PAWSITIVELY PERFECT BOARDING & DAYCARE AGREEMENT. Address: City: State: Zip: Phone: Home: Work: Cell: Text? Y N
|
|
- Sophie Bradley
- 5 years ago
- Views:
Transcription
1 PAWSITIVELY PERFECT BOARDING & DAYCARE AGREEMENT Contact Information: Owner s Name(s): Address: City: State: Zip: Phone: Home: Work: Cell: Text? Y N Do you check your while gone? Y N Emergency Contact: Phone #: (This person needs to be someone other than yourself who, in case of emergency, you trust to make a life or death decision.) Pet Information: 1. Pet s name: Birthday/Age: Breed: Sex: M F Spay/Neutered: Yes No 2. Pet s name: Birthday/Age: Breed: Sex: M F Spay/Neutered: Yes No Veterinary Clinic: Primary Veterinarian: Phone number: Vaccination Record: Please provide written verification from your veterinarian (ALL VACCINATIONS MUST BE VET GIVEN) 1. Date of last Bordetella vaccine: Expires: 2. Date of last Distemper/Parvo vaccine: Expires: 3. Date of last Rabies vaccine: Expires: Page 1 of 6
2 Boarding & Daycare Questions: 1. Has your dog ever bitten a person, dog, or other animal? Y N 2. Has your dog ever growled at or shown aggressive behavior towards people, strangers, children, puppies, or other animals? Y N 3. Has your dog ever jumped or climbed a chain link fence? Y N 4. Has your dog ever been boarded before? Y N 5. Does your dog have any health problems or past injuries? Y N Please explain: 6. Does your dog need to take any medications while boarding? Y N (Additional $2.00 per dose) If yes, please describe (including type, dosage, times given, and any special instructions): 7. Does your dog get fed more than one time a day? Y N 8. Does your dog eat wet food? Y N 9. Can your dog be offered treats? Y N 10. Has your dog ever had an allergic reaction? If yes, explain: 11. Is your dog house-trained? Housebroken and rarely has accidents Housebroken but occasionally has accidents Mostly outside and is not really housebroken Housebroken, but can be a leg lifter or squatter Not really housebroken, but in training Using potty pads 12. My dog likes to dig in the dirt: Y N Page 2 of 6
3 13. My dog chews: (check all that apply) On anything within reach Only on their own toys To escape 14. My dog shows aggression: (check all that apply) Around food Other dogs Around strangers With their area/territorial When fearful Never Other 15. My dog barks when: (check all that apply) At a doorbell They want attention People walking by Loud or strange noises When left alone When in crate/kennel Use an anti-bark collar Rarely, if ever 16. Is there anything else we should know about your pet? Any special instructions? Now that we know more about you and your pet, please proceed to the next page for our pawlicies and procedures! Thank you! Page 3 of 6
4 PAWSITIVELY PERFECT Boarding/Daycare Agreement GENERAL TERMS: Pawsitively Perfect will exercise reasonable care for the safety of your pet and to keep the boarding premises safe and secure. Pawsitively Perfect s liability for any boarded pet will not exceed $ The pet owner is solely responsible for any property damage or bodily injury inflicted by the boarded animal. Pawsitively Perfect cannot guarantee against accidents. We will not be liable for loss or damages to your pet s belongings. VACCINATIONS/HEALTH: All animals must be current on vaccinations for Rabies, DHLPP and Bordetella (kennel cough). The owner must provide the veterinarian records for these vaccines prior to boarding/daycare. All animals accepted for boarding/daycare must be free of fleas and ticks; owner will be charged a $90.00 fee for any animal that is dropped off with parasites. Owner hereby represents that this pet has not been exposed to Rabies, Bordetella, Distemper, or Parvo within the last 30 days. BOARDING REQUIREMENTS: Pets are to be dropped off with nylon or leather collars (choke collars or harnesses will be removed). Pets are fed twice daily. Owners are to provide usual food. Dry food is best in large, labeled Ziplock bags labeled with your pet s name. Canned food or any type of wet or refrigerated will be given upon request (owner must provide). If pet is trained to use potty pads, these must be provided by the owners. Owners may bring treats, toys, and bedding. All items brought in must be labeled with your pet s name. We provide stainless steel dishes for food and water. For sanitation sake, please do not bring your pet s dishes. MEDICATION AND TREATMENT AUTHORIZATION: Prescription medications must be provided in the original container with the veterinarian s instructions. Medications will be administered as prescribed for a charge of $2.00 per dose. Pawsitively Perfect is authorized by the owner to seek veterinary advice and care at their discretion and at the owner s sole expense. Pawsitively Perfect will attempt to contact the owner before obtaining this care if possible; however, this document serves as full authorization to obtain veterinary care for the pet at the owner s expense whether or not owner was able to be contacted. Page 4 of 6
