Intake Authorization Form

Subzero Canine Reproduction (SCR) agrees to intake and store canine semen from the above dog. SCR shall not be held liable or responsible to any outcomes produced by the received frozen semen from the above dog. This applies to all claims, losses, expenses, injuries, or damages arising out of or in any way related to this received frozen semen by reason of any act or omission, including breach of contract, negligence, errors, omissions, strict liability, breach of warranty or any reason whatsoever.

The received frozen semen will be available to the semen owner(s) for use/shipping following standard procedures, instructions to be supplied to the semen owner after the semen is stored. Payment is due at the time of intake, unless a monthly payment plan is requested/approved.

Late payment is subject to a 1% per month (12% APR) interest and $5.00 late fee per month. After 90 days of non-payment, the account will be placed in inactive status. A charge for reactivation will be made. After this occurs the frozen semen will be subject to disposal and/or ownership will be given to SCR for use as SCR sees fit. This may include sale or transfer of ownership of the frozen semen by SCR. The account balance will be submitted to a collection agency for collection. Accounts must be current in order for frozen semen to be released. It is my responsibility to ensure my account remains current with SCR. Any change of address or phone number needs to be provided to SCR immediately. SCR Fees for semen storage are charged at the time of intake and on an annual basis for storage. There are additional fees charged by SCR when the stored semen is shipped for breeding or transfer. These fees are usually termed shipping preparation, shipping tank rental, and actual shipping charges to ship the semen to its destination and for the return of our empty tank.

Sperm cells will eventually cease living, but no one knows or can predict when this will occur, and it can vary from dog to dog. SCR shall not be held liable for, and cannot guarantee conception from, frozen canine semen. Nor can SCR guarantee that the frozen sperm cells will be viable at the time of thawing for insemination. In the event of loss or damage of frozen semen due to natural causes due to weather, fire, storage/shipping tank failure, incorrect semen being inseminated or shipping tank accident/damage, SCR would not be held liable for the loss, or the replacement value of the frozen semen or costs involved in freezing and storing the semen.

*(NOTE: If this dog is owned by more than one owner and the person completing this authorization form wishes to be the sole owner of this frozen semen, a TRANSFER OF OWNERSHIP form must be completed and returned to SCR by each owner/co-owner, agreeing to transfer the ownership of this frozen semen to the owner/co-owner wishing to be sole owner of this semen.)

SCR is required to have a copy of the dog's registration on file. If the registration is not provided at time of intake the owner is responsible for getting it to SCR.

LIMITATION OF LIABILITY In any event, SCR’s liability, as well as that of any of its principals, employees or agents, if determined, shall not exceed the total compensation received by SCR under this agreement. This limitation of liability applies for any and all claims, losses, expenses, injuries or damages, arising out of or in any way related to the performance of this agreement by reason of any act or omission, including breach of contract, negligence, errors, omissions, strict liability, breach of warranty or any reason whatsoever, not amounting to a willful, wanton or intentional wrong. This limitation of liability includes, but is not limited to claims for lost profits, loss of use, costs of replacement special damages and/or indirect or consequential damages whatsoever, caused by SCR, its principals, employees or agents

In the event that any dispute arises between the parties to this agreement, you agree that the dispute shall be governed by laws of the State of California, USA. In the event of any lawsuit or claim being made to enforce the terms of this agreement, the prevailing party in such lawsuit or claim shall be entitled to an award of their reasonable attorney fees and costs. This authorization form replaces all previous authorization forms for the named stud dog in this document.

By my signature below, I authorize Subzero Canine Reproduction, Inc, to perform services for me. I agree to all statements made in this document preceding my signature below. I understand SCR does not guarantee fertility or successful fertilization. I also understand SCR is not responsible for services rendered by non-SCR individuals or entities. My payment for SCR services is due at the time of the service. Other charges may be applied to my provided payment information at a later date, if additional services are necessary. SCR may or may not notify me of these additional charges prior to charging my provided payment information. I agree to any fees SCR charges to my provided payment information to be made without informing me. I further state that SCR has offered to provide an estimate of these charges to me. In the event that I initiate a chargeback, or a check bounced, I understand I will be charged additional fees. If SCR has to prove in any way that I authorized the use of my provided payment information, I will incur additional fees from SCR any time they are required to prepare a response to my chargeback. I also agree that any person I allow to access my frozen semen at SCR, or any person that pays fees billed to my account at SCR will be guaranteed by me. Any person I ask SCR to bill on my behalf will be informed by myself of fees or charges made by SCR. If the person reverses any charge at SCR, I will be held liable for reimbursement to SCR immediately. It is my responsibility to ensure SCR is paid for all services performed by or charged through SCR to my account at SCR.