Update Information - Luxury Unleashed LLC | Dog Boarding & Day Care In Havre

Existing Client Info Update Form

Look for an email from us to verify that this form has been successfully submitted. Otherwise, your information update did not go through. If you do not receive a confirmation email, please email us shannonheggem@gmail.com. Thank you!

Phone

This field is for validation purposes and should be left unchanged.

Name(Required)

First Last

Spouse/partner name if applicable:

Email(Required)

Has your mailing address changed in the last year?(Required)

Yes

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Emergency contact person: other than yourself, your spouse, Auntie Shannon, or your vet, who would you trust with a life or death decision for your pet?(Required)

Phone number of emergency contact:(Required)

What is your relationship to the emergency contact person?(Required)

Pet Health Info

Please note this is only for pets which have previously stayed with us at Luxury Unleashed. If this is a new pet, please go to New Clients Tab on the site to fill out a new client boarding application instead.

Name(s) of Pet:(Required)

What year was your pet born? (Multiples please list ages accordingly.)(Required)

Who is your primary local provider of veterinary care:(Required)

Bear Paw Vet

Eastside Animal Hospital

Pattison Veterinary

Other

We need to get updated vaccination records for your pet. Please have your veterinarian email a copy of all vaccination records. (They should have our email, but just in case: shannonheggem@gmail.com. IMPORTANT: These records need to come directly to us from the vet office. Because of insurance restrictions, we CANNOT accept copies from the pet owner.(Required)

Yes, I will contact the vet and have the records faxed emailed.

Is your dog(s) on a heart worm prevention program through your veterinarian? (We do not require this, we just need to know.)(Required)

Yes, I give them monthly heartworm prevention chews from the vet.

My dog is not on heartworm prevention program.

I have a cat.

Have you had your pet wormed by a veterinarian within the last six months?(Required)

Yes, I will have the vet email the proof of recent worming.

I will reach out to the vet and pick up some wormer. I will have my proof of worming sent by the vet at least a week before I plan to board, and will provide proof prior to my departure date.

Do you take your dog(s) to any dog parks?(Required)

No I do not.

Yes I do occasionally.

We make regular visits to dog parks.

Is there anything else you would like us to know about your pets which may have changed since we last saw you?

Legal

GENERAL TERMS: Luxury Unleashed LLC will exercise reasonable care for the safety of your pet and to keep the boarding and Playcare premises safe and secure. Luxury Unleashed LLC's liability for any boarded pet or pet enrolled in our Playcare program will not exceed $25. Pet owner is solely responsible for any property damage or bodily injury inflicted by their own animal(s). Luxury Unleashed LLC cannot guarantee against accidents. We will not be liable for loss or damages to pet’s belongings.(Required)

I have read the above statement, and I AGREE

I have read the above statement, and I DON’T AGREE

VACCINATIONS/HEALTH: All animals must be current on vaccines for Rabies, DHLPP and Bordetella (kennel cough). Vaccination records must be provided to Luxury Unleashed LLC DIRECTLY FROM THE VETERINARIAN prior to boarding. (Records may be emailed to shannonheggem@gmail.com). All animals accepted for boarding must be of free of fleas and ticks; Owner will be charged a $200 fee for any animal that is dropped off with parasites, which must be paid before animal will be released. Owner hereby represents that this pet has not been exposed to Kennel Cough, Rabies, Bordetella, Distemper, or Parvo within the last 30 days.(Required)

I have read the above statement and I AGREE.

I have read the above statement and I DON’T AGREE.

BOARDING REQUIREMENTS: Owners are to provide usual food and treats. Canned food will be given upon request. If pet is trained to use training pads, these must be provided by owners. Owners may also bring treats, blankets, beds and toys if desired. We will make EVERY effort to ensure that whatever you bring with the pet will be returned.(Required)

I have read the above statement and I DON’T AGREE.

I have read the above statement and I AGREE.

MEDICATION & TREATMENT AUTHORIZATION: Prescription medications must be provided in the ORIGINAL container with the veterinarian’s Instructions. It will be administered as prescribed. Luxury Unleashed LLC is authorized by the owner to seek veterinary advice and care, including but not limited to emergency care, solely at their discretion and at the owner’s sole expense. Luxury Unleashed LLC will attempt to contact the owner before obtaining this care if possible, but this document serves as full authorization to obtain veterinary care for the pet at the owner’s expense, whether or not owner has been contacted.(Required)

I have read the above statement and I AGREE.