5 PAYMENT TERMS: Owner agrees to pay current boarding price (as well as the price for any additional special services offered) in advance. No cash refunds will be issued for any reason. Boarding credit will be issued if the cancelation is at least 48 hours prior to the pets reserved boarding stay. There will be no credit issued due to cancelations for Holiday stays. An additional fee will be applied for holidays (the holiday rate is applied to the day before, day of, and day after the holiday) and will be included in total boarding charges paid in advance. There will be a $45 deposit per dog for all boarding bookings. This fee is non-refundable when there is a no-show or cancellations made less than 48 hours of your scheduled stay. No credit will be issued for early pick-ups. We close at 6:00pm. Late pick-up of pets (any time AFTER 6:00pm) will be charged an extra$10 fee. Access to pet will be denied and pet will not be released until all charges are paid in full. I understand that I will be charged a daily rate for boarding, not a nightly rate like a hotel. We charge a daily rate because we offer all day pick up/drop off times for your convenience. I also understand that I must pay all boarding fees in advance and that I may not post-date a check. Furthermore, I understand that boarding and daycare are separate services and cannot be combined for a reduced rate. If you drop your dog for daycare you will drop off and pick up during day care hours and be charged a daycare fee. If you bring your dog for boarding you will be charged boarding rates for each day they are here regardless of when you pick them up. This contract shall be legal and binding hereupon and will include any and/or all boarding/daycare services henceforth. This contract contains the entire agreement and shall be binding upon heirs, personal representatives, executors, administrators, or any other persons acting on behalf of either party. Any controversy arising from this agreement will be settled in arbitration according to the Montana Arbitration Laws with the expense of such paid by the owner regardless of prevailing party. Signature: Date: Page 5 of 6
6 Waiver, Medical Power of Attorney, Authorization and Acknowledgements I, the undersigned owner of a dog(s) named, do hereby release, indemnify and forever hold harmless Nottwoweepeetaukee LLC, DBA Pawsitively Perfect, its employees, officers, agents, subcontractors, customers, visitors, and guests from any and all liabilities (including attorney s fees) arising out of or connected with injuries, illness, loss damage or other harm to myself, my dog(s), my property, and my guests and invitees which arise in any way out of services and /or products provided by or as a consequence of my association with Pawsitively Perfect. I acknowledge that dogs are unpredictable in behavior, and I understand that injuries to my pet, my guests, and myself might reasonably be foreseen to result from my dog s attendance and participation with Pawsitively Perfect. I am fully aware that Pawsitively Perfect encourages off-leash socialization and interaction of dogs in its custody and care and accordingly I assume any and all risks related to Pawsitively Perfect s performance of its services, including but not limited to bites, bodily injury, illness and disease, theft, falls, collisions with vehicles, natural disasters and death. I also agree to assume all liabilities, costs, damages, claims and expenses that may occur as a result of my pet s actions. If, in my absence, my dog should be injured, become ill or suffer an ailment or is otherwise deemed by Pawsitively Perfect to require immediate medical attention, Pawsitively Perfect, in its sole discretion, is authorized to make all health care decisions on my behalf, and may utilize the service of a licensed veterinarian to administer medicine or give other requisite attention to my pet(s) at my sole expense. I hereby indemnify Pawsitively Perfect from any action, claim, demand or lawsuit (including attorney s fees) arising out of or connected with the charges made by any veterinarian caring for my dog(s). I hereby certify and represent that my dog(s) is in good health and has not been ill with any communicable condition in the last 30 days. I also represent that my pet is current on its vaccinations for Rabies, Bordetella, and DHLP-PVO. I further certify that my dog has not harmed or shown aggressive or threatening behavior towards any person or any other dog or animal. I understand that Pawsitively Perfect reserves the right to refuse use of our facilities or to rescind attendance rights for dogs who, in Pawsitively Perfect s sole determination, act aggressively, are undisciplined, evidence inappropriate behavior or who might otherwise be a danger to themselves, other animals or people. I certify and represent that all of the information provided to Pawsitively Perfect in writing or otherwise relating to my dog and myself is true and correct. I agree that my dog may appear on Pawsitively Perfect s website, facebook, and advertising from time to time. I specifically represent that I am sole owner or agent of my pet(s), and that I am authorized to sign this contract. I will immediately notify Pawsitively Perfect of any changes to what I have represented above. By signing below, I acknowledge that I have read, understand, and accept the terms outlined above in the grooming or daycare/boarding contract. To the best of my knowledge, the information that I have provided in the application materials is both accurate and true. I accept sole and exclusive responsibility for these and all other risks and release Pawsitively Perfect of all liability, no matter the cause. I also acknowledge that all service, rates, and pawlicies and procedures are subject to change without notice. Signature Print Name Date Page 6 of 6
APPLICATION & ENROLLMENT
APPLICATION & ENROLLMENT OWNER S INFORMATION: Name: Address: City: State: Zip Code: Place of Employment: Home Phone: Work Phone: Cell Phone: E-mail Address: Emergency Contact Name (other than self): Relationship:
More informationClient Enrollment Form Completed, signed and sent to us prior to first day of class.
