Book Buddies Waiver

Book Buddies Waiver
All Book Buddies parents must sign the Waiver of Liability before your child enters the dog area.
Date*

MonthDayYear
Date
By providing my signature and printed name below, I hereby declare that I shall not hold the Senior Dog Sanctuary of Maryland liable for any illness, injury or disease that my child(ren) or I might contract or sustain while working in said capacity.

I understand that many viruses have an incubation period of 7 to 14 days, and I understand that I, my child(ren) and my own pet(s) may be at risk of contracting a contagious virus. I accept that risk and the responsibility of treatment if necessary at my own expense, myself, my child(ren) and for my own animal(s).

I agree to hold the Senior Dog Sanctuary of Maryland harmless from direct or consequential damages onsite at the animal facility.

I acknowledge that child(ren) under the age of 18 must be accompanied by an adult at all times.

I understand that child(ren) must wear closed-toed, rubber-soled shoes to protect feet and give better traction when walking through the animal areas.

I understand that there are certain risks inherent in handling animals, and I accept those risks on behalf of myself and my child(ren).

I understand that photos will be taken during Book Buddies and will be posted on the Senior Dog Sanctuary’s website.
Does your child have any known allergies or handicaps?*

YesNo
Explanation*
I acknowledge that the information provided on this form and any accompanying forms required is complete and accurate to the best of my knowledge.*

Agree
Name*

First NameLast Name
E-mail*
Parent/Guardian Signature*

Clear
Date of session your child(ren) are attending*

MonthDayYear
Date
Child(ren) Names/Age(s)
Signature
Should be Empty: