Age: 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.

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1 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 be at least 16 weeks or older. Puppies and shelter dogs must have been at home for 2 weeks prior to coming to daycare. Sex: All dogs over the age of 7 months must be neutered or spayed. Vaccinations: All dogs must have up-to-date vaccinations. Owners must submit written proof (easily provided by all vets) that their dogs have current C5 vaccinations. Health: All dogs must be in good health. Owners will need to certify that their dog is in good health and has not been ill in the last 30 days. On admission all dogs must be free from any illness condition that could potentially be communicated to other dogs. Once admitted, please alert Play Day Care staff to any change in your dog s health that requires medication, even if we will not be required to administer it. Behaviour: Owners will need to certify that their dog has not harmed or shown aggression or threatening behaviour towards any persons or other dogs. Application: All dogs must have a complete, up-to-date and approved application on file prior to attending daycare. There is a $25.00 non-refundable application-screening fee. Rates: Due and payable in advance or on the day of each service. Days and Hours: For your convenience Play Daycare is open Monday - Friday from 7 am to 7 pm. Dogs can be dropped from 7.00am (no earlier) and must be picked up by 7pm. A late pickup will be charged at $10 every fifteen minutes or there part of. After hours contact number is: Reservations: Required. Cancellations with less than 24 hours notice and no-shows will be charged full fees. What to Bring: Your dog must be have a collar with ID tag and be walked on a lead at all times to and from the centre. All items should be clearly labelled with your dog s name. Please do not bring personal items like toys or bones as this is a cage free environment, we cannot guarantee their exclusive use. We have water bowls, treats and toys. Feeding: We are able to provide a Royal Canin Dry Dog Food or BARF Frozen Patty meal for your dog at an additional small charge of $2 per day. Alternatively you may bring your own dog food if required. Medication: Please clearly label medications and include written instructions with your dog s name, type of medication, dosage, and frequency. Please include only enough medication for the length of your dog s stay. Please alert us in advance if you know your dog will require medication. Play Day Care reserves the right to refuse a dog for daycare if they display signs of a communicable illness or are taking medication for the same. Please understand this is to ensure the general health and welfare of all dogs in the care of Play. Page 1

2 Date Check the box that corresponds to the program(s) you are interested in: Daycare Puppy School Grooming Owner Information (Please Print) Name Address Suburb State Post Code Home Phone Mobile Employer Work Phone Ext Address Emergency Contact Name Home Phone Work Phone Mobile Pet Information 1. Name Breed Sex Date of birth/ Age Desexed? 2. Name Breed Sex Date of birth/ Age Desexed? Veterinary Clinic Practice Telephone Address Suburb State Post Code Vet name Page 2

3 General Information How did you hear about Play Day Care? PET PERSONALITY PROFILE How old was your dog when you got them? Where did you get your dog? If adopted, do you have knowledge of your dog s past history? If yes, describe: Has your dog ever attended daycare before? If so, where? Number of people in your household Adult males Adult females Children/ages Is your dog in regular contact with children? How does your dog relate to children? Has your dog every chased, barked or growled at a child? Perhaps on a bike or skateboard. If so please comment. Do you have any other pets? If yes, how do they get along? Page 3

4 Health and Grooming Is your dog on a flea prevention program? If so which one? Is your dog on a heartworm prevention program? If so which one? Is your dog on a gastrointestinal prevention program? If so which one? Does your dog have any hip/joint problems? Has your dog ever been x-rayed? If yes, what restrictions need to be placed on your dog s activities or movements? How does your dog react to having his/her nails clipped? Does your dog have any sensitive areas on his/her body that he does not like touched? Does your dog take any medication? (aside from worm prevention pills) Has your dog been sick recently? If yes, when, and what was the treatment? Does your dog have any known allergies or food restrictions? Page 4

5 Behaviour How does your dog react to new people/dogs coming into your house? Do they growl, bark, hide, wag their tail, jump up? Are there any kinds of people/dogs that your dog automatically fears or dislikes? Tall people? Short people? Elderly? Postman? Has your dog ever bitten a person or another dog? What were the circumstances? Has your dog ever growled at someone or another dog? What were the circumstances? Does your dog growl when eating a bone and you get too close or another dog gets too close? Has your dog ever snapped at someone or another dog? What were the circumstances? Is your dog overly frightened or nervous about anything? Vacuum, Thunder, Fireworks, Umbrellas How does your dog react to other dogs approaching when you re out on a walk- dog they growl, bark, wag tail a. On lead b. Off lead Has your dog ever jumped or climbed over a fence? How high was it? Page 5

6 Does your dog have any problems in the following areas: Mouthiness (chews on your hands, clothing) Housetraining Excessive barking Chewing/Destructiveness Coprophagia (eating his/her own feces or other dogs /cats feces) Separation Anxiety (crying when left alone, barking) Has your dog ever growled or snapped at anyone taking food or toys away? Has your dog ever growled or snapped at another dog taking food or toys from them? How often and where does your dog socialisation with other dogs? Is your dog fearful or aggressive around small/large dogs? Are you able to remove things from your dog s mouth? How does your dog react to puppies? Is your dog travel cage trained? What do you do with your dog when you are not at home? What kind of collar do you walk your dog in? Do they pull on the lead, walk next to you or behind you? What obedience training has your dog had? What commands do they understand? Page 6

7 Other comments or information about your dog that you feel might be helpful: Please make sure to read and sign our waiver page attached Page 7

8 WAIVER AND RELEASE OF LIABILITY In consideration of being permitted to have my dog(s) attend daycare at : 1. I acknowledge that: (a) In admitting my dog(s), is relying solely on my representations that my dog(s) is in good health and has not harmed or shown aggressive or threatening behaviour towards any person, animal or thing; (b) is a cage free environment and I accept that there are inherent risks associated with such an environment, including (but not limited to): (i) Transfer of communicable illness, such as kennel cough (ii) Injuries, including broken nails, abrasions, cuts and sore pads; and (iii) Behavioural problems; (c) Although carefully screen all applicants, occasionally it is discovered that this is not an appropriate environment for every dog. retains the discretion to temporarily or permanently remove my dog(s) from the daycare at any time; (d) I have read and understood the Play Waiver and Release of Liability and the Play Daycare Rules and Regulations. 2. I agree that: (a) I am solely responsible for any loss, damage or harm caused or contributed by my dog(s) while it is attending daycare at ; (b) While my dog(s) is in the care and custody of and in the case that I cannot be contacted and/or in the event of an emergency,, its agents and/or representatives may seek immediate veterinary care for my dog. (c) I am responsible for all costs associated with clause 1(c) and clause 2(b), and will provide Play Ptd Ltd with my credit card details so that it may be used for the payment of such costs; (d) I will abide by the rules set out in the Play Waiver and Release of Liability and the Play Daycare Rules and Regulations, accepting all terms, conditions and statements contained within. 3. I release, and its employees and agents, from all liability, and indemnify Play Pty Ltd from any and all claims of every kind and nature whatsoever, arising directly and indirectly, from my dog(s) participation in activities or use of service, including any legal claims and medical expenses. I HAVE READ THIS AGREEMENT, UNDERSTAND ITS TERMS, and UNDERSTAND THAT I AM WAIVING CERTAIN LEGAL RIGHTS BY SIGNING IT. Signature of Dog Owner Date Print Name Page 8

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