I have read the above statement and I DON’T AGREE.

PAYMENT TERMS: Owner agrees to pay current boarding and/or Playcare price (as listed on website) and for all specialty services in advance. No cash refunds will be issued for any reason; boarding credit (valid for one year from issue) will be issued for cancellations with 24-hour notice. No credit will be issued for early returns or late departures. Access to pet will be denied and pet will not be released until all charges are paid in full.(Required)

I have read the above statement and I DON’T AGREE.

I have read the above statement and I AGREE.

I understand that I will be charged a DAILY RATE for boarding, NOT a nightly rate, like a hotel. I also understand that I must pay all fees in advance, and that I may not post date a check.(Required)

I agree.

I do not agree.

Payment is due upon receipt of an email invoice from Luxury Unleashed, and must be paid online IN ADVANCE.(Required)

I agree to pay in advance and will do so online.

I have always paid with a check, so I will leave the check upon drop off.

I will not pay in advance because this is a dumb rule. (hint: don’t pick this one…)

I understand that no one besides myself or my spouse/partner listed above is allowed in the drop-off/pick-up lounge or kennel to access my pet(s) at any time. I hereby agree that I will not give access to ANYONE ELSE, including my children (not even adult children), relatives, employees, friends, neighbors, other Luxury Unleashed LLC clients, etc.(Required)

I do not agree.

I agree.

Drop offs and Pick ups- Our insurance allows ONE PERSON to be in the kennel to drop off or pick up. This person must be the pet owner or the spouse/partner ONLY. It is important that you read these questions, so please enter the number of people we allow in the kennel at one time.

Our insurance does not allow children to be present in the kennel nor in the play yards at any time for liability reasons. We know this can be inconvenient, and that is not our intent…we just don't want anyone to get hurt! Please initial below so that we can count on your compliance.(Required)

We take many photos of your pet(s) while he is with us, and these photos will be used for social media and marketing purposes solely at our discretion. We love sharing these photos with you, the owner as well. Please note that we retain the ownership and distribution rights to these photos. Please indicate your compliance by initialing below.(Required)

As long as you give Luxury Unleashed a shout out, or share the photo from our page, we are hopeful that you will share share share these pictures with ALL of your family friends on social media!!! That is the idea!! However…BIG EXCEPTION: *** You may NOT, however, SUBMIT THESE PHOTOS for contests (such as calendar contests, cutest dog contests, etc.), print publications, etc. without written consent from the photographer, Shannon Heggem…(I put a TON of effort into getting the best shots possible, as you know…so I would sure appreciate it!) Therefore, please note that the photos which we share with you of your pets REMAIN the property of Luxury Unleashed, with all copyrights reserved.(Required)

Got it! I will comply!

I do not agree.

IMPORTANT: If your application has been successfully submitted, you will be taken to a confirmation page. If you are not taken to a confirmation page, you need to look through the application for anything listed in red which indicates a problem. You will also receive a confirmation email as soon as you submit this application. Sometimes technology fails…so, if you do not get the email, or you do not hear from us within a day, PLEASE send us an email to make sure we received the application! We appreciate all of the effort it takes to fill out this lengthy form…and we WILL respond for sure. Please type your initials below so we know that you have read this and understand!(Required)

This contract shall be legal and binding for one year from the following date, and will include any and all boarding, Playcare, daycare, training, consultation, as well as any other services during that period. This contract contains entire agreement, and shall be binding upon heirs, administrators, personal reps or assigns of either party. Any controversy arising from this agreement will be settled by arbitration according the Montana Arbitration Laws, with the expense of such paid by the pet owner, regardless of prevailing party. Today's date:(Required)

ELECTRONIC SIGNATURE: The Electronic Signatures in Global and National Commerce Act (ESIGN) (Pub.L. 106-229, 14 Stat. 464, enacted June 30, 2000, 15 U.S.C. ch.96) is a United States federal law passed by the U.S. Congress to facilitate the use of electronic records and signatures in interstate and foreign commerce by ensuring the validity and legal effect of contracts entered into electronically. By entering my name below as an online electronic signature I understand that by doing this, I agree that this document has been signed and given the same legal status equivalent to a written signature.(Required)

In what town are we located? (to prove you are a real person)(Required)