TRANSPORTATION SERVICES WAIVER AND RELEASE
Altitude Veterinary Hospital
Please read this form carefully and be aware that in consideration for Altitude Veterinary Hospital Transportation Services, you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries, damages or loss your pet might sustain as a result of said services, including but not limited to: vehicle operations, the boarding and the exiting of the vehicle. I understand that every animal reacts differently and that animals, by nature, are unpredictable.
I recognize and acknowledge that there are certain risks of physical injury to vehicle passengers, and I voluntarily agree to assume the full risk of any injuries, damages or loss, regardless of severity, that my pet may sustain as a result of participating in any and all activities connected with or associated with receiving transportation services, including, but not limited to, injuries, damages and loss arising out of negligent operation or supervision of the vehicle. I further agree to waive and relinquish all claims I may have (or accrue to my pet) against Altitude Veterinary Hospital, including its respective officials, owners, agents, volunteers and employees (hereinafter collectively referred to as “Party”).
I do hereby fully release and forever discharge the Party from any and all claims for injuries, damages or loss that I may have or which may accrue to my pet and arising out of, connected with, or in any way associated with said transportation services. I agree to defend, indemnify and hold harmless Party from and against any and all claims of any nature including all costs, expenses and attorneys’ fees which arise in any way out of the transportation provided by Party.
Altitude Veterinary Hospital will take precautions to prevent any animal from running away from the vehicles or property but animals’ behavior cannot be perfectly controlled at all times. I will not hold Party responsible if my animal finds a way to flee their premises during care or automobiles during transportation.
I acknowledge and accept that this is a Non-Emergency Transportation service and not a Medical Emergency Transportation. No medical services will be provided until the patient has been checked in to the building.
Altitude Veterinary Hospital may remove or refuse animal from transport if animal shows aggressive or uncooperative behavior, refuses to be loaded into vehicle or any condition that an employee deems is not in the best interest of the animal.
I further agree that this agreement shall be governed by the laws of the State of Wyoming.
I have read and fully understand the above waiver and release of all claims. If registering on-line or via fax, my on-line or facsimile signature shall substitute for and have the same legal effect as an original form signature.
Please Print Name: __________________________________________
Please Sign: __________________________________________ Date: ____________________