Canton Retrievers, Inc.
Release and Authorization form
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  • I (owner/agent)________________________release Canton Retievers/Nicholas Schiele from all liabilities whatsoever related to the above named animal. I also acknowledge the above named animal is free of contagious disease and has current vaccinations for rabies, bordatella and DHALPP (documentation required).

    I agree that Canton Retrievers/Nicholas Schiele has the right to seek and obtain veterinary care for the above named animal for whatever reason deemed necessary on behalf of the owner, and know that all related costs for veterinary care including trabel time and expense is the responsibility of the owner. I understand that Canton Retrievers, Nicholas Schiele promises to make a good faith effort to inform and confer with the owner prior to obtaining such care, circumstances permitting. The owner agrees to the terms and conditions herein, and promises to pay for services provided by Canton Retrievers, Nicholas Schiele as they are prescribed. I understand and agree that I am responsible for damages caused by uncommon or unusual behavior on the part of the above named dog and that payment for such damage is due upon receipt of the bill. Payment is required in advanced for services scheduled monthly, and each month thereafter is due consecutively upon the anniversary of the original agreement. Animals that have outstanding balances will begin accruing boarding charges immediately and all additional services will cease until payment is received in full. Balances 60 days past due will be turned over to a collection agency and animals that are left beyond 60 days with outstanding balances will be considered abandoned, therefore prescribed discounts and coupons will not apply.

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