Thank you for your interest in Wag Club! We can t wait to meet your pup! Below is a checklist of pre-requisites to help you complete enrollment for Training Classes, the Wine N Puppies playgroup and Special
More informationAPPLICATION. Cell phone.
333 North Bedford Road Mt. Kisco, NY 10549 Phone: 914-218-8258 Fax: 914-218-8259 Website: ckatthepark.com APPLICATION Owner Information Name Address Date Home phone Work phone Cell phone Email Services
More informationDog Enrollment Application
Dog Enrollment Application Page 1 of 5 OWNER INFO: NAME: ADDRESS: CITY/STATE/ZIP CELL PHONE: WORK PHONE: HOME PHONE: OTHER PHONE: EMAIL: EMPLOYER: DRIVERS LICENSE #: STATE ISSUED EMERGENCY CONTACT INFORMATION
More informationPLAY ALL DAY, LLC REGISTRATION FORM
Today s Date: How Did You Hear About Us? Owner(s) Name(s) Home Address City, State, Zip PLAY ALL DAY, LLC REGISTRATION FORM Start Date: OWNER INFORMATION Home Phone ( ) Work Phone ( ) Cell Phone ( ) Other
More informationAGREEMENT & WAIVER FORM
AGREEMENT & WAIVER FORM By signing this document I, as the owner/agent/guardian, guarantee that I will be personally liable for all expenses resulting from daycare, boarding, bathing and grooming, veterinarian
More informationDAYCARE / BOARDING APPLICATION
Date: DAYCARE / BOARDING APPLICATION OWNER INFORMATION Address: City: Zip Code: Home phone: Cell: Work: E-mail Address: EMERGENCY CONTACT INFORMATION (someone t traveling with you) Relation: Home phone:
More informationAGREEMENT & WAIVER FORM
AGREEMENT & WAIVER FORM By signing this document I, as the owner/agent/guardian, guarantee that I will be personally liable for all expenses resulting from daycare, boarding, bathing and grooming, veterinarian
More informationClient Enrollment Form Completed, signed and sent to us prior to your grooming appointment.
Grooming Enrollment Form Thank you for your interest in Wag Club! We can t wait to meet your pup! Below is a checklist of pre-requisites to help you complete enrollment for grooming only. Client Enrollment
More informationPhone: Fax: Page 1
Client Information Owner Name Address City State ZIP Home Phone Work Cell E-mail Address Occupation Employer Emergency Contact Name Home Phone Work Cell Pickup Authorization Name(s) Veterinary Information
More informationYes No PATIENT INFORMATION. Dogs: Cats: Feline Rabies: FVRCP (Feline Rhinotraceitis/Calicivirus/Panleukopenia):
NEW PATIENT & CLIENT INFORMATION SHEET CLIENT INFORMATION First name Last name Spouse/Partner first name Spouse/Partner last name Address City State Zip Primary Phone # (home work cell) CIRCLE ONE *Please
More information*Please Complete This Form* Owners Name: Address City : State : Zip : Home Phone : Business Phone : Cell Phone :
! Page 1 *Please Complete This Form* Owners Name: Address City : State : Zip : Home Phone : Business Phone : Cell Phone : Email : Dog s Information: Name of Dog(s) : Breed(s) : Weight : Color : Birth Date
More informationCLASSIC GROOMING REGISTRATION POLICIES AND RELEASE FORM
CLASSIC GROOMING REGISTRATION POLICIES AND RELEASE FORM CLIENT INFORMATION Please tell us a bit about yourself Your Name First Last Partner/Spouse? His/Her Full Name Mailing Address Street Address Address
More informationPuppy Play School CONTRACT
Puppy Play School CONTRACT This Contract is between the Monadnock Humane Society ( MHS ) Boarding and Daycare facility (hereinafter called the Kennel ) and the pet owner (hereinafter called the Owner ).
More informationBoarding/Daycare Contract
Boarding/Daycare Contract 1394 230th Street Glenwood City, Wisconsin 54013 715-265-9288 purrfectdog@live.com www.purrfectdog.com All boarding and daycare clients must sign a boarding/daycare contract for
More informationThe Dog Wash & Grooming, INC National Road St. Clairsville, OH Phone: Web: Thedogwashandgrooming.com
The Dog Wash & Grooming, INC. 46147 National Road St. Clairsville, OH 43950 Phone: 740.296.5495 Web: Thedogwashandgrooming.com Owner Name: Street Address: City: State: Zip: Email: Phone: Cell: Emergency
More informationBoarding & Daycare Contract
Boarding & Daycare Contract This is a contract between Ruff House Kennel and Daycare, LLC and the Pet Owner, or his agent. All pets are boarded, or otherwise handled or cared for, by Kennel staff without
More informationRequirements and Reservations
Requirements and Reservations Fuzzy Paws Pet Villa & Spa strives to provide a safe and positive experience for your dog(s). We have more than 20 years of pet care experience, and we pride ourselves in
More informationDaycare & Boarding Application
New Daycare/Boarding Applicant Additional Family Member Existing Member s Updated Information Daycare & Boarding Application Guardian s/owner s Name: Address: City: State: Zip: Home Phone: ( ) Work Phone:
More informationVeterinary Group of Chesterfield Edison Ave., Chesterfield, MO
Veterinary Group of Chesterfield Daycare/Boarding Playtime Requirements Our guidelines are set forth to ensure the health and safety of all daycare participants. All dogs over 6 months of age must be spayed
More informationROVER lindblade street culver city, ca t f (Please Print Clearly) Owner s Name ::
(Please Print Clearly) Owner s Name :: Address :: City :: State :: Zip :: Home Phone :: Business Phone :: Cell Phone :: Email :: Name of Dog(s) :: 1. 2. Breed(s) :: 1. 2. Weight :: 1. 2. Color :: 1. 2.
More informationClient Enrollment Form Completed, signed and sent to us prior to your first day of class.
Thank you for your interest in Wag Club! We can t wait to meet your pup! Below is a checklist of pre-requisites to help you complete enrollment for Training Classes, the Puppies N Wine playgroup and Special
More informationOwner Liability Waiver and Health Certification
Owner Liability Waiver and Health Certification I,, hereby certify that my dog(s): is/are in good health and has/have not been ill with any communicable condition in the last 15 days. I further certify
More informationMEMBERSHIP APPLICATION
NoDa Bark and Board MEMBERSHIP APPLICATION Today s date: OWNER INFORMATION: (Please print) Name: Address: City: _ State: Zip: Home Phone: _ Cell: _ Employer: _ Work Phone: E-mail Address: EMERGENCY CONTACT:
More informationClient Information. Owner Name. Address. City State ZIP. Home Phone Work Cell
678-293-5933 www.puppytraining1on1.com @puppytraining1on1 Client Information Owner Name City State ZIP Home Phone Work Cell E-mail Occupation Employer Emergency Contact Name Home Phone Work Cell Pickup
More informationCamp K-9 Pet Resort General Information and Policies. Boarding Grooming Day camp Training. Please keep this sheet for your records
Camp K-9 Pet Resort General Information and Policies Boarding Grooming Day camp Training Please keep this sheet for your records Thank you for choosing Camp K-9 Pet Resort. The purpose of Camp K-9 is to
More informationDog Owner s Name. City State Zip. Cell Phone Home Phone. . Emergency Contact Number. Dog s Name Breed. Dog s Birthday.
HOUND HAUS L.L.C. Boarding Obedience Training Daycare Dog Owner s Name Address: City State Zip Cell Phone Home Phone Email Emergency Contact Number Dog s Name Breed Male Female Spayed/Neutered Dog s Birthday
More informationClient Information. Doggie Information
Client Information Client (Person) Name: Emergency contact(s) & numbers: Street Address: City, State, Zip: Phone1: Phone2: Phone3: Email: Alternate contacts: Who is authorized to pick up/drop off your
More informationCanine Enrollment Form
TODAY S DATE: *PLEASE PRINT CLEARLY IN INK* Full name and address (including zip) of owner / person/s responsible for payment: Driver s License Number: State license is issued in: Home Phone ( ) Work Phone
More informationPawington, LLC Boarding and Services Agreement
Pawington, LLC Boarding and Services Agreement Page 1 of 5 NOTICE TO THE PET OWNER/GUARDIAN: PLEASE READ CAREFULLY. THIS AGREEMENT INCLUDES A RELEASE OF LIABILITY AND WAIVER OF LEGAL RIGHTS AND DEPRIVES
More informationDay Care and Boarding General Information and Policies
Day Care and Boarding General Information and Policies Charlotte Dog Resort provides a safe, fun, and stimulating social environment for dogs. To ensure the safety and health of your dog(s), we require
More informationPaw Paw s Pets 3124 Broad Avenue Memphis, TN
Paw Paw s Pets 3124 Broad Avenue Memphis, TN 38112 901-286-5488 New Member Application Parent / Pet Owner Information Name(s): Address: City: State: Zip: Home Phone: Cell: Email: How did you hear about
More informationPaws & Claws. Pet Boarding. At Hector s Hay and Feed. 589 South Main St. Snowflake, AZ BOARDING AGREEMENT
Paws & Claws Pet Boarding At Hector s Hay and Feed 589 South Main St. Snowflake, AZ 85937 928-536-9963 BOARDING AGREEMENT Please read this agreement in its entirety before signing Pet s Name Sex M / F
More information6 Bourbon St. D Peabody, MA CONTACT INFORMATION
6 Bourbon St. D 978-854-5812 Peabody, MA 01960 luckydogsdaycare@gmail.com Pet's Name (s) Owner's Name (s) CONTACT INFORMATION Application Address City/State Zip Phone#1 Phone#3 Phone#2 Email Address VETERINARIAN
More informationDaycare/Overnight Boarding Master Record Enables us to provide the most comfortable & safe experience for your pet.
Daycare/Overnight Boarding Master Record Enables us to provide the most comfortable & safe experience for your pet. Rules and Regulations Trial Day/Date Monday Thursday (must be in at 7:00am) Health: All
More informationTOP DOG DAYCARE ADMISSION PACKET. Client Name Home Mobile Work. Client Name Home Mobile Work. Address.
Start Date TOP DOG DAYCARE ADMISSION PACKET Client Name Home Mobile Work Client Name Home Mobile Work Address E-Mail Emergency Contact (Not listed above) Home Mobile Work Vet Clinic Dog s Name Breed Birthday
More informationNEW MEMBER APPLICATION
NEW MEMBER APPLICATION WEST NASHVILLE 5001 ALABAMA AVE. NASHVILLE, TN 37209 PHONE 615.334.0000 FAX 615.790.0475 TDSWEST@thedogspot.com www.thedogspot.com PARENT INFO Name(s): Address: City: State: Zip:
More informationYOU RELEASE CREATURE COMFORTS KENNELS AND ITS AGENTS FROM ANY LIABILITY FOR SUCH INJURY
Creature Comforts Kennels Boarding Agreement This Agreement and the Supplements referred to apply to all visits by your Pet to Creature Comforts Kennels ( CCK ). 1. Services. We agree to provide the specific
More informationDumfries Animal Hospital Boarding and Grooming Policy Agreement
Dumfries Animal Hospital Boarding and Grooming Policy Agreement Kennel Type Charge per night Small 0-25 $25.00 Medium 26-50 $28.00 Large 51-100 $34.00 Giant 101-125 $36.00 X-Large 126+ $39.00 Boarding
More informationEnrollment Form, Pet Profile and Liability Release. Enrollment Form
Enrollment Form, Pet Profile and Liability Release A completed Enrollment Form and Pet Profile must be submitted for each pet attending Timberlane Pet Hospital & Resort before an interview is scheduled.
More informationFRIENDLY FARMS PET RETREAT APPLICATION
APPLICATION OWNER INFORMATION Name: Address: Telephone: Home Work Cell Email Address: If we are unable to reach you, whom can we call? Please provide name and telephone number. Please provide your veterinarian
More informationOwner s Name. Address. Primary Phone Alternate Phone. . Security Word (used for pick up verification) Other person authorized to pick up dog
Paws n Claws Playcare 1530 W 26 th St. Erie PA 16508 814-456-7297 fax 814-456-7299 Playcare Pet Profile Owner s Name Address City St Zip Code Primary Phone Alternate Phone Email Security Word (used for
More informationSweet Pea Kennels New Client Documents. Please to or fax to Name (First and last) Address
` Sweet Pea Kennels New Client Documents Please email to records@sweetpeakennels.com or fax to 573-534-0133 Name (First and last) Address City State Zip Home Number Cell Email Emergency contact Emergency
More informationDoggie Daycare/Boarding Application
Doggie Daycare/Boarding Application Date of Application: Dates of Daycare or Boarding: OWNER S INFORMATION: Name: Address: City/State/Zip: E-Mail Address: Home phone: Cell / Work phone: Persons allowed
More informationThe Pet Resort at Greensprings, Inc.
The Pet Resort at Greensprings, Inc. 2878 Monticello Avenue Office: 757-220-2880 Williamsburg, VA 23188 Fax: 757-220-0094 caring@williamsburgpetresort.com Boarding, Day Camp, Grooming & Training Agreement
More informationGuest Application and Care Agreement Form
Guest Application and Care Agreement Form Date: Owner or Guardian s Name: Address: City: State ZIP Phone Numbers (work) (cell) (home) E-Mail Additional contact name and number How did you hear about Paws
More informationAge: All dogs must be at least 16 weeks or older. Puppies and shelter dogs must have been at home for 2 weeks prior to coming to daycare.
