Noah’s Playground Release Form – Noah's Ark Companion Animal Hospital

Playground Release Form

Thank you for choosing Noah's Playground to help make your pet healthier and happier. Canines at Noah's Playground will be engaged in vigorous play. While there are numerous benefits of exercise and socialization for your pets, just like children at daycare, there is a small risk of minor injuries when pets play together.
Please review each section, fill in the appropriate information, and sign the release of liability below.
I give permission for Noah's Playground to seek medical care for my pet(s) indicated below, should it become necessary, during their play day at Noah’s Playground.*
I understand that when possible, I will be consulted prior to my dog’s receipt of veterinary treatment. I also understand that there may be times when I cannot be reached, or when Noah's Playground, or a Noah's Ark Companion Animal Hospital Veterinarian, feels that it is in the best interest of my pet to seek immediate treatment without waiting for my authorization.*
- Click here to accept these terms.
I am authorizing Noah’s Ark Companion Animal Hospital to coordinate medical care deemed necessary to protect the health and well-being of my pet(s). I agree to accept financial responsibility for any veterinary care, treatment, and medications given to my pet(s) during their stay at Noah's Playground or Noah's Ark Companion Animal Hospital. *
- Click here to accept these terms.
Please enter your veterinarian’s name and phone number here so that we may access your pet's vaccine records:*
Enter the brand of heartworm preventative you use, along with the date it was last administered.*
Enter the brand of flea and tick preventative you use, along with the date it was last administered.*
I also understand that having dogs with known aggression problems at Noah’s Playground can be dangerous for all dogs and humans at the playground. By electronically signing this release, you are accepting financial responsibility, should your dog cause serious harm and/or medical bills for another dog or human, due to aggressive behavior.*
Has your dog ever been aggressive to other dogs or humans?
- Yes
- No
Electronically sign this release by typing your full name here.*
Please provide your contact information, should we have questions about this form.*
Thank you for submitting a release form for Noah's Playground. Please call us at (828) 524-6121 to reserve a play day for your pampered pooch!

Playground Release Form

Please review each section, fill in the appropriate information, and sign the release of liability below.

Thank you for submitting a release form for Noah's Playground. Please call us at (828) 524-6121 to reserve a play day for your pampered pooch!