Upon dropping your dog(s) off at CAMP MIMI,
you will be asked to fill out and sign Camp Mimi's Registration and Release Agreement.
you will be asked to fill out and sign Camp Mimi's Registration and Release Agreement.
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If you would rather fill out prior to your arrival, download agreement and bring your signed copy.
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REGISTRATION AND RELEASE AGREEMENT
I, ______________________________________, hereby certify that I am the owner of my pet, ____________________ (“My Pet”), and have the authority to sign this Registration and Release. I hereby agree to abide by the following with regard to My Pet and Camp Riley, LLC (“Camp Mimi”):
1. I certify that My Pet is in good health and has not been ill with any communicable condition in the last thirty (30) days. I have listed below all of the current medical conditions of My Pet. While My Pet is enrolled with Camp Mimi, I agree to notify Camp Mimi of any known exposure of My Pet to a communicable disease. If My Pet is exposed, I will hold My Pet out of Camp Mimi until My Pet is symptom free for a minimum of ten (10) days or after I provide Camp Mimi with written veterinary clearance that My Pet may attend Camp Mimi without any risk that My Pet will infect any other pet that attends Camp Mimi. I also agree to maintain current vaccinations for My Pet as required by Camp Mimi policy. ** Camp Mimi strongly encourages any pet owner to seek veterinary advice for pets that are obese or have other physical conditions before attending Day Camp at Camp Mimi**
2. I understand that Camp Mimi does its best to keep the premises at Camp Mimi maintained, sanitary and properly enclosed. However, I understand and agree that there is some risk to My Pet while attending Camp Mimi. I therefore hereby release Camp Mimi and all owners, staff and volunteers of Camp Mimi from any and all liability, claims or demands for loss or damage from disease, theft, fire, death, escape, injury or harm to My Pet as a result of its attendance at Camp Mimi. I RECOGNIZE AND ACCEPT THE POTENTIAL RISKS INVOLVED WITH MY PET IN AN INTERACTIVE DAY CAMP AND UNDERSTAND THAT INJURIES TO MT PET MAY RESULT FROM THESE INTERACTIONS. **Initials: (_________)**
3. I understand and agree that Camp Mimi reserves the right to and may refuse in its sole discretion to allow any dog to attend Camp Mimi for any reason.
4. I understand and agree that I am solely responsible for any harm caused by My Pet while My Pet is attending Camp Mimi. I agree to assume any and all liability for and pay and hold Camp Mimi harmless for any expense related to injury to any human or other animal or damage to the Camp Mimi facility or any other property caused by My Pet.
5. I represent that My Pet has not harmed or shown aggressive or threatening behavior toward any person or any other pet and I understand that in admitting My Pet, Camp Mimi and its staff have specifically relied on this representation
6. I hereby release and agree to hold harmless Camp Mimi and its owners, staff and volunteers from any liability of any kind or nature whatsoever arising from My Pet attending and participating in activities at Camp Mimi, other than those resulting from any negligent act on the part of Camp Mimi. I expressly agree that should Camp Mimi or its owners, staff or volunteers perform any negligent act that causes any injury or damage to me or My Pet, the liability therefore shall in no event exceed the lesser of the current market value of a pet of the same age and species as My Pet or the sum of $200.00.
7. I understand and agree that if My Pet becomes ill or injured, or if the state of the My Pet’s health otherwise requires professional attention, Camp Mimi, in its sole discretion, may engage the services of a veterinarian or administer medication or give other requisite attention to the pet, and the expenses therefore shall be paid by me. I consent to allow Camp Mimi and any of its staff or volunteers to act on my behalf in obtaining emergency veterinary care at my expense for My Pet. I agree to indemnify and hold Camp Mimi and its owners, staff and volunteers harmless for said expenses and agree to pay all such expenses at the time I pick up My Pet.
