I, the undersigned owner or authorized agent, voluntarily place my dog(s) in the care of Dog Den Inn LLC and acknowledge the following:

I understand that other dogs are present at the facility. If I authorize group play below, I give Dog Den Inn LLC permission to allow my dog to participate in supervised, off-leash socialization with other compatible dogs selected by staff.

I understand that I may decline group play and request that my dog remain separated from other dogs except during individual care and exercise.

GROUP PLAY AUTHORIZATION

• YES — I authorize supervised group play with compatible dogs.
• NO — I do not authorize group play.

Owner Initials: __________

I understand that interactions between dogs involve inherent risks. Even with proper supervision and reasonable precautions, dogs may play roughly, scratch, nip, bite, become stressed, become ill, or sustain accidental injuries. Dogs are animals and may occasionally behave unpredictably.

Dog Den Inn LLC provides active supervision and takes reasonable precautions to maintain a safe, organized environment. Staff have experience handling and training dogs of different breeds, sizes, temperaments, and energy levels. I understand that no environment involving animals can be guaranteed completely risk-free.

I understand that the facility is located near a public roadway. The property utilizes fencing, gates, and other safety measures intended to keep dogs securely contained. I acknowledge that no physical barrier can eliminate every possible risk and voluntarily choose to leave my dog in the care of Dog Den Inn LLC at this location.

If my dog becomes ill or injured and I cannot be reached promptly, I authorize Dog Den Inn LLC to obtain veterinary care when reasonably necessary. I understand that I am responsible for veterinary expenses incurred on behalf of my dog.

I certify that I have provided complete and accurate information concerning my dog and disclosed any known medical conditions, medications, allergies, behavioral concerns, aggression, bite history, escape tendencies, or other information that could reasonably affect my dog's care or the safety of people or other animals.

I agree to provide feeding instructions, medication instructions when applicable, veterinarian information, and an emergency contact.

I certify that I have provided Dog Den Inn LLC with accurate and current vaccination and health records required for my dog's stay, including proof of applicable vaccinations. I understand that it is my responsibility to inform Dog Den Inn LLC of any relevant changes to my dog's vaccination or health status.

Owner Signature — Pet Records Certification:

Date: ______________________

I understand and voluntarily accept the normal and inherent risks associated with boarding, handling, exercise, and, when authorized, supervised interaction with other dogs. I acknowledge that Dog Den Inn LLC will take reasonable precautions for my dog's safety while in its care.

Dog's Name: __________________________________________

Breed: __________________________ Age: ____________

Owner/Authorized Agent: ______________________________

Phone: ______________________________________________

Veterinarian: ________________________________________

Veterinarian Phone: __________________________________

Emergency Contact: __________________________________

Emergency Contact Phone: _____________________________

By signing below, I confirm that I have read and understand this agreement, have had the opportunity to disclose relevant information about my dog, and authorize Dog Den Inn LLC to provide boarding and care under the terms above.

Owner/Authorized Agent Signature:

Date: ______________________