Dog Tired Doggie Daycare/Boarding Application Process

Dog Tired Doggie Daycare/Boarding Application Process 1. All dogs must have a completed application on file with Dog Tired. 2. All owners must sign our Health & Temperament Agreement & Emergency Veterinary Release. Once we have received your paperwork and shot records we can then schedule an assessment evaluation for your dog. We will carefully review your dog s ability to interact with other dogs in a safe and appropriate manner by doing one on one introductions with dogs on leash one dog at a time. We will group your dog based on activity level, size, and age. The goal is work into a group of 5 or more dogs. We want your pup to have 100% positive experience during their assessment. If your dog is uncomfortable at any point during this process, we will pause the process and try again in the afternoon or an additional assessment day may be required. All dogs have different levels of experiences and social skills, so some may take longer than others to become comfortable in a group setting; this is normal. This process must be conducted in order to determine if your dog meets the criteria for our doggie daycare program and typically takes 3-5 hours. A full report will be give to the owner at the end of the assessment on our recommendations for your dog. We typically recommend a couple of days of doggie daycare per week for a consecutive month to get them used to our program and also helps us to get to know your dog for individualized care. PLEASE NOTE: The Application and Veterinary Records/Release MUST be completed and reviewed by Dog Tired staff 24 hours minimum PRIOR to your dog s interview/assessment. Interviews with incomplete paperwork will not be considered. We must have it no later than 5PM the day before your dog s assessment. If you are from out of town, please call our office for additional information in regards to assessments, daycare and boarding. 4. Hours of operation: 7am-6:30pm Monday- Friday. Closed 12-2 for doggie nap time. Saturday and Sunday hours of operation are 7am-9:30am & 4pm-6:30 PM. Drop off/pick Up Hours: Mon-Fri 7am-11:30am or 2:00-6:30. Weekends 7-9:30am or 4pm-6:30pm. Required & Recommended items to pack for Overnight Boarding * Your Dog Food & Treats (House food is available for $3-5 per meal) *Extra Bedding From Home With Your Scent *Medications *Anything else you feel will make your pup more comfortable. *Toys (We ask that you do not send any toys that you want returned, as they are considered a donation to the play yard). PLEASE KEEP THIS PAGE FOR YOUR RECORDS

Dog Tired Pet Services, LLC Owner Agreement THE PARTIES TO THIS AGREEMENT AGREE AND ACKNOWLEDGE THAT THIS RELEASE INVOLVES INTERSTATE COMMERCE AND THAT ALL DISPUTES ARISING UNDER THIS AGREEMENT SHALL BE RESOLVED THROUGH BINDING ARBITRATION PURSUANT TO THE SOUTH CAROLINA UNIFORM ARBITRATION ACT, AS MODIFIED HEREIN. 1. I understand that I am solely responsible for any harm caused by my dog(s)/cat(s) while my dog(s)/cat(s) are attending, daycare, boarding, or grooming at Dog Tired Pet Services, LLC. 2. I further understand and agree that in admitting my dog(s)/cat(s), Dog Tired Pet Services, LLC has relied on my representation that my dog(s)/cat(s) is/are in good health and have not harmed or shown aggression or threatening behavior towards any person or any other dog. 3. Vaccinations: All dogs/cats must be current on all vaccinations including for dogs: Distemper/Parvo, Rabies, & Bordetella (kennel cough) each year. Proof of vaccinations will be required every year. Dogs on a Holistic Care Plan must provide written documentation from your veterinarian. Owner recognizes and accepts that while their pet is at Dog Tired Pet Services, LLC it may be stressful to the pet and will not hold Dog Tired Pet Services, LLC responsible for induced illness, injury, behavior change, or weight gain or loss during or after their stay. Dog Tired Pet Services, LLC reserves the right to decline acceptance of a pet if found to have medical condition or exhibits behavior that renders the opinion that our facility is not in the best interests of the pet. 4. I further understand and agree that Dog Tired Pet Services, LLC as well as their staff and volunteers, will not be liable for any claims, liability or damages arising from my pet s boarding and care at Dog Tired Pet Services, LLC facility. I hereby release them of any liability of any kind whatsoever arising from my dogs(s)/cats attendance and participation at Dog Tired Pet Services & Cat Naps Too. All pets boarded or otherwise handled or cared for by Dog Tired Pet Services, LLC without liability on company s part for loss or damage from disease, theft, fire, death, escape, injury, or harm to persons, other pets, or properly by said pet or other unavoidable causes, due diligence and care having been exercised. The client waives and relinquishes any and all claims against Dog Tired Pet Services LLC, its employees and/or independent contractors, except those arising from gross negligence. 5. Emergency Contact: Client agrees to provide Dog Tired Pet Services, LLC with contact information where he/she can be reached while away. Client will also provide a name and phone number of someone who is authorized to handle any major problems that may arise. If Client or designated contact person cannot be reached in a timely manner, Client agrees that Dog Tired Pet Services, LLC may resolve emergencies at its sole discretion. 6. Emergency Care: I further understand and agree that any problems that develop with my dog(s) will be treated as deemed best by staff and volunteers of Dog Tired Pet Services, LLC in their sole discretion, and that I assume full financial responsibility for any and all expenses involved. Dog Tired Pet Services may in its sole discretion, may engage the service of a veterinarian of its choosing, administer medication, which expenses thereof shall be paid by owner.

