Release Form- The Tobacco Barn
This form only has to be completed once.
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Owner Name *
Owner Drivers License # *
This number will be verified.
Species *
Check all applicable
必填
Please give name and breed of each pet in our care. *
By initialing here you understand that we will not give medication with it being in the original bottle with veterinarian instructions. *
By initialing here you understand that it is the owners responsibility to pay for medication, and to provide enough medication for the duration of the service.  *
Does your pet have any medical conditions or allergies? *
By signing here you understand that in the event that your pet harms any person or animal while under the care of The Tobacco Barn, the Owner will be held liable not The Tobacco Barn (includes guests, volunteers or employees of TTB) *
By signing here you understand that if your pet contracts any illness/disease/sickness/injury that The Tobacco Barn, the Owner will be held liable not The Tobacco Barn (includes guests, volunteers or employees of TTB) will not be held liable. *
By signing here you understand that in the event that The Tobacco Barn takes your pet to the emergency veterinarian (or the emergency veterinarian is called to the property horses/livestock) that The Tobacco Barn is not responsible for part/full amounts of the invoice provided by the veterinarian.  *
By signing here you understand that in the even your pet must be taken to the emergency veterinarian, the animal will remain there until picked up by the owner. *
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