Dogs @ Play Daycare Requirements To ensure the health and safety of your pet and of our other guests, we require that all of our clients comply with the following rules and regulations. Age: All dogs must
More informationDog Daycare/Boarding Enrollment Packet
Dog Daycare/Boarding Enrollment Packet Owner Information Name(s): Street Address: There is a $10.00 non-refundable evaluation fee for each dog enrolling in daycare or boarding services. Vaccination Records
More informationPLEASE KEEP THIS PAGE FOR YOUR RECORDS
General Information about All Pets Dog Daycare DOGS ALL dogs must pass a temperament test prior to their first day of daycare. Temperament tests generally last 1 hour and an appointment is REQUIRED for
More informationPet Personality Profile
Pet Personality Profile Owner s Information Last Name: First Name: Phone: (cell) (home) (work) Email: Emergency Contact Name: Phone: Pet s Information Name: Breed: Color: Sex: M F Spayed/neutered? Yes
More informationClient Contract Form
Last Name: 1691 Highway 357 Lyman SC, 29365 Phone: (864)655-5884 Fax: (864)655-5812 Support@theultimatepetlodge.com Client Contract Form Owner Information First Name: Address: City: State: Zip Code: Home
More informationDog Daycare. Pet Profile Enrollment Form. K-9 Kamp Downer Street Rd. Baldwinsville, NY Phone:
K-9 Kamp Dog Daycare Pet Profile Enrollment Form Please return this completed form along with a copy of your pet(s) vaccination records to: K-9 Kamp 228 Old Bridge Street East Syracuse, NY 13057 -OR- 2115
More informationDaycare, Boarding, Grooming, Training 6976 West 152 nd Terrace Overland Park, KS 66224
Daycare, Boarding, Grooming, Training 6976 West 152 nd Terrace Overland Park, KS 66224 Phone: 913-685-9246 (WAGN) Fax 913-685-1922 Email: info@tailsrwaggin.com Website: www.tailsrwaggin.com CLIENT PROFILE
More information3 DOGS BOARDING AND DAYCARE
3 DOGS BOARDING AND DAYCARE Owner Information Name Address City, State, Zip Email *Would you like to be added to our email list for daycare/boarding updates and availability? Yes No (this list is for our
More informationPlease read and answer ALL questions. You can use a? or NA when applicable. Guardian/Human's Name: Mailing Address: City/Town State Zip
New Doggy Dude Existing Dude's Updated Information Additional Doggy Dude Please read and answer ALL questions. You can use a? or NA when applicable. Guardian/Human's Name: Mailing Address: City/Town State
More informationOwner s Name. Address. City State Zip Code. Home Phone Work Phone Cell Phone. Address Occupation. Employer. Emergency Contact s Name
712 Fairview Street Houston, Texas 77006 (713) 521-7877 fax: (713) 521-7879 www.daisysdoghouse.com CLIENT INFORMATION Owner s Name Address City State Zip Code Home Phone Work Phone Cell Phone Email Address
More informationDOG ENROLLMENT FORM PET PARENT INFORMATION
DOG ENROLLMENT FORM Please complete the following questions to the best of your knowledge. This form and the subsequent evaluation are required before your dog can stay with us. This information will help
More information7254 South Washington Street Grand Forks, ND (701) (701) Fax E- mail:
DAYCARE & BOARDING OWNER INFORMATION OWNER #1 ADDRESS HOME PHONE WORK PHONE CELL PHONE E- MAIL OWNER #2 ADDRESS (IF DIFFERENT THAN ABOVE) HOME PHONE WORK PHONE CELL PHONE E- MAIL EMERGENCY CONTACT (OTHER
More informationDaycare Enrolment Form
Daycare Enrolment Form Office Use Only Enrolment Form Vaccination Record Signed Waiver Social Assessment Computer Entry First Day: How did you hear about WAG Canine? Contact Information Owner Information
More informationDog Boarding Agreement
Dog Boarding Agreement This is a contract between Gracieland (hereinafter called Kennel ) and the pet owner whose signature appears below (hereinafter called Owner ). Owner agrees to pay the rate for boarding
More informationThe Scruffy Puppy Hazlet, NJ scruffypuppypetcare.com
The Scruffy Puppy Hazlet, NJ 732-520-0454 scruffypuppypetcare.com In Home Dog Boarding Application & Agreement *Please PRINT clearly in blue or black ink & Fill in all applicable fields to the best of
More informationDaycare Application. Additional Owner s Name(s) authorized to drop off and pick up your dog
Fax (503) 990-6782 Daycare Application Dog s Name Date of Birth M F Breed _ Spayed/Neutered? Y N When? Weight Is your dog on a flea program? Y N If yes, product used Is your dog on a heartworm program?
More informationWoofgang s Doggie Daycare Application
Woofgang s Doggie Daycare Application OWNER INFORMATION: Name Address City Zip Cell/Primary Phone Secondary Phone Email EMERGENCY CONTACT: Name Primary Phone DOG INFORMATION: Name Female Male Age Birthdate
More informationDOGVILLE BOARDING APPLICATION FORM
DOGVILLE BOARDING APPLICATION FORM (Please answer all questions. Please fill out one form for each dog) Date: Your Name: Contact Information Street Address: Cell: Is this a good number to receive text
More informationTHE PURRING PARROT. Reservations, Deposit and Cancellation Policy
THE PURRING PARROT Client Information Owner s Name Date Address City State Zip Code Home Phone Cell Email Driver License Emergency Contact Phone Cell Phone Email Persons allowed to pick up and drop off
More informationNew Member Registration Form
New Member Registration Form Application Process: A completed New Member Application packet must be submitted to PetCoral via email, mail or in person. Applications and vaccine records take 24 hours to
More informationPeace of Mind Pet Sitting s Doggy Day Care & Pet Services NEW CLIENT INFORMATION PET PARENT INFORMATION DOG S INFORMATION
Peace of Mind Pet Sitting s Doggy Day Care & Pet Services NEW CLIENT INFORMATION PET PARENT INFORMATION First Name Last Name Best Phone Number E-mail Date Your Dog s Veterinarian Clinic Preferred Doctor
More informationThe Barking Orange Daycare Application (Updated September 2015)
The Barking Orange Daycare Application (Updated September 2015) Contact & General Information Your Name Street Address City, State, ZIP Code Home Phone Cell Phone Work Phone E-Mail Address How Did you
More informationDaycare & Sleepover Registration Form
Dog s Name Dog s Birthday Daycare & Sleepover Registration Form Owner(s) Information Name(s): Address: City: Postal Code: Home Phone: Cell: Business: Email: Emergency Contact Name: Address: Email: Home
More informationBARKING LOT RESERVATION FORM
Barking Lot Bldg. 1052 DSN: 253-3588 Int.: 011 81 82 779 358 BARKING LOT RESERVATION FORM Owner s Name: Check-In AM PM Check-Out AM PM 1.) This reservation is for PCS Regular 2.) Is this reservation for
More informationBoarding Consent/Registration Form
Boarding Consent/Registration Form Café Free Boarding (Daycare dogs onl Traditional Boarding Thank you for choosing Rex s Place and Rex s Place Boarding House to care for your pet(s) while you re away.