7. All dogs must arrive on leash wearing a flat, quick release, snap on collar for their safety. Collars should neither be too tight nor too loose. Identification on their daycare collar is recommended. Collars will be removed during play for safety precaution. 8. Fleas: Owner agrees that their pet is free of fleas. If pet(s) has an infestation, the pet(s) will be treated at the owner s expense of minimum $10 and Maximum $150. 9. Rates: Assessments are $24 per dog. The rates for daycare are: Half Day (5 hours or less) $18, Full Day- $24 ($5 Off 2 nd Dog), or packages of 5 Days for $115, 10 days $240, 20 days $420, 30 Days $600. Packages may carry over from month to month. Packages expire within 6 months. Boarding rates 1 Dog: Executive Suite $42/night; 4*3 Suites $37/Night, crated stays are $32/night. Multiple family pets are each $5 Off if physically sharing the same sleeping area only. Private Play dogs are $30/daycare and $10 additional per dog per night due to extra time in handling & care. 10. Cancellation & Holidays: Dog Tired Pet Services, LLC requires a 6:30PM notice of cancellation prior to day of day care. Less than requested notice may result in Client being billed for 50% of the fee for booked services. Any boarding cancellations prior to major holidays; ie: Christmas Eve, Christmas Day, New Years Eve and New Years Day, Easter Sunday, Memorial Day, July 4 th, Labor Day and Thanksgiving Day with less than a seven day notice will result in 50% of the total invoice for scheduled day care/boarding to be paid. We request your understanding that holiday travel is a peak service time for pet care. 11. Deposits for Holidays: A 50% deposit is required to hold all reservations during the above listed holidays. 12. Payments: Payment for dog daycare, boarding, and grooming are due upon pick up of pet. Owner shall be liable to Dog Tired Pet Services, LLC for all unpaid charges. All charges are non refundable. Payments accepted: Cash, Check, Visa, Mastercard & Discover. Credit Cards may be kept securely on file at Dog Tired Pet Services, LLC. I authorize my credit card to be charged for services. (Initial) 13. Form of payment: Visa Mastercard Discover Name as it appears on Card.: Card Number: Expiration Date: Vin: Billing Address if different from address listed on front: 14. Dog Dismissal & Daycare Packages Transfers: If a dog is dismissed from Dog Tired Pet Services s, LLC group play daycare program, who has purchased a prepaid package, the remaining days in the package may be applied to other pet services such as private play, grooming/bath, or in home pet sitting. No refunds will be given. 15. Food For Pets: Owner agrees to provide pet s diet for all services. If owner does not provide food for boarding or requests a daycare lunch, there will be a $3 charge per meal for dogs under 30 lbs and $5 per meal for dogs over 30 lbs.

