3 DOGS BOARDING AND DAYCARE

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1 3 DOGS BOARDING AND DAYCARE Owner Information Name Address City, State, Zip *Would you like to be added to our list for daycare/boarding updates and availability? Yes No (this list is for our use only). Cell phone Work Phone Home phone Additional people that can pick up your dog: Emergency Contact Name Address Home phone Cell phone Pet Information Name Breed Description Sex: Male Neutered Female Spayed Birthdate Weight Microchip # License # Veterinary Information Clinic name City, State Phone VACCINE HISTORY Dates of last vaccinations: (Proof must be provided) DHLPP Bordetella Rabies

2 HEALTH Medical history (illness, injury, surgery, skin conditions, etc.) Medications? How much? How often? Has your dog had a problem with fleas? When? Current flea treatment (required): Date given Allergies? Any restrictions need to be placed on your dog s activities or movements? Does your dog have any sensitive areas on his/her body? What brand of food does your dog eat? (For boarding clients) Does your dog have any food allergies/sensitivities? What happens if they have some? Medical Illness Policy We will make every attempt to call you, the owner, and then the Emergency Contact listed above in the event of any medical problem. If no one can be reached, however, please indicate your wishes should your dog require treatment to relieve immediate discomfort or to resolve an important medical condition. Perform whatever treatment the emergency vet deems necessary. Do not administer any medical treatment until specific authorization is given. Please contact my vet first. Vet Name and Phone:

3 BEHAVIOR Does your dog like children? How does your dog behave around children? Does your dog act afraid of any specific items or noises? If so, please explain: How does your dog react to strangers coming into your home or yard? Does your dog ever bark or growl at anyone passing outside your home or yard? Are there any people your dog automatically fears or dislikes? Are there any kinds of dogs your dog automatically fears or dislikes? How does your dog react to puppies? Has your dog ever: Growled at someone? What were the circumstances? Bitten someone? What were the circumstances? Does your dog have any problems in any of the following areas: (if so please explain?) Mouthiness: Housetraining: Jumping: Barking: Digging: Guarding (i.e. toys, food, and space): Other: Is your dog an escape artist? If so, describe (i.e. fence climber, any open door) Been in a fight or ever been attacked? If so, please describe what happened Has your dog ever shared his/her food or toys with other animals? Does your dog play with any toys? If yes, what kinds of toys do your dog like and what games does he/she play? Has your dog done daycare and/or boarding before? If yes, when and where? Has your dog ever had any formal obedience training? If yes, when and where? What commands does your dog know? Is your dog crate trained? Does your dog go to dog parks? How does he/she do? How is your dog with large dogs? Small dogs?

4 Other comments about your dog, which you feel, might be helpful: Agreement and Release 1. I verify that my dog is healthy, has the required vaccinations on file, is free of sickness or disease and has not harmed or shown aggression towards people or other dogs. I agree to arrange to have my dog picked up if contagious illness is suspected. 2. In the event that I cannot be reached by phone, I agree to allow the staff at 3 Dogs Boarding and Daycare to transport my dog to Dove Lewis Animal Hospital or Irvington Veterinary Clinic for treatment of any sickness or symptoms that occur during daycare/boarding. I also agree to pay for all expenses for any veterinary services or on-site services that result from that occurrence. 3. I have read and understand the Rules and Regulations and agree to abide by them. I certify that I have read and understand this agreement and Release. I agree to accept the terms, conditions and statements of this agreement. Date: Owner s name: Signature of owner: How did you hear about us?