More informationCLIENT ENROLLMENT FORM
CLIENT ENROLLMENT FORM We require this agreement, registration form, and up-to-date vet records before your dog board or train at Ruffgers. If you choose opt-out of vaccinations for your dog, a Titer Test
More informationPet University D.B.A. PetU Terms and Conditions
GENERAL TERMS AND CONDITIONS Pet University D.B.A. PetU Terms and Conditions 1. Enrollment Procedures a. All customers of PetU are to review and agree to the Terms and Conditions set forth in this document,
More informationEmergency Contact Name Address Home phone Cell phone
3606 NE Columbia Blvd. Portland OR 97211 email: staypetreservations@gmail.com Phone: 503-288-7829 Fax: 503-288-8374 Owner Information Name Address City, State, Zip Email Cell phone Work Phone Home phone
More informationWADE S WIENERS BREEDING & BOARDING KENNELS BOARDING AGREEMENT
WADE S WIENERS BREEDING & BOARDING KENNELS BOARDING AGREEMENT OWNER S INFORMATION: Owner s Names: Address/City/State/Zip: Email Address: Phone: (Home) (Cell) _ Employment: (Phone) DOG S INFORMATION: Name:
More informationDog Sense. Owner s Name: Address: City/State/Zip Code: May we send updates on your pet? Text Photo Text . # visits/day: One Two (add $10/day)
Dog Sense P E T S I T T I N G F O R M Owner s Address: City/State/Zip Code: Home Phone: Email: Species: Cell Phone: # of Pets: Breed(s): May we send updates on your pet? Text Photo Text Email Start Date/Time:
More informationDog Daycare Agreement
Happy Paws @ Unleashed 647 Lewiston Rd, Topsham ME 207-725-7990 www.unleashed-pets.com Dog Daycare Agreement Owner s Name: Address: City: State: Zip: Primary Phone: Alternate: Cell Phone: Alternate: Work
More informationCAMPER PROFILE FORM CLIENT PROFILE. State Zip. Home Work Cell. Name Phone Relationship. Name Phone Relationship. Others authorized to pick-up my pet
CAMPER PROFILE FORM SNUGGLES AND HUGS 26781 HANNA RD. OAK RIDGE, TX 77386 936-443-3215 WWW.ACTIVEDOGCAMP.COM Please take a few minutes to complete this Application for your pet, one per pet please. It
More informationCity of Napoleon Dog Park Membership Application
Membership Application Owner Information First (s) Last (s) Mailing Address City State Zip Cell Phone Alternate Phone Email Address Emergency Contact Dog #1 Emergency Contact Phone Dog Information Color
More informationDOGTOPIA DOG ENROLLMENT FORM
DOGTOPIA DOG ENROLLMENT FORM We are thrilled your dog will be joining the fun here at Dogtopia! Please fill out the forms below, save and email to your preferred location. You can find each Dogtopia location's
More informationCat Boarding Enrollment Packet
Cat Boarding Enrollment Packet For Office Use Only Vaccines Checked In Computer Init.. Vaccination Records MUST accompany this form. Owner Information Name(s): Street Address: City: St: Zip: Home Phone:
More informationBellyrubs Doggie Daycare & Boarding LLC 1089 State Rte. 9 Gansevoort, NY (518)
Bellyrubs Doggie Daycare & Boarding LLC 1089 State Rte. 9 Gansevoort, NY 12831 (518)747-6815 www.bellyrubsdoggydaycare.com ABOUT US Bellyrubs is family owned and operated. We pride ourselves in our safe,
More informationRanger s Pet Outpost and Retreat Service Agreement
Ranger s Pet Outpost and Retreat Service Agreement 1239 Minnesota Avenue, Winter Park, Florida 32789 - (407) 622-4884 Fax (407) 622-5197 rangers@rangerspetoutpost.com Primary Contact Name Secondary Contact
More informationFeline Distemper (FVRCP) Parvovirus. In order for your pet to play in our daycare groups he/she must be neutered/spayed if over 9 months of age.
