CADEAU KENNELS AND CATTERY

ADMISSION APPLICATION FORM.

DATE OF ARRIVAL :                      DATE OF DISCHARGE: ____________

CONDITIONS UNDER WHICH ANIMALS ARE ACCEPTED INTO THE KENNELS:

By signature hereof, the signatory indemnifies the proprietor from liability for loss or damage, including consequential

damage arising through any cause, including without limitation any veterinary expenses incurred in respect of the pet,

sickness or escape, and loss of or damage to goods left at the kennels. The signatory undertakes liability for the

payment of all charges imposed in terms of this contract and the boarding charges in respect of which it warrants that

it is familiar, and agrees that a certificate of indebtedness signed by the proprietor shall be prima facie proof of such

indebtedness.

The signatory is requested to and satisfy itself as to the condition of the accommodation for the intended boarder and

on signature hereof warrants that it is satisfied with such conditions. Such kennel inspections shall be undertaken

out of season, prior to arrival of pets.

Animals that are not collected within 10 days after the intended date of discharge may, at the discretion of the

Proprietors, be disposed of.

Tariff of Charges Per Day:......................................

Sundry Other:.......................................................

All charges incurred are to be paid before the animal may be removed by the owner.

NAME OF ANIMAL: .......................................................................

BREED................................................................................................

AGE: ..................................................................................................

FOOD EATEN AT HOME ................................................................

VICES OR STRANGE HABITS:.........................................................

RECENT EXPOSURE TO DISEASE AND...........................................................

RECENT DISEASES:.............................................................................................

POUR ON FLEA & TICK TREATMENT PLEASE INDICATE:        YES                  NO

NAME OF OWNER'S VET: ..............................................................................

PHONE NUMBER OF VET ..............................................................................

DATE OF INOCULATION......................................................................

NAME OF SIGNATORY ......................................................................

HOME TEL: .............................................................................................

TEL:HOLIDAY .........................................................................................

HOME CONTACT TEL:...........................................................................

ADDRESS.................................................................................................

I AGREE TO THE ABOVE CONDITIONS AND WARRANT THAT THE ANIMAL IS IN A FIT AND HEALTHY CONDITION AT

THE TIME OF ADMISSSION

SIGNATURE ................................................ DATE.....................................

THE MANAGEMENT RESERVES THE RIGHT OF ADMISSION