Liability Waiver

This form should be filled out once per household. Please list all of your dogs and complete all fields.

Owner Information

Owner’s First and Last Name: _______________________________________________________________________

Email Address: _____________________________________________________________________________________

(1) Dog’s Name:________________________________________ (2) Dog’s Name____________________________

Additional Dogs_____________________________________________________________________________________

In consideration of the services rendered by TREY CLARK’S DOG HOUSE to my dog(s), I acknowledge reading, understanding, and accepting the statements herein. Please acknowledge the following policy statements by initialing each section and signing at the bottom. If you do not agree to all statements or have questions, please contact TREY CLARK’S DOG HOUSE directly for more information, treyclarkdogs@gmail.com.

Liability

I understand certain “activities” that my dog may participate in, including walks, field trips, playgroups, daycare, boarding, one-on-one play, movement within and outside the facility, and transportation to and from Trey Clark’s Dog House involve risk and possible injury, including but not limited to:

Exposure to parasites, viruses, and other medical conditions passed from dog-to-dog or person-to-dog; sprains, strains, bites, broken bones; motor vehicle accident during transportation; and fatigue, dehydration, nicks, cuts, or death.

I further understand that each and every potential risk cannot be listed above but, nonetheless agree that the benefits associated with dog socialization outweigh the possible risks, therefore, I hereby voluntarily release, forever discharge, and agree to hold harmless and indemnify Trey Clark’s Dog House and its agents, successors, heirs, from any and all liability, claims, demands, actions, or rights of action, which are related to, arise out of, or are in any way connected with my dog’s participation in activities at Trey Clark’s Dog House, including those allegedly attributable to the negligent acts or omissions of Trey Clark’s Dog House their staff.

Further, I understand that I may be exposed to certain risks when bringing my dog to participate in activities at Trey Clark’s Dog House or when picking up my dog from participating in activities at Trey Clark’s Dog House. Such risks may include property damage and/or physical injury inside or outside the facility, such as from falling, slipping, illness, and/ or dog bites. Therefore, I hereby voluntarily release, forever discharge, and agree to hold harmless and indemnify Trey Clark’s Dog House, its agents, successors, heirs from any and all liability, claims, demands, actions, or rights of action, which are related to, arise out of, or are in any way connected with my dog’s participation in activities at Trey Clark’s Dog House, including those allegedly attributable to the negligent acts or omissions of Trey Clark’s Dog House or their staff.

Allergies, Special Diets, and Medications

I agree that I will disclose to Trey Clark’s Dog House any allergies my dog may have. I further agree to disclose to Trey Clark’s Dog House any special dietary needs or medications my dog may require if necessary during activities at Trey Clark’s Dog House.

Aggressive Tendencies

I affirm that I am not aware of any vicious tendencies by my dog.

Photographs and Statements

I authorize use of my dog’s visual image(s) and statements in newsletters, posters, and other materials.

Authorization of Medical Care

If my dog is ill or injured while participating in activities at or with Trey Clark’s Dog House, Trey Clark’s Dog House will make every reasonable effort to reach me pursuant to the contact information I have provided Trey Clark’s Dog House. However, if Trey Clark’s Dog House is unable to reach me, I consent to Trey Clark’s Dog House seeking appropriate veterinary care and I accept responsibility for any and all associated expenses. Trey Clark’s Dog House will not pay any portion of veterinary expenses associated with seeking medical care for my dog if so necessary.

Agreement to Pay

Trey Clark’s Dog House accepts check, cash, or online payments such as Venmo, Zelle, PayPal and CashApp. I agree to pay the service rates in effect for my dog’s participation in activities at or with Trey Clark’s Dog House. I further agree to pay for any additional services services requested such as grooming, drop-off, and/or pick-up service.

Dog Abandonment

Trey Clark’s Dog House will make every effort to contact dog owners who do not return to pick up their dog. After 15 days of failed attempts to contact said dog owner, Trey Clark’s Dog House will relinquish the dog to the Houston SPCA.

Evaluation of Dog Prior to Participation

Every dog must be evaluated by Trey Clark’s Dog House prior to participating in any activity. Such evaluation can only assess the behavior at the time of the evaluation. The evaluation may assess the dog’s temperament and interactions with other dogs and Trey Clark’s Dog House staff.

Right to Decline

I understand that Trey Clark’s Dog House reserves the exclusive right to decline participation or to terminate participation in activities at Trey Clark’s Dog House to any dog at any time for any reason.

Attorney Fees, Applicable Law & Venue

Should Trey Clark’s Dog House, or anyone acting on their behalf, be required for any reason to incur attorney fees and costs to enforce or defend this agreement, I agree to indemnify and reimburse Trey Clark’s Dog House for such fees and costs. Further, I agree and understand that any disputes arising out of this Agreement will be decided pursuant toto the laws of the State of Texas and venue shall be in Harris County.

Valid Dates

These agreements, waivers, and authorizations will remain valid and in force as long as and whenever my dog participates in any activity at or with Trey Clark’s Dog House.

Warning

By signing this document, I acknowledge that if my dog is, or I am hurt during my dog’s participation activities in Trey Clark’s Dog House, I may be found, by a court of law, to have waived my right to maintain a lawsuit against Trey Clark’s Dog House on the basis of any claim from which I have released them herein. I have had sufficient opportunity to read and fully understand this entire document and I agree to be legally bound by its terms.

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Signature / Date