3 Dogs Max
New Client Application
All fields are required unless specifically marked *Optional
Online account access is available to book appointments as well as view and edit your profile information. This access is free for all pet owners.
Add Additional Pets
General Liability Waiver
A. I agree and understand that in admitting my dog to Xena’s Clubhouse for Dogs , I certify that my dog is in good health, is current on all vaccinations and flea control and has not harmed or shown aggression or threatening behavior towards another dog and/or human.
B. Xena’s Clubhouse for Dogs reserves the right to deny admittance to any pet for any reason at any time.
C. I specifically represent that I am the sole guardian of the dog(s) and I have authority to admit the dog into the doggie daycare and/or boarding program at Xena’s Clubhouse for Dogs.
D. To the best of my knowledge, my dog has not been exposed to any contagious diseases within the 30 day period prior to check-in. I agree to provide Xena’s Clubhouse for Dogs proof of required vaccinations prior to check-in. Vaccinations must be up to date for the entirety of each stay.
E. I agree to allow Xena’s Clubhouse for Dogs to administer a flea bath to my dog should any fleas or ticks be discovered on my dog during the course of their stay. I understand that if fleas or ticks are discovered prior to check in a $15 flea bath fee will be added to my bill, if fleas are found during the stay the bath will be complimentary.
F. I understand that Xena’s Clubhouse for Dogs does not have a veterinarian on duty. Should my dog become ill during their stay, I authorize a representative of Xena’s Clubhouse for Dogs to take my dog to the nearest veterinarian. Xena’s will make every effort to take the dog to the dogs veterinarian if within 4 miles of Xena’s Clubhouse and the veterinarian is available.
G. I understand that if I have signed up for off location walks, doggy limo service, pick up and drop off or third party services such as grooming, I have authorized Xena’s Clubhouse for Dogs to transport my dog by automobile.
H. I understand and acknowledge that I am assuming all risk of illness, disease or harm by allowing my pet to stay at Xena’s Clubhouse for Dogs. Xena’s agrees to exercise reasonable caution and care of the dog. I hold Xena’s Clubhouse and their staff harmless in the event of injury or accident during the stay or during authorized transport.
I. I understand that I am responsible for any and all acts of my dog while under the care of Xena’s Clubhouse for Dogs. I will be financially responsible for costs related to injury to any staff member or other dogs while in the care of Xena’s Clubhouse for Dogs. I agree to indemnify Xena’s Clubhouse for Dogs against any claims made against Xena’s Clubhouse as a result of my failure or another guardians failure to disclose a pre existing illness or aggression.
J. I understand that occasionally a dog may be muzzled for their own safety and the safety of surrounding dogs or humans. Xena’s Clubhouse for Dogs uses humane methods such as spray water bottles, anxiety shirts, holistic remedies to limit unwelcome behavior.
K. I authorize Xena’s Clubhouse for Dogs to seek medical attention for my dog. I understand that I will be responsible for all costs including transport to and from a veterinarian.
L. Any controversy or claim arising out of or relating to this Agreement, or the breach thereof, or as the result of any claim or controversy involving the alleged negligence by any party to this Agreement, shall be settled 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 the award, determine an award to the prevailing party of the costs of such arbitration and reasonable attorney’s fees of the prevailing party. The arbitrator(s) shall apply California law to the merits of any dispute or claim, without reference to conflicts of law rules. The parties hereby consent to the personal jurisdiction of the state and federal courts located in California and agree that such courts shall have the sole and exclusive jurisdiction for any action or proceeding arising from or relating to this Agreement or relating to any arbitration in which the parties are participants.
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