Fuzzie Buddies
Secure Online Form
GENERAL APPLICATION
 
OWNER INFORMATION 
 
Owner*
Address*
City* State* Zip*
Phone* Fax Email*
Emergency Contact* Phone*
Who Referred you to Fuzzie Buddies?
(**For each client you referred, you will be e-mailed a $10 off coupon after your referral comes in for their reservation**)

 

PLEASE COMPLETE THE ENTIRE FORM BEFORE "SUBMITTING".
The more we know about your pet the better we can serve you.
Use the SPECIAL INSTUCTIONS sections to tell us helpful information about your pets.
 
VACCINATIONS:
Please fax proof of vaccinations prior to stay. Fax (813) 248-3233
DOGS: Rabies, DHLPP, Bordetella within 6 months, Canine Influenza.
CATS: Rabies, FVRCP.
 
 
FOOD:
Please provide all food in resealable containers.
 
 
Family Member Number 1:

Dog Cat Male Female Neutered/Spayed Yes No
Name* Breed*
Color* Age*

Brand of Food and ALL Special Instructions:
 
VETERINARIAN INFORMATION 
 
 
 
Veterinarian*
Address
City* State Zip
Phone* Fax Email
 
 
(IF YES TO "ANY" QUESTION - PLEASE EXPLAIN IN THE SPECIAL INSTRUCTIONS.)
 
1. Does your pet have trouble with stairs? Yes No
2. Does your pet have arthritis? Yes No
3. Does your pet have hip displaysia? Yes No
4. Has your pet had any recent surgeries or injuries? Yes No
5. Does your pet have sensitive areas or areas to avoid? Yes No
6. Is your pet a jumper/leaper? Yes No
7. Has your pet ever climbed a fence? Yes No
8. Is your pet toy aggressive/protective? Yes No
9. Has your dog ever bitten someone? Yes No
10. Is your pet on any medication? Yes No
11. Does your pet have any allergies? Yes No
12. Is your pet on a Prescription Diet? Yes No
13. Is your Family Member a finicky eater? Yes No
14. Is your pet food aggressive/protective? Yes No
15. Is your pet in poor health or had any communicable diseases in the last 30 days? Yes No
14. Has your pet harmed or shown aggressive / threatening behavior toward any person or pet? Yes No
 
Family Member Number 2:

Dog Cat Male Female Neutered/Spayed Yes No
Name Breed
Color Age

Brand of Food and ALL Special Instructions:
 
 
VETERINARIAN INFORMATION 
Veterinarian 
Address
City  State Zip
Phone  Fax Email
 
 
 
 
(IF YES TO "ANY" QUESTION - PLEASE EXPLAIN IN THE SPECIAL INSTRUCTIONS.)
 
1. Does your pet have trouble with stairs? Yes No
2. Does your pet have arthritis? Yes No
3. Does your pet have hip displaysia? Yes No
4. Has your pet had any recent surgeries or injuries? Yes No
5. Does your pet have sensitive areas or areas to avoid? Yes No
6. Is your pet a jumper/leaper? Yes No
7. Has your pet ever climbed a fence? Yes No
8. Is your pet toy aggressive/protective? Yes No
9. Has your dog ever bitten someone? Yes No
10. Is your pet on any medication? Yes No
11. Does your pet have any allergies? Yes No
12. Is your pet on a Prescription Diet? Yes No
13. Is your Family Member a finicky eater? Yes No
14. Is your pet food aggressive/protective? Yes No
15. Is your pet in poor health or had any communicable diseases in the last 30 days? Yes No
14. Has your pet harmed or shown aggressive / threatening behavior toward any person or pet? Yes No
 
 
 
Family Member Number 3:
 
Dog Cat Male Female Neutered/Spayed Yes No
Name Breed
Color Age
 
Brand of Food and ALL Special Instructions:
 
VETERINARIAN INFORMATION 
 

Veterinarian 
Address
City  State Zip
Phone  Fax Email


(IF YES TO "ANY" QUESTION - PLEASE EXPLAIN IN THE SPECIAL INSTRUCTIONS.)