8. I understand that reservations at Camp Mimi are required and that My Pet will not be allowed to attend Camp Mimi without a reservation Reservations for daycare and boarding: We have limited space, and keep the number of dogs we take in at a low level. Because of this, our reservation policies are extremely important in maintaining our business model. We understand that things can and do come up. As far as daycare, please give us as much advance notice as possible both for when you want your pup to come, and if you have to cancel. We will do our best to accommodate your needs, and we will always strive to provide the best possible place to bring your dog. **Initials: (_________)**
9. I understand that the day I make reservations that occur during “High Season” (All Holidays – Easter, Memorial Day, July 4th, Labor Day, Thanksgiving, Christmas, New Years as well as Winter and Spring Break) I will be required to pay a 2 night Non-Refundable Deposit per pet. **Initials: (_________)**
10. FEES: I understand that Camp Mimi will collect payment from me for Day Camp and boarding in advance when My Pet is dropped off. I understand all charges not paid in advance and incurred by me for boarding and other services for My Pet shall be payable upon my picking up My Pet. Camp Mimi shall have, and is hereby granted, the right to hold My Pet if I am unable to provide full payment for any and all unpaid charges at the time of pick-up until payment in full is made to Camp Mimi, and I understand I will incur additional charges for services as a result.
11. I agree that My Pet may be videotaped, photographed and recorded while attending Camp Mimi. I also understand, consent and agree that any video tapes, photographs or recordings of My Pet may be used in any and all media by Camp Mimi for reasons of promotion, advertising, sale and publicity. I agree that Camp Mimi shall be the exclusive owner of any proceeds that may be gained by the use of said media and that I am not entitled to and will not seek and compensation therefore.
12. This Release and Registration Agreement contains the entire agreement between the parties. All terms and conditions of this contract shall be binding on my heirs, administrators, personal representative and assigns and successors or assigns of Camp Mimi.
13. All controversies or claims arising out of or relating to this contract, or the breach thereof, or as the result of any claim or controversy involving the alleged negligence by any party to this contract, or the handling of My Pet in any way by Camp Mimi shall be litigated in the Superior, State or Magistrate Courts of Coweta County, Georgia. I consent to the jurisdiction and venue of said courts.
14. I understand and agree that should any litigation be required relating to this contract that the prevailing party will be entitled to recover its attorney’s fees and expenses of that litigation from the opposite party.
15. I certify that I have read and understand the policies of Camp Mimi as set forth in this Release and Registration Agreement and that I have read, understand, and agree to all the conditions and statements of this agreement.
Medical conditions of My Pet: ______________________________
Dated: _______________________
Signature of Owner: _______________________________________
Printed Name: ____________________________________________
Address: __________________________________________________
Telephone Numbers: Home: ______________________________
Work: _______________________________
Cell: ________________________________
Representative of Camp Mimi: ___________________________
1. I certify that My Pet is in good health and has not been ill with any communicable condition in the last thirty (30) days. I have listed below all of the current medical conditions of My Pet. While My Pet is enrolled with Camp Mimi, I agree to notify Camp Mimi of any known exposure of My Pet to a communicable disease. If My Pet is exposed, I will hold My Pet out of Camp Mimi until My Pet is symptom free for a minimum of ten (10) days or after I provide Camp Mimi with written veterinary clearance that My Pet may attend Camp Mimi without any risk that My Pet will infect any other pet that attends Camp Mimi. I also agree to maintain current vaccinations for My Pet as required by Camp Mimi policy. ** Camp Mimi strongly encourages any pet owner to seek veterinary advice for pets that are obese or have other physical conditions before attending Day Camp at Camp Mimi**
2. I understand that Camp Mimi does its best to keep the premises at Camp Mimi maintained, sanitary and properly enclosed. However, I understand and agree that there is some risk to My Pet while attending Camp Mimi. I therefore hereby release Camp Mimi and all owners, staff and volunteers of Camp Mimi from any and all liability, claims or demands for loss or damage from disease, theft, fire, death, escape, injury or harm to My Pet as a result of its attendance at Camp Mimi. I RECOGNIZE AND ACCEPT THE POTENTIAL RISKS INVOLVED WITH MY PET IN AN INTERACTIVE DAY CAMP AND UNDERSTAND THAT INJURIES TO MT PET MAY RESULT FROM THESE INTERACTIONS. **Initials: (_________)**
3. I understand and agree that Camp Mimi reserves the right to and may refuse in its sole discretion to allow any dog to attend Camp Mimi for any reason.
4. I understand and agree that I am solely responsible for any harm caused by My Pet while My Pet is attending Camp Mimi. I agree to assume any and all liability for and pay and hold Camp Mimi harmless for any expense related to injury to any human or other animal or damage to the Camp Mimi facility or any other property caused by My Pet.
