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cell phone: (415) 505-6422 message: (415) 431-3648 e-mail: CityDogspot@earthlink.net Evaluation Contract Pet owner Dog Name Breed Address Phone number All vaccinations current? Yes No Basic Training? Yes No Are there any behavioral issues? Other issues? This is a contract between CityDog Playcare/ Canine in the City (collectively: Scott Malvestiti, Proprietor; any employees; and/or contractors), hereinafter referred to as “CityDog”, and the pet owner, hereinafter referred to as “Owner”, whose signature appears below. 1. Owner agrees to pay NON-REFUNDABLE $25 evaluation fee (includes walk) on signing this contract, and all veterinary costs for the pet during the time said pet is in care of CityDog. 2. By signing this contract and leaving his or her pet with CityDog, Owner certifies to the accuracy of all information given about said pet on this contract. 3. CityDog shall exercise reasonable care for the pet delivered by, or picked up from, the owner to CityDog for dogwalking or daycare. It is expressly agreed by Owner and CityDog that CityDog’s liability shall in no event exceed the lesser of the current chattel value of a pet of the same species or $200. The Owner further agrees to be solely responsible for any and all acts of behavior by pet while it is in the care of CityDog. Owner assumes any expense or liability for injuries that Owner’s pet may inflict upon any human or other pet while at CityDog. 4. Owner specifically represents that he or she is the sole owner of the pet, free and clear of all liens and encumbrances. 5. Owner specifically represents to CityDog that the pet has not been exposed to rabies or distemper within a 30-day period prior to being left for daycare or other services. 6. If pet becomes ill or if the state of the pet’s health requires professional attention, CityDog, in its sole discretion, may engage the services of a veterinarian or administer medicine or give other requisite attention to the pet and the Owner thereof shall pay the expenses. Owner gives consent to CityDog to act in Owner’s behalf in obtaining emergency veterinary care at Owner’s expense if deemed necessary by CityDog. Owner indemnifies and holds CityDog harmless for said expenses. 7. This contract contains the entire agreement between parties. All terms and conditions of this contract shall be binding to heirs, administrators, personal representatives and assigns of the Owner and CityDog. 8. Any controversy or claim arising out of or relating to this contract or the breach there of, or as the result of any claim or controversy involving the alleged negligence by any party to this contract, shall be settled by arbitration in accordance with the rules of the American Arbitration Association, and judgement upon the award rendered by an arbitrator may be entered in any Court having jurisdiction thereof. The arbitrator shall, as a part of his or her award, determine an award to the prevailing party of the costs of such arbitration and reasonable attorney’s fees of the prevailing party. Customer signature Date The most fun your dog can have… without you.