TAILWAGGERS Boarding and Daycare Agreement
133 N Ohio Ave ● Wichita, KS 67214
(316) 221-1163
Owner Name(s) : *
Address : *
City *
State *
Zip *
Cell Phone *
Home Phone
Work phone
Email *
How did you hear about TAILWAGGERS?
Authorized alternate contact for dog(s). NAME
Authorized alternate contact for dog(s). PHONE
Authorized alternate contact for dog(s). RELATIONSHIP
The above-named person is authorized by me to:
By checking here, you may verbally (by telephone) or in writing (facsimile or otherwise) request that TAILWAGGERS release your dog to someone other than the person(s) listed above, and you release TAILWAGGERS of and from any and all responsibility for releasing your dog to any person TAILWAGGERS reasonably believes to be authorized by yourself. *
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