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Cleveland MetroBark
Certification of Health and Temperament

Name(s) of dog(s)

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Description of dog(s)

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1. I understand that I am solely responsible for any harm or damage caused by my dog(s) while he/she is attending Cleveland MetroBark.

2. I understand and agree that in admitting my dog(s), Cleveland MetroBark has relied on my representation that my dog(s) is/are in good health and have not harmed or shown aggression or threatening behavior towards any person or any other dog.

3. I understand and agree that Cleveland MetroBark and their staff will not be liable for any problems that develop provided reasonable care and precautions are followed, and I hereby release them of any liability of any kind whatsoever.

4. I understand and agree that any problems that develop with my dog(s) will be treated as deemed best by the staff of Cleveland MetroBark, in their sole discretion, and that I assume full financial responsibility for instead all expenses involved.

5. Attach a copy of vaccination certificate from veterinarian, including last heartworm prevention and flea
prevention purchases. Certificate must have veterinarian's name, address and phone number printed on it.

6. Cleveland MetroBark reserves the right to refuse admittance to any dog that does not meet the health and
temperament requirements.

Please give a brief history on your dog so we might better understand him or her.

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I ________________________________ (print name) certify that I have read and understand the rules and regulations and accept all the terms, conditions, and statements of this agreement.

 
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Signature of owner                                                                             Today's date

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