Print packet out and bring with you.....(if you cant print it out I do have copies available I can give you at our meet -n- greet)

(*full payment by either cash or check is expected on drop off date)

Danni’s Darling Dawgs Daycare and Boarding 
1.)Owner’s name___________________________

2.)Address________________________________

3.)Telephone #_____________________________

4.Email___________________________________

Incase of emergency contact: (if I cannot be reached the following person(s) has the authority to pick up or authorize care for my pet, including but not limited to medical care)

Name____________________________________

Telephone #_______________________________

 
Vet information

Name of vet__________________________________

Address_____________________________________

Telephone #__________________________________

Pet info

1.)Pet’s name________________ 2.)Breed________________________

3.)Sex______________________ 4.)Microchip Id__________________

5.)Identifying traits or tattoos____________________________________

6.)Age___________

Medical info

1.)Is your pet spayed or neutered?_____________

2.)Known allergies_____________________________________________

3.)date rabies vaccination________________________________

4.)Medications and instructions for each:

___________________________________

___________________________________
Care Instructions

1.) Treats allowed          YES                 NO

2.)Canned food brand___________________ amount_____________ Frequency___________

3.)dry food brand________________ amount __________ frequency ________

4.)Bathroom command______________________________________________

5.)Tips for making my pet feel loved and comfortable____________________

__________________________________________________________________

6.)Other special instructions___________________________________________

___________________________________________________________________


Behavior 1.)Does your dog have any behavior issues?________________________________________________________________________________

_____________________________________________________________________________________


2.)Has your dog ever bitten someone?_____________________________________________________________________________

_____________________________________________________________________________________

3.)Does your dog have any fears or dislikes?______________________________________________________________________________

_____________________________________________________________________________________

Permission for:

1.) To use photo’s taken of your pet during daycare or boarding for advertising?   YES        NO

2.)To transport your pet for a trip to the park or any other dog related activity ?    YES        NO

3.)To provide transportation and authorized medical care for your pet in lieu of your absence?
  YES      No
 (signature required)________________________________________________

4.)  Could I give your name or email to future clients as a reference?    YES       NO
"Hold harmless" Agreement and & liability release for Danyell Secore's Doggy Daycare.

Responsibility & liability:

I feel confident that Danyell Secore and family makes every effort to provide a clean, safe and open environment for pets left in her care. I agree to leave my pet for daycare, boarding at my own risk. I have researched the environment and agree with "open play" and "outside exercise" that would be provided. I understand all dogs do bite and am aware of the risk of injury to my pet & that I am responsible for any injury, physical or financial damage caused by pet to another pet, person or facility .I will not hold Danyell Secore and family responsible, If an accident, injury ,illness death or loss of my pet occur while in her care.


SIGNATURE______________________________________________________ DATE_______________________