Online Client Questionnaire

The Puddle ~ Pet AquaFitness & Nutrition

  • Please fill out all fields to the best of your knowledge
  • CANINE INFORMATION

  • CANINE VETERINARIAN INFORMATION

  • CANINE HEALTH HISTORY

  • NUTRITION & EXERCISE

  • GENERAL INFORMATION

  • I warrant that I am the owner or person responsible for the canine(s) brought to The Puddle, LLC for services, and therefore accept full liability and responsibility for damages to property, injury or death to myself, people or other animals arising out of use of the facility and my actions, along with the actions of my canine(s), and accordingly agree to indemnify and hold harmless, The Puddle, LLC, its owners and employees for money damages and attorney fees.

    I understand that The Puddle, LLC is not a licensed veterinary facility and does not provide medical procedures. I agree that I am ultimately responsible for determining whether the swim services provided by The Puddle, LLC are appropriate for my dog(s).

    I understand that if my dog defecates in the pool, the pool may have to be shut down to contain any damage. Depending on the severity of the damage, the pool may be closed for a minimum of 24 hours. For this reason, the swim session is cancelled, and payment is non-refundable. I, the owner, may be assessed a fee of $150 to partially cover the cost of cleanup.

    I understand and agree that payment in full is due at the time services are rendered. I understand and agree that an 8-hour prior notice of cancellation is required.

    Per my electronic signature below, I certify that I have read and understand this Agreement, and that the information set forth is true and correct. I agree to accept all the terms, conditions, and statements of this agreement, and any rules, regulations, policies and procedures of The Puddle, LLC.

 

Verification