Client Registration Form

To the best of my knowledge, as a responsible pet owner, my pet is healthy with no diagnosed allergies to vaccines and has had no recent occurrence of abnormal coughing, sneezing, vomiting, diarrhea, or weight loss. My pet has not bitten or broken the skin of a person within the last 10 days. I understand and acknowledge that an adverse reaction to any vaccine or treatment is possible. Should it happen that my pet becomes ill or dies due to a vaccine or treatment, I will not hold the veterinarian or CAWC responsible as reactions are highly individual immune responses which cannot be foreseen. Furthermore I understand that the side-effects or allergic reactions may occur in any animal after treatment or vaccination. Any side-effect or allergic reaction requiring further medical attention is at my own expense. Being aware of these facts, I give my permission to CAWC to vaccinate and/or treat my animal hereby and waive any and all claims against the CAWC, its staff, and veterinarians.