Fill and Sign the Caretaker Form

Release, Waiver of Liability, and Assumption of Risk Given in Favor of Caretaker for Pet While Owner is Away Agreement made on the _____ day of ____________________, 20____, between _____________________________________________ (Name of Caretaker) of ________________________________________________________________________ ________________________________________________________________________ (street address, city, county, state, zip code) , referred to herein as Caretaker , and __________________________________________ (Name of Owner of Pet) of ________________________________________________________________________ ________________________________________________________________________ (street address, city, county, state, zip code), referred to herein as Owner ; Whereas, Caretaker is in the business of taking care of pets while the owner is away; and Whereas, Caretaker takes care of pets in his/her home or at the home of the Owner; and Whereas, the undersigned Owner desires for Caretaker to take care of Owner’s pet (type of animal, e.g., cat, dog, etc.) _________________________ whose name is __________________________________________ (name of pet) from ___________________________________ (date) until ___________________________ (date) at ________________________________________________________________ ________________________________________________________________________ (street address, city, county, state, zip code); and Whereas, Caretaker will only care for said pet if this Release, Waiver, and Assumption of Risk Agreement is executed by Owner; Now, therefore, for and in consideration of Caretaker’s agreeing to care for said pet of Owner during the period of time stated above, the undersigned Owner hereby releases Caretaker from all liability to Owner for any loss or damage to property (including, but not limited to pet), physical injury or death (including, but not limited to pet), whether caused by Caretaker or otherwise that results, directly or indirectly from Caretaker’s taking care of said pet at said address during the period of time set forth above. Owner further agrees to indemnify, save and hold Caretaker harmless from any loss, liability, attorneys’ fees, damage, or costs that Caretaker may incur, or that may arise out of, or relate to Caretaker’s taking care of said pet at said address during the period of time set forth above, whether caused by the negligence of Caretaker or otherwise, and Owner does hereby assume the risk of any such loss or damage. Any dispute arising out of this agreement shall be resolved by binding arbitration of the parties hereto. If the parties cannot agree on an arbitrator, each party shall select one arbitrator and both arbitrators shall then select a third. The third arbitrator so selected shall arbitrate said dispute. The arbitration shall be governed by the rules of the American Arbitration Association then in force and effect. WITNESS my signature as of the day set forth above. ____________________________________ ____________________________________ Printed Name & Signature of Owner