Meal Plan Waiver

The Dog Ranch is not a licensed veterinarian and therefore cannot diagnose or treat. It is recommended to consult your licensed veterinarian before transitioning your dog's diet for specific nutritional requirements.

Owner Name *
Owner Name
Address *
Address
Phone *
Phone
Disclaimer *
The dog meal plans put together by the Dog Ranch, are based on the information provided by the client/individual. The nutrition information/meal plan given is meant only for the client/individual's dog completing the forms. It is the sole responsibility of the client/individual to provide complete and accurate information about their dog. Any misinformation or omitted information may affect the nutritional/ assessment/advice. Any misrepresented information is solely the client’s/individual’s responsibility and the Dog Ranch/Nicole Curran, will not be liable. The Dog Ranch, provides meal plans and recommendations only and is not licensed to diagnose or treat a medical condition or illness. The client/individual must consult a licensed veterinarian for any medical advice.
Waiver and Covenant Not to Sue *
I have volunteered and want my dog to participate in a meal plan program and possible follow-ups under the direction of the Dog Ranch. In consideration of the Dog Ranch/Nicole Curran's agreement to assist me, I do here and forever release and discharge and hereby hold harmless the Dog Ranch/Nicole Curran and his/her respective agents, heirs, assigns, contractors, and employees from any and all claims, demands, damages, rights of action or causes of action, present or future, arising out of or connected with my participation in any nutrition program including any injuries resulting there from.
Assumption of Risk *
I recognize that specific foods may create allergic and possible fatal reactions, most specifically, products containing nuts. I have therefore specified any food allergies/ sensitivities I am aware of on the "diet profile" form. I am aware that specific foods may interact with certain medications. I have discussed the side effects of all of my medications with my doctor or pharmacist. I also understand the wellness information I receive will not take my medications into consideration unless I choose to list my medications on the "diet profile" form. If I am pregnant or lactating, have high cholesterol, high blood pressure, high blood sugar, diabetes, renal disease, gastric by-pass surgery or any other medical condition that requires special dietary restrictions, I must receive permission from my physician before participating in the wellness program, or may be advised to seek help from another health professional.
*
I acknowledge and agree that no warranties or representations have been made to me regarding the results I will achieve from this wellness program. I understand that results are individual and may vary.
Date *
Date