
whom do you want us to call?
I understand that I am financially responsible for any damage to DDL facilities
and equipment caused by my dog. (Please initial)
I understand that if I do not pick up my dog by closing time, he/she will be fed
dinner and provided overnight accomodations, and appropriate boarding charges will
apply. Hours are 7am - 7pm, Monday-Friday and 8am - 5pm on Saturday and Sunday.
All dogs are required to complete an on-site evaluation prior to attending daycare
or boarding. Which location would you like to have your evaluation performed?
Animal Medical Power of Attorney
Downtown Dog Lounge will make every effort to contact you in the event of a medical
emergency involving your pet. However, if we should be unable to reach you, we will
need formal authorization to request care for your pet on your behalf. Please review
the following Animal Medical Power of Attorney, and if acceptable, sign below.
I, the undersigned owner, hereby designate Downtown Dog Lounge, LLC ("DDL") to act as my attorney-in-fact and to act in my name for the
emergency medical benefit of my pet upon the terms and conditions outlined below.
1. Effectiveness. The Animal Medical Power of Attorney shall become
effective in the case of medical emergency requiring immediate care for my pet during
my absence or if deemed necessary to preserve the life or well being of my pet.
2. Powers. By the execution of this Animal Medical Power of Attorney,
it is my intention that my attorney-in-fact shall have authority to make all emergency
healthcare decisions for my pet to the same extent I would, including but without
limitation, the following: to employ and discharge medical personnel; to execute
documents; to provide written consents/releases for treatment; to obtain and administer
prescribed medications; and to incur reasonable and necessary fees and costs in
carrying out the powers and duties under this document that shall be reimbursed
by me upon my demand by DDL.
3. Indemnification. I shall hold harmless and indemnify my attorney-in-fact
from all liability for acts done in good faith.
Assumption of Risk, Release and Indemnification
1. Assumption of Risk. I understand and acknowledge that pets can
be extremely unpredictable in behavior and while DDL performs its services, the
chance of injury to my pet is possible. I assume all risks related to DDL’s services
to my pet (with the exception of gross negligence of DDL), including but not limited
to: illness, bodily injury; death; theft; bites; collisions with vehicles; natural
disasters; the unavailability of emergency medical care; or the negligence or deliberate
acts of third parties.
2. Release of Liability. I agree not to sue and to release from
liability DDL, its officers, owners, agents, employees and other persons or entities
involved with the services offered by DDL, from all actions claims or demands for
injury, loss or damage regardless of the cause.
3. Indemnification. I understand and acknowledge that pets can
be extremely unpredictable in behavior and may cause damage to third parties for
which DDL could be held liable. I agree to bear any and all damages, losses, liabilities,
demands and expenses, including legal and professional fees DDL may incur as a result
of any damage caused by my pet, and I agree to defend, and hold DDL harmless for
any liability thereon.
IT IS THE INTENTION OF THE PARTIES TO THIS AGREEMENT THAT THE FOREGOING RELEASES
SHALL BE EFFECTIVE AS A BAR TO ALL ACTIONS, FEES, DAMAGES, LOSSES, CLAIMS, LIABILITIES,
DEMANDS OR DEBTS WHATSOEVER, OF ANY NATURE OR KIND, KNOWN OR UNKNOWN, SUSPECTED
OR UNSUSPECTED, ARISING OUT OF THE PERFORMANCE OF DDL'S SERVICES. THE PARTIES TO
THIS AGREEMENT EXPRESSLY CONSENT THAT THIS RELEASE SHALL BE GIVEN FULL FORCE AND
EFFECT IN ACCORDANCE WITH EACH AND ALL OF ITS EXPRESS TERMS AND PROVISIONS.
I understand that this Agreement contains an Animal Medical Power of Attorney, release
of liability and contract between DDL and me and I am signing this agreement of
my own free will. If any part of this Agreement is deemed unenforceable, all parts
shall be given full affect to the extent possible. If there is a dispute between
the parties relating to this Agreement, the party substantially prevailing will
be entitled to recover all costs and expenses of any subsequent proceedings (including
trial, appellate and arbitration proceedings), including the attorney fees incurred
therein. This Agreement contains the complete understanding of the parties with
respect to the subject matter hereof and supersedes all prior presentations and
understandings, whether oral or written. This Agreement may be modified only by
writing and signed by both parties.
You will be contacted within 2 business days regarding your application. An on-site
evaluation of your dog is required and you will be asked to sign this form at that
time. We also require that you bring proof of DHPP, Rabies and a 6 month Bordatella.
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