16. Temperament/Assessment Test: I understand that if my dog does not participate in the temperament/assessment test prior to boarding, my dog may not interact with any other dogs during its stay. 17. Late Pick Ups: If you pick up after 6:30 PM there will be a $20 after hours charge. If we have not heard from the owner by 7:00 PM, the dog(s) will be moved to boarding at the owners expense; boarding and meal rates will be applied. 18. Abandonment Of Pet: Abandoned pets left without contact (phone or email) from owners over 7 days after end date of original scheduled reservation, may go to a rescue group or a shelter that may require euthanasia. The owner will be responsible for costs during abandonment period prior going to rescue or shelter. All fees accrued with rescue group or shelter will be the responsibility of the owner. 19. Grooming: Owner assumes the responsibility to provide clear and complete grooming instructions including haircut. Owner assumes the responsibility to understand and accept the pricing for grooming services requested for the services performed by Dog Tired Pet Services. Owner agrees that their pet is free of fleas. If pet(s) have an infestation, the pet(s) will be treated at the owner s expense of min $10 and Max $150. Excessive matting may require additional fees. 20. Baths Only: Dogs left over 5 hours for bath (shampoo, nails, and ears,) will be subject to full daycare charge of $24 per dog. 21. Pre-Existing Conditions: Dog Tired Pet Services, LLC will not be responsible for pre-existing medical conditions including but not limited to; heart conditions, skin allergies/inflammation, moles, surgical sites, arthritis, hip dysplasia, ear infections, fatty and non-fatty tumors etc. on any pets for any services. Owner is to advise Dog Tired Pet Services, LLC of any medical conditions in writing. 22. Photography: I allow Dog Tired Pet Services, LLC to photograph my pet(s) while in their care. These photos may be used for marketing purposes. 23. Arbitration and Jurisdiction. All parties to this agreement agree that the exclusive jurisdiction for the resolution of all disputes arising in any manner concerning this agreement or any addendum to or extension of same shall be in the State of South Carolina, County of Charleston and that South Carolina Law shall govern all such matters. Any arbitration between the parties shall be conducted in Charleston County, South Carolina. In the event the parties cannot agree upon a single arbitrator, each shall appoint an arbitrator who must be a member of the Charleston County Bar Association, having at least ten (10) years experience in general business or real estate matter. The arbitrators so appointed shall agree upon a third arbitrator. In the event that the arbitrators so appointed by the parties cannot agree upon a third arbitrator, the presiding Circuit Court Judge of Charleston County shall appoint a third member of the arbitration panel. Each party shall bear its own costs incurred in the course of said arbitration, including the payment of the arbitrator s fees and expenses, however, the prevailing party shall be entitled to an award of all costs, expenses, and attorney s fees incurred at the discretion of the panel.

24. Limitation on Liability: The parties expressly agree that the maximum liability of Dog Tired Pet Services, LLC to its customers, clients and pet owners shall be, under all circumstances, the fees paid by customer, client or pet owner to Dog Tired Pet Services, LLC. I certify that I have read and understand the rules and regulations set forth above page and that I have read and understand this entire agreement. I agree to abide by the rules and regulations and accept all the terms, conditions and statements of this agreement. All provisions of this Contract shall be binding upon both parties thereunto for this visit/service and for all subsequent visits/services. Owner: Dog(s) Date: Dog Tired Pet Services Rep: Date:

DOG TIRED PET SERVICES, LLC EMERGENCYVETERINARY CARE AUTHORIZATION & RELEASE Client Full Name: Pets: Phone Numbers: Home Cell Work In the event any pet of mine becomes ill or injured while in the care of Dog, LLC (the Service ), I hereby authorize the Service to transport the pet to any available veterinarian to diagnose and treat its condition. I authorize the Service at its discretion to obtain veterinary care from any veterinarians in the same clinic, or a different veterinarian /veterinary clinic, or an emergency care clinic, as it deems appropriate. I understand that all efforts will be made to contact me regarding my pet s condition, diagnoses and suggested treatment. However, if it is not possible to contact me, I authorize any veterinarian or any emergency care clinic to diagnose and treat my pet at his/her discretion, if applicable: to a maximum treatment limit of $ per pet. PLEASE DO NOT LEAVE BLANK. I further authorize my pet s veterinarian to provide access to medical records for my pet(s) to any additional veterinarian(s) or clinics who are involved in providing treatment or care to my pet(s). I understand that I am solely responsible for the payment of and/or reimbursement to the Service for any and all veterinary services rendered, including but not limited to diagnosis, treatment, medical supplies, kenneling, and special diet. I agree to pay all such costs within 5 days of receiving notice of same. I further agree to pay the Service s charges for emergency transportation, supervision and emergency care giving within 5 days of being invoiced for the same. OPTIONAL Credit Card Information for Emergency Care Only Visa Master Card Amex Card No.: Exp: Vin: I authorize my credit card to be charged for Veterinary Care. Billing Address of Card if different than Above: Client Signature Print name Date Dog Tired Pet Services Representative Print name Date

