Vet Cafe Check In

The undersigned intends to participate in an Activity with Bellacatio & acknowledges that this  Activity involves certain inherent risks of physical injury, potential trauma, illness, animal, or insect bites/stings. I acknowledge that I have read the Policy statement attached hereto by reference & I agree to strictly adhere to & comply with all Bellacatio policies.

 

The undersigned affirms & verifies that all my statements contained on my application are true & correct to the best of my ability & understands that false or inaccurate information contained in my application may constitute the basis for the denial and or revocation for all support provided by Bellacatio.  I also recognize that absent my signed execution of this Waiver/Release Bellacatio will not permit my attendance & participation in a Bellacatio Activity. 

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I hereby authorize in advance any medical treatment deemed necessary by Bellacatio personnel on my behalf . I have appropriate health care insurance coverage or in the alternative, I agree to pay all costs of rescue, paramedic, & medical services administered to me. 

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The undersigned further certifies that he/she is an adult and has read this entire document carefully before executing this Waiver/Release. He/She agrees to hold harmless Bellacatio, employees, and volunteers from any and all liability.

 

In Witness whereof the undersigned signs his/her signature below.