Daycare New Client Signup Please submit separate applications for each dog who will be in our care. We want your dog to love coming to our off leash daycare and boarding. 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 your dog, the better we can provide. We do not accept dogs that are dog aggressive for daycare or boarding. Proof of vaccinations must be received BEFORE your dog's arrival. No dog will be allowed to stay if we do not have current shot records. We do accept titer test. They must be done within one year of stay. Vaccinations required: Bordetella - Yearly, Dhpp - Every 1-3 years (per your vet's recommendations), Rabies - Every 3 years. DAYCARE SIGNUP FORM Owner's Name (required) Your Email (required) Home phone # Cell phone # Owner address City , State Zip Code Emergency Contact Emergency contact phone Veterinarian's name Veterinarian's phone How did you hear about us? DETAILS ABOUT YOUR DOG Dog's name Dog's breed Dog's color and any unique markings Dog's age How long have you owned your dog? Gender MaleFemale Spayed/Neutered? YesNo Where did you get your dog? Newspaper AdBreederPet StoreAnimal ShelterAnimal Rescue GroupFriendFound as a StrayOther What knowledge do you have of your dog's past? Which of the following best describes your dog's level of socialization with other dogs: None-no knowledge of other dog interactionMinimal-On leash encounters onlyModerate-Some off leash playtime on occasion with visitor's/neighbor's/friend's dog(s)Extensive-Regular visits to dog social events, off leash parks, dog daycare, etc. Has your dog had any problems previously in an off leash social environment? YesNo If you answered "Yes" to the previous question, check all that apply Altercation or fight at a public dog parkAltercation or fight with a neighbor's or friend's dogFearful reaction in a group of dogsDismissed from a prior dog daycare or social playgroup program Has your dog ever shared his/her toys or food with other animals? YesNo If you answered "Yes" to the previous question, how does your dog react to another dog approaching his/her toys or food? No reactionGrowls or snaps How does he/she react to your taking food or toys away? No reactionGrowls or snaps How does your dog react to strangers? Has your dog ever climbed or jumped a 6-foot fence to escape? YesNo Has your dog ever dug under a fence to escape? YesNo Does your dog wear a bark or shock collar at home? YesNo Is your dog crate trained? YesNo Is there any type and/or breeds of dogs your dog seems to automatically fear or dislike? YesNo If you answered "Yes" to the previous question, please explain: Has your dog ever bitten another dog? YesNo If you answered "Yes" to the previous question, did it require a trip to the vet? YesNo Are there any particular types of people your dog seems to automatically fear or dislike? YesNo If you answered "Yes" to the previous question, please explain: Has your dog ever bitten a person? YesNo If you answered "Yes" to the previous question, did it require medical attention? YesNo Has your dog been through an obedience class? YesNo If you answered "Yes" to the previous question, where? Do you follow through with the obedience at home? YesNo What commands does your dog know? Check all that apply: SitStayDownComeLeave it Does your dog have any allergies? YesNo If you answered "Yes" to the previous question, allergies to what? Does your dog have any medical conditions? YesNo If you answered "Yes" to the previous question, please explain: Select the box that best represents your dog's overall needs of exercise: Couch Potato: Mostly spends days sleeping, occasional walks or play time with humans or other dogsMild Exercise: Requires short daily walks and/or regular playtime with humans or other dogsModerate Exercise: Requires long or multiple walks daily and/or regular playtime with humans or dogsAthlete: Requires jogs/runs and/or participation in a dog sport activity Does your dog have any problems in the following areas? Separation anxietyBarkingDiggingEscapingBolting out doorwaysEating foreign objects (including rocks) How does your dog react to another dog approaching him/her in a park, at the beach or on a walk? On leash: Off leash: Is your dog frightened or nervous of anything? YesNo If you answered "Yes" to the previous question, describe the typical behavior and what specifically helps to relax your dog or calm his/her fear? FOR DAYCARE: Why are you considering our off leash dog play program for your dog (check all that apply)? Play with other dogsSo not home aloneExercisePrimary sourceor Additional source of exerciseRecommended by other pet professional (trainer, vet, etc.) If you answered "Recommended" to the previous question, explain the reason: FOR BOARDING: Does your dog have any physical disabilities that would keep him/her from playing with other dogs? YesNo If you answered "Yes" to the previous question, explain disability and cause: Describe your dog's play style: Easygoing short gamesWrestles, chase, vocal during playRough, nonstop play, alpha, wants to be in charge