Dawg Tired & Cat Naps Too Dog Off Leash Dog Application Owner Information: Name: Address: City: State Zip Code: Home Phone: Cell 1 Who: Cell 2 Who: Work: Email: Email 2: Emergency Contact (other than Self) Name Phone Name Phone How did you Hear About Us: Drive By/Sign Low Country Dog Marketing Event: Internet Site (Google, Yahoo) Who Can We Thank for Your Referral Name: Veterinarian: Telephone: Address: We love dogs and want your dog to love coming to our off-leash playgroup. No one knows your dog better than you, so we d appreciate you taking the time to fill out this application. The more we know about the dogs in our care, the better our playgroups will be. THIS MUST BE COMPLETED TURNED IN AND PRIOR TO ASSESSMENT. Dog Information Please submit one application for each dog who you would like to have in off-leash play Dog Name: Sex: Weight: Current age: Birthday: Estimate If Unknown Spayed/Neutered: Breed: If a mix, list two predominant breeds in behavior:

1. How long have you owned your dog? Has your dog ever been to OFF LEASH group dog daycare before?! Yes! NO Name of Facility: How Long Ago in Months or Years: Color/Markings: Last Rabies Shot: DHLP: Bordetella Copy Of Vaccinations Attached?! Yes! NO Years: Months: Proof Of Bordetella! Yes! NO 2. Where did you get your dog? Newspaper Ad Breeder Pet Store Animal Shelter Animal Rescue Group Friend Found As Stray Other What knowledge do you have of your dog s past history? 3. Why are you considering our off-leash dog play program for your dog? (check all that apply) Play with other dogs So not home alone exhibits symptoms of separation anxiety Exercise for: Primary source or Additional source of exercise Recommended by other pet professional (trainer, vet, etc.); Reason: Other: 4. Which of the following best describes your dog s level socialization with other dogs: None No knowledge of other dog interaction Minimal On leash encounters only Moderate Some off-leash playtime on occasion with visitor s/neighbor s/friend s dog(s) Extensive Regular visits to dog social events, off-leash dog parks, dog daycare, etc. 5a. Has your dog had any problems previously in an off-leash social environment? No Yes, (check all that apply) Altercation or fight at a public dog park Altercation or fight with a neighbor or friend s dog Fearful reaction in a group of dogs Dismissed from a prior dog daycare or social playgroup program (complete item 5b) Other (please describe) 5b. Only complete if you answered yes in 5a that your dog was dismissed from a prior program. What reason were you given as to why your dog was dismissed? Check each statement below that applies to the situation that resulted in your dog s dismissal. My dog was injured, no medical treatment required My dog was injured and required medical treatment Another dog was injured, no medical treatment required Another dog was injured and required medical treatment A person was injured, no medical treatment required A person injured and required medical treatment Provide any other comments you want us to know about this situation. 2

Health History 6. Please describe your dog s flea/tick control and prevention program: 7. Does your dog have any allergies? Yes No If yes, please explain: 8. Does your dog have any physical disabilities? Yes No Please explain disability & cause: If answered yes, what restrictions need to be placed on your dog s activities or movements? No jumping No running No hard play No contact with other dogs Other (Please explain) 9. Does your dog have any medical conditions? Yes No If yes, please explain: Does your dog take medications?! Yes! NO If Yes Please fill out medication information 1. Name Dosage Time of Day Given with (Circle) Pill Pocket, Cheese, Pnutbutter, or mixed in food 2. Name Dosage Time of Day Given with (Circle) Pill Pocket, Cheese, Pnutbutter, or mixed in food 3. Name Dosage Time of Day Given with (Circle) Pill Pocket, Cheese, Pnutbutter, or mixed in food 10. Provide Details Of Your Dog s Diet a. Type (kibble, canned, raw/natural): b. Brand (Innova, Iams, Purina, etc.): c. Primary Protein source: d. Feeding Schedule: AM Lunch Dinner (circle) Amount Each Meal in Cups 11. Does your dog have any bathroom-related issues or concerns? 12. How does your dog react to having his/her nails clipped? 13. Does your dog have any sensitive areas on his/her body? Yes No If yes, where? 14a. How frequently is your dog walked outside? 14b. How long are your walks? \ 15. Check the box below that best represents your dog s overall level of exercise routine: Couch Potato: Spends days sleeping, occasional walks and/or playtime with humans or other dogs. Mild Exerciser: Short daily walks and/or regular playtime with human or other dogs. Moderate Exerciser: Long or multiple walks daily and/or regular playtime with human or dogs. Athlete: Regular jogs/runs and/or regular participation in a dog sport activity such as agility, flyball, frisbee, etc. Revised 7/14 3