Boarding Registration Daycare Registration Thank you for choosing Just For Paws Pet Spa to care for your pet while you re away. Here is some helpful information regarding our requirements for boarding
More informationBOARDING AGREEMENT. Name: Address: Additional Owner Name: Emergency Contact(s): Phone : Phone: Persons authorized to pick up your dog(s):
BOARDING AGREEMENT Tell us about yourself Name: Address: City: Zip: Additional Owner Name: Email: ( by supplying email, you agree to receiving occasional emails from Total Canine) Emergency Contact(s):
More informationAll dogs must be at least 8 weeks of age or older. All dogs 7 months or older must be spayed or neutered.
GENERAL INFORMATION AND POLICIES Purpose: Sunny Acres Pet Resort Doggy Day Camp provides a safe, fun and stimulating social environment for dogs. To ensure the safety and health of your pet and our other
More informationBoarding Checklist. Here is a checklist of items that you may wish to bring when you board your pet( (s). The items with an * are required.
Here is a checklist of items that you may wish to bring when you board your pet( (s). The items with an * are required. * Dogs - Leash/Collar and/or Pet Carrier/Crate * Cats Pet Carrier and/or Leash *
More informationMember Application. Date: Member s Name. Address. City / State / Zip. Phone . Emergency Contact Name: Relation: Emergency Contact Phone:
Member Application Date: Member s Name Address City / State / Zip Phone Email Emergency Contact Name: Relation: Emergency Contact Phone: Membership Plan: Spa Fido Fitness Squash Full Facility All memberships
More informationHappy Hounds Doggie Day Care, LLC
Owner Information: Address: Happy Hounds Doggie Day Care, LLC Client Info Sheet Phone: Cell: Email: Additional Owner Information: Address: Phone: Cell: Email: Dog Info: Age: Breed: Sex: Weight: Additional
More informationSouth Paw Doggie Daycare & Training Center
South Paw Doggie Daycare & Training Center 24210 Parker Rd * Porter, Tx 77365 * (281) 354 7768* www.puppyschool.com Daycare Application Package Thank you for your interest in our doggie daycare. South
More informationPlaycare, Boarding, & Dog Walking Application
Playcare, Boarding, & Dog Walking Application Dog Owner Information Name Address City State Zip Work phone Home phone Cell Phone Email address How did you hear about us? Emergency Contact Information Name
More informationRanger s Pet Outpost and Retreat Service Agreement
Ranger s Pet Outpost and Retreat Service Agreement 1239 Minnesota Avenue, Winter Park, Florida 32789 - (407) 622-4884 Fax (407) 622-5197 rangers@rangerspetoutpost.com Primary Contact Secondary Contact
More informationAt the proper age they must be spayed or neutered. Discuss with WagsInn
Welcome to Wags Inn!!!! Your dog s home away from home The kind of lodging your dog prefers!! Keep informed thru our website Make your reservations on line www.wagsinn.com Join us on Facebook How to prepare
More informationOWNER INFORMATION. City State Zip. How many pets do you have? # Dogs # Cats # Other. How did you hear about us? EMERGENCY CONTACT INFO
OWNER INFORMATION Name Address City State Zip Email How many pets do you have? # Dogs # Cats # Other How did you hear about us? EMERGENCY CONTACT INFO This should be an alternate person, which has permission
More informationDOGTOPIA DOG ENROLLMENT FORM
DOGTOPIA DOG ENROLLMENT FORM We are thrilled your dog will be joining the fun here at Dogtopia! Please fill out the forms below, save and email to your preferred location. You can find each Dogtopia location's
More information2203 Durham Dr Houston, TX t f e.
2203 Durham Dr Houston, TX 77007 t. 713.426.5700 f. 281.501.2767 e. info@yuppiedogdaycare.com New Client Package Thank you for choosing Yuppie Dog for the care of your dog(s)! Please complete and fax the
More informationAllBreed s Canine Care Application
AllBreed 2357 Ventura Drive, Ste 102 Obedience & Woodbury, MN 55125 Behavioral school for dogs www.allbreedobedience.com AllBreed s Canine Care Application 651/704-9785 em: Aobedience.aol.com PLEASE PRINT
More informationOwner s Name: Address: City: State: Zip: Home Phone: Cell: Name of Dog: Breed: Weight: Color: Birthdate: Gender: Spayed: Neutered:
SMARTER THAN YOUR DOG STYD! ************************************** Daycare-Boarding-Grooming-Supplies Everything your companion needs and a little extra! Daycare-Boarding Agreement Owner s Name: Address:
More informationReservations, Deposit and Cancellation Policy
THE PURRING PARROT Client Information Owner s Name Date Address City State Zip Code Home Phone Cell Email Driver License Emergency Contact Phone Cell Phone Email Persons allowed to pick up and drop off
More informationPAWS IN TIME PET RESORT
PAWS IN TIME PET RESORT CLIENT INFORMATION Name Date Address City State Zip Home Phone # Name & Cell # Name & Cell # Email address How did you hear about us? Current client? name PET INFORMATION Veterinarian
More information