Check Me Out Form

I agree to release, discharge, indemnify and hold harmless LHS, a non-profit Kentucky corporation with its principal place of business being located in Lexington, Kentucky, its officers, directors, and employees for any and all claims, demands, losses, costs, liabilities, settlement agreements, damages, expenses and suits at law or in equity that arise out of my performing services for LHS, its officers, directors, or employees.

I recognize that in handling animals while performing services for LHS, there exists a risk of injury including, but not limited to, personal physical harm. On behalf of myself, my heirs, assignees, guardians, and personal and legal representatives and executors, I hereby release, discharge, indemnify, and hold harmless LHS, its officers, directors, and employees for any and all claims, demands, losses, costs, liabilities, settlement agreements, damages, expenses connected with my services to the Society whether caused directly or indirectly by any negligence (active or passive) attributable to LHS, its officers, directors, or employees.

I acknowledge that I have been advised and encouraged to consult with my physician regarding: tetanus vaccinations, rabies prophylaxis, and possible allergic reactions.