Household Information 16. Complete table with information on other pets in household: Breed Age Sex Spayed or Neutered 1. Male Female Yes No 2. Male Female Yes No 3. Male Female Yes No Do you have cats? Yes No If yes, how many cats do you have? How does your dog get along with your cats? How does he react to unfamiliar cats he sees on walks? 17a. Does your dog like children? Yes No 17b. How does your dog behave around children? 17c.How does your dog get along with other household animals? 18. Do any visitors bring their dog(s) to your house? Yes No If yes, how do they get along? 19. How does your dog react to a stranger coming into your home or yard? 20. Are there any types and/or breeds of dogs that your dog seems to automatically fear or dislike? Yes No, If yes, please describe: 21. How does your dog react to puppies? 22. How does your dog react to another dog approaching him/her in a park, at the beach, or on a walk? a. On Leash: b. Off Leash: 23. Does your dog play with other dogs? Yes No If yes, which type? Male and females Only males Only females Please describe size, breed, & temperament of the other dogs: 24. Has your dog ever shared his/her food or toys with other animals? Yes No If yes, how does your dog react to another dog approaching his/her food or toys? 25. Which commands does your dog know? (please check all that apply) Sit Stay Down Come Heel Rollover Kisses High Five Other: 4

26. How did your dog get his/her obedience training? (Please check all that apply) Attended one group class Attended more than one level of group classes (beginner and intermediate,etc.) Dog was sent to a board and train program Private sessions in home Other, please explain: 27. Which of the following best describes the use of obedience cues with your dog at home? Key part of daily communication Used when we go on walks or have people over Used occasionally to better control behavior Rarely used Not applicable 28. What kind of a collar do you use to walk your dog? Buckle Nylon/Chain Choke Collar Harness Leash Clips on Back Harness Front Clip Head Collar Prong/Pinch Other: 29. Is it effective in keeping him/her under control? Yes No 30. Has your dog ever gotten away from someone when out for a walk? Yes No If yes, please explain circumstances: 31a. Where does your dog sleep? Inside the house Outside the house Inside/Outside-varies Is your dog crate trained? :! Yes! NO 31b. In which room in the house does your dog sleep? 31c.Where in the room does your dog sleep? Crate Owner s bed Dog Cushion/Bed on floor Other (Please describe) 32. Has your dog ever jumped up on someone? Yes No If yes, what were the circumstances? 33. What does your dog do to show he/she is happy? 34. What does your dog do to show he/she is upset? 35. Is your dog allowed on the furniture at home? Yes No 36. Does your dog have any problems in any of the following areas? If yes, please explain. Mouthing Housetraining: Barking: Digging: Ignoring commands: Jumping: Dog Behavior Information 37. Description of your dogs usual play style? Easygoing short games, wrestle, chase, vocal during play, rough, non stop play, alpha -wants to be in charge, submissive. Additional Info: Revised 7/14 5

38. Are there any particular types of people your dog seems to automatically fear or dislike? 39. Has your dog ever growled at someone? Yes No If yes, what were the circumstances and how did you respond? 40 A. Has your dog ever bitten a person? Yes No If yes, what were the circumstances and how did you respond? Please describe injuries (if any). 40 B. Has your dog ever bitten another animal? Yes No If yes, what were the circumstances and how did you respond? Please describe any injuries if there were any. 41. Has your dog ever climbed/jumped a fence? Yes No If yes, what were the circumstances? How high was the fence? 42. Has your dog ever escaped from your house or yard? Yes No If yes, please explain the circumstances: 43. How would you describe the energy level of your dog? Low Medium High 44. Has your dog ever chased or tried to chase a small animal? Yes No If yes, what were the circumstances? 45. Has your dog ever chased someone (or wanted to) on a skateboard or bicycle? Yes No If yes, what were the circumstances? 46. Is your dog frightened by thunderstorms? Yes No If yes, describe typical behavior & what specifically helps to relax your dog or calm his/her fear. 47. Is your dog frightened or nervous around anything else? Yes No If yes, please explain. 48. Does your dog play with any toys? Yes No If yes, what kinds of toys does your dog like? 49. Has your dog ever growled or snapped at a person or dog who has taken food or toys away from him/her? Yes No If yes, what were the circumstances and how did you respond? 50. Have you ever noticed your dog stopping and staring at another animal? Yes No If yes, what were the circumstances? Is there anything else we need to know about your dog?: 6