5 Daycare Policies and Procedures 1. All dogs must be up-to-date on vaccinations. Owners must submit written proof that dogs have received the required vaccinations within the specified time period recommended by a veterinarian. All dogs must be spayed or neutered by roughly 6 months of age. 2. Any dog with a communicable disease in the past month will require veterinarian documentation of good health before it is admitted. 3. Dogs must have a current daycare/boarding application on file. All dogs must display health and temperament characteristics that are conducive to a fun, safe daycare/boarding environment. We reserve the right to refuse initial service or terminate service at anytime without prior notice and at our sole discretion. Reservations are required. Reservations will be dependent on space availability. Preference will be given to dogs with regular standing reservations. 4. Payments in full for all charges incurred on behalf of a dog are due upon pick-up from daycare or boarding. A deposit or prepayment may be required for some services. 5. Daycare dogs must be picked up before closing. 6. In the event a dog requires emergency veterinary care while at 3 Dogs Boarding and Daycare it will be handled as deemed best by our staff. The dog owner agrees to assume full financial responsibility for any expenses involved. 7. Although all dogs are evaluated for temperament before coming for daycare or boarding, skirmishes and correction bites may still occur. Owner will be responsible for any expenses that result from such an occurrence. Boarding Policies and Procedures 1. All dogs that are going to be staying overnight must have passed a temperament assessment and come for a day of daycare before their first night of boarding. 2. Check-in time is by 12pm, unless prior arrangements have been made. Dogs that come in late tend to disrupt the daily routine and it s more difficult for them to get settled. Boarding dogs must be checked out by 12pm on the last day or an $18 daycare charge will be applied. Overnight charges are separate from daycare packages. Daycare packages cannot be used toward overnight boarding charges. 3. Reservations and credit card prepayment in full are required for each stay. Payment is due in full upon arrival for your dogs stay by credit card or cash. 4. Cancellation policy please call to cancel as soon as you know you will not be bringing your dog for boarding. 48 hours advance notice is required to avoid being charged for your stay.

6 5. If your dog is not feeling well (coughing, diarrhea, etc.) please call us prior to bringing your dog for boarding, as we are unable to accommodate dogs that are ill. If your dog becomes ill while at 3 Dogs (diarrhea, coughing, etc.) we will seek veterinary care at your expense. If it is determined that your dogs illness is contagious, other arrangements will need to be made for his/her care until no longer contagious. You must provide an emergency contact that can pick up your dog and keep him/her until they are no longer contagious. 6. In the event your dog requires emergency veterinary care while being boarded, it will be handled as deemed best by our daycare staff. You agree to assume full financial responsibility for any expenses involved. 7. Even though all dogs attending our daycare/boarding must receive their Bordatella vaccination every 6-12 months, there is still a possibility they might contract a different strain of kennel cough. 8. While boarding your dog, it is important to keep him/her on the same food they are fed regularly at home. Sudden changes in food can lead to diarrhea and discomfort. Therefore, it is necessary for you to bring enough his/her regular food to last the entire stay. If you forget their food or prefer that they eat ours, there will be a $1/day food charge. 9. Sometimes during play a dog will get its teeth caught in another dog s collar, therefore all dogs will be collarless while here. 10. Active dogs that have not spent much time on hard surfaces such as concrete or asphalt may get friction blisters on the pads of their paws from the rubber mats in daycare on their first or second visit. We monitor the activity of these new dogs and give them frequent rest periods in an attempt to avoid this but it may still happen. We have not yet seen blisters that needed to be attended by a veterinarian but we will monitor them should this happen during their stay and treat them as deemed necessary including veterinary care should it become necessary. 3 DOGS BOARDING AND DAYCARE 5430 NE 42 nd Ave., Portland, OR FAX

7 DAYCARE: 3 DOGS BOARDING AND DAYCARE HOURS: Monday Friday 7am 7pm; Saturday 9am 6pm; Sunday 10am 6pm 1 st day ~ FREE (must be completed within 60 days of passing evaluation) Full day ~ $27 ½ day (up to 6 hours) ~ $19 5 pack ~ $ pack ~ $ pack ~ $462 (10% off for multiple dogs) ½ day 5 pack ~ $85 (Multiple dog discounts do not apply to half days) BOARDING: $41/night (one dog) $35/per dog/per night (two dogs) $33/per dog/per night (three or more dogs) Extended stay discount - 14 nights or longer, you will receive a 10% discount. We offer the first day of daycare FREE for new clients, this must be done within 60 days of evaluation or your dog may need to be re-evaluated. Also, if you refer someone to us and they use our services, you will receive one FREE day of daycare. Boarding info: Check-in is before 12pm. Dogs arriving late can disrupt the daily routine. Giving your dog some time to burn off excess energy/anxiety makes it easier on all the dogs staying here. Pick up must be by 12pm on the final day. After 12pm, an $19 daycare charge will apply (per dog, if more than one).

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