5. I represent that My Pet has not harmed or shown aggressive or threatening behavior toward any person or any other pet and I understand that in admitting My Pet, Camp Mimi and its staff have specifically relied on this representation
6. I hereby release and agree to hold harmless Camp Mimi and its owners, staff and volunteers from any liability of any kind or nature whatsoever arising from My Pet attending and participating in activities at Camp Mimi, other than those resulting from any negligent act on the part of Camp Mimi. I expressly agree that should Camp Mimi or its owners, staff or volunteers perform any negligent act that causes any injury or damage to me or My Pet, the liability therefore shall in no event exceed the lesser of the current market value of a pet of the same age and species as My Pet or the sum of $200.00.
7. I understand and agree that if My Pet becomes ill or injured, or if the state of the My Pet’s health otherwise requires professional attention, Camp Mimi, in its sole discretion, may engage the services of a veterinarian or administer medication or give other requisite attention to the pet, and the expenses therefore shall be paid by me. I consent to allow Camp Mimi and any of its staff or volunteers to act on my behalf in obtaining emergency veterinary care at my expense for My Pet. I agree to indemnify and hold Camp Mimi and its owners, staff and volunteers harmless for said expenses and agree to pay all such expenses at the time I pick up My Pet.
8. I understand that reservations at Camp Mimi are required and that My Pet will not be allowed to attend Camp Mimi without a reservation Reservations for daycare and boarding: We have limited space, and keep the number of dogs we take in at a low level. Because of this, our reservation policies are extremely important in maintaining our business model. We understand that things can and do come up. As far as daycare, please give us as much advance notice as possible both for when you want your pup to come, and if you have to cancel. We will do our best to accommodate your needs, and we will always strive to provide the best possible place to bring your dog. **Initials: (_________)**
9. I understand that the day I make reservations that occur during “High Season” (All Holidays – Easter, Memorial Day, July 4th, Labor Day, Thanksgiving, Christmas, New Years as well as Winter and Spring Break) I will be required to pay a 2 night Non-Refundable Deposit per pet. **Initials: (_________)**
10. FEES: I understand that Camp Mimi will collect payment from me for Day Camp and boarding in advance when My Pet is dropped off. I understand all charges not paid in advance and incurred by me for boarding and other services for My Pet shall be payable upon my picking up My Pet. Camp Mimi shall have, and is hereby granted, the right to hold My Pet if I am unable to provide full payment for any and all unpaid charges at the time of pick-up until payment in full is made to Camp Mimi, and I understand I will incur additional charges for services as a result.
11. I agree that My Pet may be videotaped, photographed and recorded while attending Camp Mimi. I also understand, consent and agree that any video tapes, photographs or recordings of My Pet may be used in any and all media by Camp Mimi for reasons of promotion, advertising, sale and publicity. I agree that Camp Mimi shall be the exclusive owner of any proceeds that may be gained by the use of said media and that I am not entitled to and will not seek and compensation therefore.
12. This Release and Registration Agreement contains the entire agreement between the parties. All terms and conditions of this contract shall be binding on my heirs, administrators, personal representative and assigns and successors or assigns of Camp Mimi.
13. All controversies or claims arising out of or relating to this contract, or the breach thereof, or as the result of any claim or controversy involving the alleged negligence by any party to this contract, or the handling of My Pet in any way by Camp Mimi shall be litigated in the Superior, State or Magistrate Courts of Coweta County, Georgia. I consent to the jurisdiction and venue of said courts.
14. I understand and agree that should any litigation be required relating to this contract that the prevailing party will be entitled to recover its attorney’s fees and expenses of that litigation from the opposite party.
15. I certify that I have read and understand the policies of Camp Mimi as set forth in this Release and Registration Agreement and that I have read, understand, and agree to all the conditions and statements of this agreement.
Medical conditions of My Pet: ______________________________
Dated: _______________________
Signature of Owner: _______________________________________
Printed Name: ____________________________________________
Address: __________________________________________________
Telephone Numbers: Home: ______________________________
Work: _______________________________
Cell: ________________________________
Representative of Camp Mimi: ___________________________
CHECK IN FOR ALL PETS BOARDING or DAY CAMP:
Monday – Friday: 6:30 am – 8:00 am
DAYS & HOURS:
Day Camp:
Monday – Friday 6:30 am – 6:15 pm
Boarding:
Monday – Friday 6:30 am – 6:15 pm
Saturday & Sunday By pre-scheduled appointment only
Monday – Friday: 6:30 am – 8:00 am
DAYS & HOURS:
Day Camp:
Monday – Friday 6:30 am – 6:15 pm
Boarding:
Monday – Friday 6:30 am – 6:15 pm
Saturday & Sunday By pre-scheduled appointment only