1. Does your pet have trouble with stairs? Yes No
2. Does your pet have arthritis? Yes No
3. Does your pet have hip displaysia? Yes No
4. Has your pet had any recent surgeries or injuries? Yes No
5. Does your pet have sensitive areas or areas to avoid? Yes No
6. Is your pet a jumper/leaper? Yes No
7. Has your pet ever climbed a fence? Yes No
8. Is your pet toy aggressive/protective? Yes No
9. Has your dog ever bitten someone? Yes No
10. Is your pet on any medication? Yes No
11. Does your pet have any allergies? Yes No
12. Is your pet on a Prescription Diet? Yes No
13. Is your Family Member a finicky eater? Yes No
14. Is your pet food aggressive/protective? Yes No
15. Is your pet in poor health or had any communicable diseases in the last 30 days? Yes No
14. Has your pet harmed or shown aggressive / threatening behavior toward any person or pet? Yes No
 
 
 
    CARE FOR YOUR PET
  1. Fuzzie Buddies shall exercise reasonable care for your pet for the duration of the pets stay. However, if your pet becomes ill or if the state of the pet's health otherwise requires professional attention, Fuzzie Buddies, in its sole discretion, may engage the services of a veterinarian, administer medicine or give other requisite attention to the pet and the expenses thereof shall be paid by the owner.
    
OWNER ASSURANCES          
  1. Owner specifically represents to Fuzzie Buddies that their pet(s) has not been exposed to rabies, distemper or been ill within a thirty-day period prior to boarding. Owner also agrees to be solely responsible for all acts of behavior of their pet while in the care of Fuzzie Buddies.
  2. It is expressly agreed by Owner and Fuzzie Buddies that Fuzzie Buddies liability shall in no event exceed the lesser of the current value of the pet of the same species or the sum of $100.00 per pet boarded.
  3. I agree to allow Fuzzie Buddies to use my pet's name, images or likeness taken while at Fuzzie Buddies, for use at any time, in any media, marketing, advertising, illustrations, trade or promotional material. 
  4. By signing this contract, the owner certifies the accuracy of all information given to Fuzzie Buddies and that they are the sole owner of the pet free and clear of all liens and encumbrances.

 

PAYMENT OF CHARGES INCURRED

  1. Owner agrees to pay the rate for boarding in effect on the date of pet check-in and to pay all costs and charges for special services requested and all veterinary costs during the time the pet is in the care of Fuzzie Buddies.
  2. All charges incurred by the Owner shall be payable upon pick-up of their pet. Owner also agrees that their pet shall not leave Fuzzie Buddies until all charges are paid.
  3. Fuzzie Buddies shall have, and is hereby granted a lien on the pet for any and all unpaid charges resulting from the pets stay at Fuzzie Buddies. If not paid, Fuzzie Buddies may exercise its lien rights upon ten days written notice given to Owner by certified mail to address shown on this contract. Fuzzie Buddies may use the pet as compensation for any and all unpaid charges.
  4. Cancellation / No-Show - Non-Holiday Reservations - Must be cancelled at least one day prior to the scheduled check-in date.  Reservations cancelled the same day or "no-shows" will be charged one nights boarding fee for each suite reserved.
  5. Cancellation / No-Shows - Holiday Reservations - Must be cancelled at least one week (7 days) prior to the scheduled check-in date to avoid fees being charged.  Reservations cancelled 6 days or less prior to scheduled check-in date will incur a 50% charge for each suite reserved.  Reservations that are "no-shows" (not cancelled / unused) will incur a 100% charge for each suite reserved.

    CONTRACT TERMS AND CONDITIONS

  1. This contract contains the entire agreement between the parties. All terms and conditions of the Contract shall be binding on their heirs, administrators, personal representatives and assigns of the Owner and Fuzzie Buddies.
  2. Any controversy or claim arising out of, or relating to this contract, or the breach thereof, or as the result of any claim or controversy involving the alleged negligence by any party to this contract or the breach thereof, or as the result of any claim or controversy involving the alleged negligence by any party to this contract, 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 his award, determine an award to the prevailing party of the cost of such arbitration and reasonable attorneys fees of the prevailing party.
  3. This agreement includes release of liability and wavier of legal rights and deprives the owner of the right to sue Fuzzie Buddies, LLC.
 
Electronic Signature of Owner*
By typing my name here,
I signify that the above information is true and that I agree to abide by the terms of this agreement. Date: . (MM/DD/YR)