Please describe your dog's behavior when upset: Moves away, hides, submissiveBark's shakes, whimpersGrumpy, growly, snappyHave not seen any of these behaviors Does your dog show any signs of having prey drive? No indicationChases play styleChases squirrels, cats, bikes, cars, etc. Complete the table with information on other pets in your household: Breed Age Sex Spayed or Neutered MF YesNo MF YesNo MF YesNo MF YesNo Do you have cats? YesNo If you answered "Yes" to the previous question, how does he/she get along with your cats? Pet’s Health Record (must be accompanied by veterinarian records): We must have proof of the following vaccinations before your pet arrives: Bordetella: intranasal every 6 monthsinjectable or oral every year Dhpp:every one to 3 years (per your vets recommendations). Rabies: every 3 years. Is there anything else you would like us to know about your dog? This agreement constitutes permission to board said animal and perform duties as stated in the relevant Pet Information Sheet. Any changes to this agreement must be done so in writing or they will be null and void. Doggy Come Play has the right to make any changes to this agreement at will and without notice. With any changes a new agreement will be presented before any new services are rendered. POLICIES AND PROCEDURES The client hereto agrees as follows: All dogs whether boarding or in daycare or are otherwise handled or cared for by Doggy Come Play without liability on Doggy Come Play part for loss or damage from disease theft fire death running away injury or harm to persons other dogs or property by said dog or other unavoidable causes unless arising from gross negligence on the part of Doggy Come Play. The client understands that all pets must have a veterinarian and must be current with all vaccinations Vaccinations must be given far enough in advance to be effective. We suggest two weeks. We also require vaccination against kennel cough which is very common among boarding facilities. Please bring vaccination record with you before or during admission or pets will not be admitted Pets over 7 months of age must be spayed or neutered. We at Doggy Come Play take extreme caution with our boarding and daycare dogs However every dog reacts differently and animals by nature are unpredictable and therefore present a certain level of risk. Acknowledge and understand that there are certain risks involved in participating in day care or boarding. Most injuries that occur during play are not serious in nature but occasionally a vet visit is involved. EACH DOG OWNER IS RESPONSIBLE FOR HIS DOGS VETERINARY CARE SHOULD IT EVER BE NEEDED AND CRITTER SITTERS ASSUMES NO RESPONSIBILITY FOR VET COSTS The client understands that they must express any known behavioral and or aggression problems. Client is solely responsible for any harm caused by their pet to any employees other pets or owners or property. Doggy Come Play does provide food bowls and bedding however if you decide to provide your own, Doggy Come Play is not responsible for those items. Please label all items including medications with pets name. Doggy Come Play does not accept aggressive animals for boarding or daycare. Doggy Come Play does not accept dogs that will climb or jump a 6 foot fence at boarding or daycare. If you think your dog might you are leaving him or her at your own risk. Doggy Come Play reserves the right to take pets to vet if necessary. Doggy Come Play will, when possible, use clients vet if immediate attention is needed. Doggy Come Play will otherwise seek medical help from Chuckanut Valley Vet Clinic located at 896 N Burlington Blvd, Burlington, WA or, for after hours emergency calls, from Pet Emergency Center at 14434 Avon Allen Road, Mount Vernon, WA. Client acknowledges responsiblity for these charges. Doggy Come Play reserves the right to deny service or terminate service to anyone for any reason including safety concerns to other dogs, financial concerns or inappropriate or uncomfortable situations. The client agrees if pet is not picked up or we are not notified within 5 days after scheduled pick up date Doggy Come Play will consider the pet to be abandoned and will place the pet in protective care of a rescue group or humane society. Payment is expected after services are rendered. In the event of additional unforeseen costs such as food supplies or vet fees, payment is expected when dog is picked up. Payments may be cash or check only. We do not accept credit cards. All dogs must be on leash when arriving and leaving the facility. All dogs must wear a nylon cloth or leather collar with their name on it while in our care. No choke chains prong collars harnesses or chain martingale collars. Filling out this form will be considered as your signature for forms sent via email and means you fully understands and agree to the contents of this agreement. Type your full legal name By checking the box below and clicking send, I acknowledge that I have read and understand the terms and conditions of this contract. I accept these terms and conditions.