Rufnit Kennels, LLC Class/Boarding Agreement

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" height=50 style=" border-bottom: 1px solid #999980;" BGCOLOR="#CCCC99" TEXT="#080000" bgproperties="fixed" background="0408dfe1esnpes.jpg"> <div> <B>Rufnit Kennels, LLC Braque du Bourbonnais</B><FONT SIZE="1" COLOR="#336666" FACE="Arial" ><B>TM</B></FONT></div> <div> </div> </td> </tr><tr> <td valign="top" height=430 BGCOLOR="#CCCC99" TEXT="#080000" bgproperties="fixed" background="0408dfc3.jpg"> <div> <I>Rufnit Kennels, LLC Class/Boarding Agreement</I></div> <DIV ALIGN="LEFT"></DIV> <div> <I><B> <div id="google_translate_element"></div><script> function googleTranslateElementInit() { new google.translate.TranslateElement({ pageLanguage: 'en', layout: google.translate.TranslateElement.InlineLayout.SIMPLE }, 'google_translate_element'); } </script><script src="//translate.google.com/translate_a/element.js?cb=googleTranslateElementInit"></script>  </B></I></div> <div> Owner's Name:___________________________________________________Date:_________</div> <div> Spouse and/or Other Household Members:_____________________________________</div> <div> Address:_______________________________________________________________</div> <div> Phone Number(s): Home_________________Work_____________Cell_____________</div> <div> Spouse's and/or Other: Home________________Work_____________Cell___________</div> <div> E-mail:_________________________________________________________________</div> <bR> <div> Veterinarian:______________________________________Phone:_______________</div> <div> Emergency Contact:_________________________________Phone:______________</div> <bR> <div> Dog's Name:___________________________________Breed:________________Age:_____</div> <div> Male ( ) Female ( )          Has your dog been spayed/neutered?  Yes ( ) No ( )</div> <div> Health Concerns:_______________________________________________________</div> <div> Pets Vaccinations are Current_______(initials)</div> <div> Diet: Brand________________________________Amount:_______________________</div> <div> Does your dog tolerate changes in diet?  Yes ( ) No ( )</div> <bR> <div> <I>Please circle any of the following that concern you:</I></div> <div> House soils,  Jumps up,  Stool eater,  Dog Aggressive,  Chews,  Unruly,  Picky eater,  People Aggressive,</div> <div> Digs,  Barks,  Shy,  Ignores requests,  Runs Away,  Escapes,</div> <div> Other_____________________________________________</div> <bR> <div> How old was your dog when you acquired it?__________From?_____________________</div> <div> Training to date?_________________________________________________________</div> <div> Tricks your dog knows?____________________________________________________</div> <div> Is there anything else we need to know about your dog?___________________________</div> <div> ______________________________________________________________________</div> <div> What is the most important thing you want your dog to know during his/her time here?</div> <div> ______________________________________________________________________</div> <div> Does your dog sleep in a crate?  Yes ( ) No ( )</div> <div> Is your dog trained to an e-collar?  Yes ( ) No ( )</div> <div> Is your dog on a flea program?_____________________________________________</div> <bR> <div> <B>Contract of Services</B></div> <bR> <div> We (Rufnit Kennels, LLC) agree to exercise due and reasonable care of your animal and to provide your animal with safe quarters and to properly feed and care for your animal.  All animals are kept and trained or otherwise handled or cared for by us without liability on our part for loss or damage from disease, death, running away, theft, fire, injury to persons, other dogs, or property by said animal, or other unavoidable causes, due to diligence and care having been exercised.  If the animals health demands action, Rufnit Kennels, LLC is authorized to have a veterinarian authorized and/or look at and treat the animal for the care needed.  Owner hereby authorizes information acquired during treatment to be released to Rufnit Kennels, LLC.  The owner shall assume full financial liability in such instances.  Owner further authorizes Rufnit Kennels, LLC to administer aspirin, antihistamine or flea medication should there be a need unless specified instructions from owner state otherwise.</div> <bR> <div> The owner (you) will not be held responsible for injuries caused by your animal while it is in the care of Rufnit Kennels, LLC, provided all facts of animal's behavior have been disclosed, specifically any behavior that could be construed as aggressive.  Occasionally, photographs or video footage may be taken of animals that are being trained here at Rufnit Kennels, LLC.  The undersigned gives Rufnit Kennels, LLC permission to use any resulting photographs and video recordings of the above animal for advertising or educational material.  All such material will be construed to be the sole property of Rufnit Kennels, LLC.</div> <bR> <div> Any legal expenses incurred in defense or enforcement of this contract shall be the total responsibility of the owner and/or undersigned responsible party of the animal.  The undersigned agrees that all outstanding charges are due and payable upon completion of services by Rufnit Kennels, LLC<I><B>.</B></I></div> <bR> <div> The undersigned does hereby acknowledge that they have read all of the above and as either the owner or responsible party of the animal agree to the content and meaning of the above statements.</div> <bR> <div> Signed:________________________Dated:____________</div> <div> Printed Name:________________________</div> <bR> <DIV ALIGN="LEFT"></DIV> <div> Shari Stueck-Rufnit Kennels, LLC     5900 Saltillo Road Lincoln NE 68516</div> <div>    E-mail us at <A HREF="mailto:RufnitKennels@AOL.com" TARGET="_top" TITLE="mailto:RufnitKennels@AOL.com"><I><B>RufnitKennels@AOL.com</B></I></A>     Phone: 402-423-0995</div> <bR> <bR> <div> <I>License #NE744</I></div> <div> ©<I> 2000-2012 Rufnit Kennels, LLC.  All Rights Reserved.</I></div> <div> <A HREF="http://www.copyrightdeposit.com/rep5/0029176.htm" TARGET="_top" TITLE="http://www.copyrightdeposit.com/rep5/002"><I>#0029176</I></A></div> <bR> <div> <I>Rufnit Kennels, LLC BdB * C/O Shari Stueck</I><I> * 5900 Saltillo Road * Lincoln NE 68516-9209 * (402) 423-0995 or (402) 560-8652</I></div> <div> <A HREF="mailto:RufnitKennels@AOL.com" TARGET="_top" TITLE="mailto:RufnitKennels@AOL.com"><I>RufnitKennels@AOL.com</I></A></div> <div> <I>  <script type="text/javascript" language="javascript"> var sc_project=499528; var sc_invisible=1; var sc_partition=3; var sc_security=""; var sc_text=2; </script> <script type="text/javascript" language="javascript" src="http://www.statcounter.com/counter/counter.js"></script><noscript><a href="http://www.statcounter.com/" target="_blank"><img src="http://c4.statcounter.com/counter.php?sc_project=499528&java=0&security=&invisible=0" alt="free webpage hit counter" border="0"></a> </noscript>   </I></div> </td> </tr></table></body>