390 Tandang Sora Avenue

Brgy. Culiat, Quezon City

(+63) 991 - 531 - 34 - 82
ChicksBoozeAndDogs@gmail.com
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ACCEPTANCE FORM

I ______________________________ , hereby accept the _____________________

services of the Park by CBD without any reservations.

I have fully read and understand the terms and conditions of The Park by CBD’s and
understand the responsibilities, duties and risks involved therein.

I hereby certify that all information I have given with regard to myself and my dog are
true and free from infirmities.

I have paid ______________________ Php. for the ________________________

services by the Park by CBD.

Feeding instructions:

Kind of Dog Food Total Amount of Amount Per Meal Meals per Day
Dog Food (kg) (cups)

Suppliments (if Applicable):

Kind of Suppliment Total Amount Amount per Administration per

administration day

Other Instructions:
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Attached herewith are copies of the following:

Updated Vaccination Records

Government issued ID
Accomplished Waiver and Contract
 ACKNOWLEDGEMENT

Date ______________________

Print Name ______________________

Signature ______________________

Address ______________________