Nonhuman Primate Boarding

I give ________________________________________ permission to board below stated nonhuman primate(s):

Name(s):__________________________________________________Age(s):_______________

Breed/species(s):_________________________________________________________________

From (date)__________ Until (date)_______________ 

Fee per Boarding: _______________      Additional day fee:_________________

________________________________will not be held responsible for illnesses or injury during

this time.  In case of emergency, _____________________________may take my nonhuman

primate(s) to his/her regular primate vet which is:____________________________________

Address: ____________________________________________Phone:____________________

Items I have brought to make my pets’ stay more comfortable are:

______________________________________________________________________________

______________________________________________________________________________

_______________________________________________________________________________

Any special instructions, notes, medications, health problems we should be aware of, or favorites of your pet? ___________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

I am aware that ____________________________must be paid in full for boarding before my nonhuman primate(s) will be released to me. 

Signature X________________________________________

Emergency numbers and contact: ______________________________________________________________________________

______________________________________________________________________________

Full Printed Name: ______________________________________________________________

I.D.# ____________________________

Address: _____________________________________________________________________                                                                                                                                              

I understand that if I do not contact__________________________________. Within 30 days of the last date of boarding contract a certified letter of notice of abandonment will be sent to me and I then will have 10 days to respond. If I do not respond, above stated nonhuman primate(s) then belong legally to ________________________________________.  All extra days will be added to my contract.

I also agree by the signing of this document that it may be used in a court of law.

 

Person Boarding __________________________________________________________

 

Person or Boarding Facility __________________________________________________