Dog Park Release Form

Name: Veterinarian
Brand: Country Hills Pet Hospital

Welcome to Country Hills Pet Hospital Dog Park Community!

I understand that it is required that my dog is currently a patient at Country Hills Pet Hospital (has had an exam within the last year).

I understand that it is required that my dog is up to date on the DHPP, Lepto, Bordetella, and Rabies vaccinations.

I understand that it is required that my dog has had a negative fecal test within the past year performed at Country Hills Pet Hospital.

I understand that Country Hills Pet Hospital is not liable for any injuries, disease or parasites that my dog may develop.

I understand that Country Hills Pet Hospital has the right to close the dog park for any reason (maintenance, weather, ect.).

I understand that Country Hills Pet Hospital has the right to ask me to leave if my dog is aggressive or causing other damages.

I have read and understand the above statements and any questions have been answered to my satisfaction by a staff member. I am the owner of the pet (s) listed and authorize Country Hills Pet Hospital to use this information as needed for the use of the Dog Park Community.

Owner Name

Pet Names

Date

Signature of Owner

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Dog Park Release Form

Welcome to Country Hills Pet Hospital Dog Park Community!

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