Daycare Enrollment Form

Enrollment Form

Are you applying to daycare or boarding? *

Daycare Boarding Both

* Indicates required field

Name *

First

Last

Email *

CELL PHONE *

HOME PHONE *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Emergency Contact *

Emergency Contact Phone *

Veterinarian *

Veterinarians Phone *

How did you hear about us? *

DETAILS ABOUT YOUR DOG

Dogs Name *

Breed *

Color *

Age *

How long have you owned your dog? *

Gender *

Male Female

Spayed or Neutered? *

Yes No

Where did you get your dog? *

What knowledge do you have of your dogs past? *

Which best describes your dogs level of socialization? *

None - No knowledge of other dog interactions Minimal - On leash encounters only Moderate - Some off leash playtime Extensive - Regular visits to dog socials, off leash park, dog daycare, etc.

Has your dog had any previous problems in an off-leash social environment? *

Yes No

If you answered yes, please explain below: *

Does your dog tolerate sharing toys or food with other dogs? *

Yes No

If not, please explain their reaction below: *

How do they react to their food or toys being taken from them? *

No reaction Growls or snaps

How does your dog react to strangers? *

Has your dog ever climbed or jumped a 6-foot fence to escape? *

Yes No

Has your dog ever dug under a fence to escape? *

Yes No

Is your dog crate trained? *

Yes No

Is there any type or breed of dogs that your dog automatically fears or dislikes? *

Yes No

If you answered yes, please explain below: *

Has your dog ever bitten another dog? *

Yes No

If you answered yes, please explain what happened below: *

Are there any particular types of people your dog seems to automatically fear or dislike? *

Yes No

If you answered Yes, please explain below: *

Has your dog ever bitten a person? *

Yes No

If you answered yes, please explain what happened below: *

Has your dog been through obedience class? *

Yes No

Please list all commands that your dog knows: *

Does your dog have any allergies? *

Yes No

If yes, what are they allergic to: *

Does your dog have any medical conditions? *

Yes No

If you answered Yes, please explain: *

Does your dog have any physical disabilities? *

Yes No

If you answered yes, explain disability and cause: *

Please select which one best describes your dogs overall needs of exercise: *

Couch Potato: Mostly spends days sleeping, occasional walks or playtime Mild Exercise: Requires short daily walks or regular playtime Moderate Exercise: Requires long / multiple walks daily or regular playtime Athlete: Requires jogs / runs or participation in a sport activity

Does your dog have any issues in the following areas? *

If you have selected an issue, please describe what your dog does: *

HOW DOES YOUR DOG REACT TO ANOTHER DOG
APPROACHING THEM?

Off-Leash *

On-Leash *

Is your dog frightened or nervous of anything? *

Yes No

If you answered Yes, describe the typical behavior and what helps them calm down? *

Choose which best describes why are you considering our off leash play program? *

Improve socialization Not home alone Excercise Recommended by another pet professional (Trainer, Vet, ect.)

Choose which best describes your dogs play style: *

Easy going short games Wrestle / Chase Rough / Non-stop play Alpha / Wants to be in charge

Please describe your dogs behavior when upset: *

This agreement constitutes permission to care for 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. 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. For Boarding, payments may be cash or check only. Only Daycare will 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 collarsharnesses 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. By entering my name and clicking send I acknowledge that I have read and understand the terms and conditions of this contract. Please enter your full legal name. *