"Temporary Pet Care Agreement Form"

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Agreement for Temporary Care of Pet
Agreement between the undersigned regarding the temporary care of a pet. In consideration of the
m utua l prom ises m ade here und er, the parties agre e that:
1.
As use d in this A gree m ent:
“Owner” shall refer to ____________________________________________________________
whose address is _____________________________________________________________________ .
“Pet” shall refer to a _________________________ , named ____________________________ ,
whose breed is _______________ , age _______ years , and whose gender is _______________ .
License, microchip number, and/or other identification details are given here:
___________________________________________________________________________________ .
“Caregiver” shall refer to __________________________________________________________
whose address is _____________________________________________________________________ .
2.
Ca regive r agrees to care for Pet as provide d he rein until it is retu rned to Owne r, reply to
Owner’s inquiries about Pet, notify Owner of changes of address and telephone number of Caregiver, and
return Pet to Owner upon request. As used in this Agreement, “Care” shall include providing Pet with food,
water and shelter, giving reasonable attention to Pet’s health, safety and grooming, and carrying out the
following special instructions:
____________________________________________________________________________________
___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ __ .
3.
Owner agrees to compensate Caretaker as follows:
____________________________________________________________________________________
___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ __ .
4.
Except as provide d ab ove, Caregive r will have no liability to Owner except that which might
arise irresp ective of this A gree m ent.
5.
Owner authorizes Caregive r to se ek app ropriate veterinary medical treatment or attention on
behalf of Pet as may be reasonably required by the circumstances, including but not limited to examination,
preventative and/or curative treatment, x-ray, laboratory examination, anesthetic, veterinary medicine
diagnosis, and consultations (“Veterinary Services”). Pet shall not be subjected to research or
exp erim enta tion.
6.
Owner authorizes Caregiver to mak e reasonable decisions regarding Care and Veterinary
Services, and consents to C aregiver’s rea sonable decisions, acts and omissions, including the risks thereof.
7.
Owner authorizes the euthanasia of Pet if it becomes gravely injured or ill, and a veterinarian
recomm ends either euthanasia or treatment costing in excess o f $ ____________________ (if left blank, then
the am oun t shall be $1,000 .00).
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Agreement for Temporary Care of Pet
Agreement between the undersigned regarding the temporary care of a pet. In consideration of the
m utua l prom ises m ade here und er, the parties agre e that:
1.
As use d in this A gree m ent:
“Owner” shall refer to ____________________________________________________________
whose address is _____________________________________________________________________ .
“Pet” shall refer to a _________________________ , named ____________________________ ,
whose breed is _______________ , age _______ years , and whose gender is _______________ .
License, microchip number, and/or other identification details are given here:
___________________________________________________________________________________ .
“Caregiver” shall refer to __________________________________________________________
whose address is _____________________________________________________________________ .
2.
Ca regive r agrees to care for Pet as provide d he rein until it is retu rned to Owne r, reply to
Owner’s inquiries about Pet, notify Owner of changes of address and telephone number of Caregiver, and
return Pet to Owner upon request. As used in this Agreement, “Care” shall include providing Pet with food,
water and shelter, giving reasonable attention to Pet’s health, safety and grooming, and carrying out the
following special instructions:
____________________________________________________________________________________
___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ __ .
3.
Owner agrees to compensate Caretaker as follows:
____________________________________________________________________________________
___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ __ .
4.
Except as provide d ab ove, Caregive r will have no liability to Owner except that which might
arise irresp ective of this A gree m ent.
5.
Owner authorizes Caregive r to se ek app ropriate veterinary medical treatment or attention on
behalf of Pet as may be reasonably required by the circumstances, including but not limited to examination,
preventative and/or curative treatment, x-ray, laboratory examination, anesthetic, veterinary medicine
diagnosis, and consultations (“Veterinary Services”). Pet shall not be subjected to research or
exp erim enta tion.
6.
Owner authorizes Caregiver to mak e reasonable decisions regarding Care and Veterinary
Services, and consents to C aregiver’s rea sonable decisions, acts and omissions, including the risks thereof.
7.
Owner authorizes the euthanasia of Pet if it becomes gravely injured or ill, and a veterinarian
recomm ends either euthanasia or treatment costing in excess o f $ ____________________ (if left blank, then
the am oun t shall be $1,000 .00).
Page 1 of 2
8.
Owner represents that P et has no k nown diseases th at c an be transm itted to anim als or
humans. Owner agrees to reimburse Caregiver for Veterinary Services, payment to be made in full within 12
months from the date that Veterinary Services are rendered. Owner also agrees to pay the cost of transporting
Pet from Care taker to Owner. Otherwise, Owner shall have no financial obligation to Caretaker hereunder
unless O wne r spe cifically agrees otherwise in a writing sign ed b y Ow ner.
9.
Owner shall rem ain the own er of Pet, and be entitled to sole custody and possession of Pet
at such time as Owner desires. How ever, Own er shall not be entitle d to interfere in providing Ca re to P et w hile
in the c usto dy of C areg iver.
10.
Caretaker agrees that Own er shall not be liable if Pet ca uses Ca retak er to sustain injuries
or losses , unles s ca use d by a d ang erou s pro pen sity of Pe t (whe ther k now n or u nknow n to C areta ker).
11.
Owner represents that no court or animal control proceeding has adjud ged Pet to be
“dangerous” or “vicious,” that Pet has never attacked and injured a human being, and that Pet has never been
a combatant in illegal dog fighting. If any of these representations are untrue when this Agreement is entered
into, then Ca retaker shall have the right to terminate this Agreement by notifying Owner. Upon being so
notified, Ow ner s hall have the duty to take possession of Pet within 10 days. If Owner fails to do so within that
time, then Caretak er shall have the right to deliver Pet to an animal shelter for disposition at its discretion, and
is hereby authorized to sign documents as the owner of the Pet for the purpose of authorizing the destruction
of the Pet.
12.
Owner agrees that, if Owner prevails in any claim, upon any ground, against Caretak er, then
Own er’s rec overy from Ca retak er shall be no greater than the fair market value of Pet plus any compensation
paid here und er.
13.
Special terms between the parties appear below:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ __ .
14.
This Agreement replaces all prior authorizations and agree m ents. The term s hereof are not
set by law and are fully negotiab le until it is signed. If any pro vision hereof is illegal or u nenforceable, it will not
invalidate or make unenforc eab le the entire Agreement, but only the particular provision that is illegal or
unenforceable, and the remainder of the Agreement shall be enforced as if that particular provision had never
bee n included here in.
Dated: ____________________
_____________________________________
Owner
Dated: ____________________
_____________________________________
Caretaker
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