Name *

First Name

Last Name

Phone *

(###)

###

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Is your dog fixed? *

Yes

No

Animal's Approximate Date of Birth

MM

DD

YYYY

Does your dog get along with other dogs? *

Yes

No

I don't Know

Veterinarian Contact Number *

(###)

###

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PHOTO RELEASE AGREEMENT *

I hereby authorize the Staff of Taming Cerberus, to use pictures of me/my children/my animals taken in a photograph/digital imaging/videotape/motion picture, likenesses, and/or my testimonial (written word). The undersigned hereby releases the Staff of Taming Cerberus, its agents, as well as any and all users and exhibitors of said pictures; from any and all claims, demands, accountings and causes for which the aforesaid videotape, motion picture, digital imaging or photograph, likenesses, and/or testimonial may be used pursuant to this Consent and General Release Form. It is also my understanding that I will not receive any form of compensation for the use of my likeness or testimonial. *We do require this box to be checked. Pictures help us spread the word about our business.

I agree

DOG SERVICES WAIVER *

I understand that I am solely responsible for any harm caused by my dog(s) while my dog(s) is/are attending walks, pet sitting or any activities with Taming Cerberus. I assume all related risks, both known or unknown to me, of my participation in this service. I also understand and agree that in releasing my dog(s) in Taming Cerberus’ care, Taming Cerberus has relied upon my representation that my dog(s) is/are in good health and have not harmed or shown aggressive or threatening behavior towards any person or any other dog. I further understand that due to the way that dogs interact with one another, minor cuts and scratches can occur even though the dogs are carefully supervised at all times. While my dog(s) is/are in the care and custody of Taming Cerberus, if I am unreachable in the event of an emergency, I hereby authorize Taming Cerberus, its agents, and/or representatives to seek immediate veterinary care for my dog. I agree to be financially responsible for any and all costs in connection with, veterinary, medical or other treatment. I am aware and understand that I should carry my own pet insurance. I hereby release and agree to save and hold harmless, Taming Cerberus, it’s directors, officers, shareholders, employees, assistants, members and agents from any and all liability, claims, including a client’s dog biting or injuring another person(s) or dog(s), suits, actions, loss, injury or damage of any nature or kind, or for any liability, claims, suits, actions, loss, injury or damage which I or my dog(s) may sustain or which may be caused in any way by my dog(s). I specifically, without limitation, agree to fully compensate Taming Cerberus for any and all such liability, claims, suits, actions, losses, injury or damage. I certify that I have read and understand the rules and regulations set forth herein and that I have read and understand this agreement. I agree to abide by the rules and regulations and accept all the terms, conditions and statements of this agreement and confirm the truthfulness of the contents of the Application form completed by me. Although we carefully screen all applicants, occasionally we discover that this is not an appropriate service for every dog Taming Cerberus reserves the right to permanently remove a dog from our services at any time.

I agree