SPOT for Dogs, LLC
REGISTRATION AND RELEASE
Owner’s Information
Parent’s Name:____________________________
Address: __________________________________
City, State, Zip: ____________________________
Persons authorized to pick-up
or drop-off your pet: ________________________
How did you hear about us?
Today’s Date:
Home Telephone:
Business Telephone:
Pager/Cell Telephone:
Email Address:
Your Dog’s Information
Dog’s Name: ____________________________
Color(s):
Breed (if mix, best guess): __________________
Sex:
Birthday (or best guess, month/year): _________
Weight:
Is your dog spayed/neutered? [ ] Yes [ ] No
(all dogs must be spayed or neutered after 7 months)
Dog’s behavior with people: [ ] Fearful [ ] Aggressive [ ] Dominant [ ] Submissive [ ] Other:
Explain:
Dog’s behavior with other dogs: [ ] Fearful [ ] Aggressive [ ] Dominant [ ] Submissive [ ] Other.
Explain:
Has your dog ever bitten another dog or a human? [ ] Yes [ ] No
Explain:
Veterinarian Information
Veterinarian Office:
Veterinarian Telephone:
Veterinarian Address:
Flea Control (ex. Frontline) ___________________
Heartworm Prevention (ex. Heartguard) _________
*Please check your dog for fleas prior to arrival.
We reserve the right to inspect for fleas and
refuse admittance to flea carrying dogs.
Describe any health problems:
Vaccination Expiration Dates: (Please provide a
copy of your shot records from your vet)
Rabies:
DHLP or DHLPP:
Parvo-virus:
Bordatella (kennel cough):
Heartworm Test:
24 Hour Care (Boarding Dogs Only)
We ask that you supply us with your own dog food in order to maintain your dog’s normal diet. If you choose
not to, we will serve your dog our “house food” for $2/day. In addition, you are encouraged to bring anything
that will help your dog feel more at home (toys, bedding, etc.).
Feeding Instructions: Breakfast:
Described any needed Medications:
Lunch:
Dinner:
SPOT for Dogs, LLC reserves the right to change your dog’s level or type of boarding/daycare immediately if we believe it is necessary to
protect the health and well being of your dog, other dogs, or employees.
SPOT for Dogs, LLC cannot guarantee toys, blankets, or beds will be returned in the same condition as delivered to us.
All dogs over 7 months old must be spayed or neutered and must have all vaccinations. We require proof of these vaccinations. Dogs must
not have been exposed to any illness within a 30 day period prior to a visit at SPOT for Dogs, LLC. Owner agrees to notify SPOT for Dogs,
LLC of any exposure to any virus, infection or other transferable illness and will not bring dog to SPOT for Dogs, LLC until dog is symptomfree for a reasonable period to be determined by dog’s veterinarian or until written approval is obtained from a veterinarian. Owner further
agrees not to bring dog to SPOT for Dogs, LLC if dog is exhibiting any signs of illness that may be harmful to the other dogs in attendance,
such as vomiting, diarrhea, extreme lethargy, etc., without first obtaining approval from SPOT for Dogs, LLC.
Changing a dog’s food can cause severe upset stomach. SPOT for Dogs, LLC recommends you bring your own food. There is a $2 per day
charge for feeding your dog our “house” food (Wellness) should you not provide your own food.
Dog Owner understands the risks involved with communal boarding of dogs. Our boarding and daycare dogs play inside and outside with
other dogs. Although we offer reasonable care, the unpredictable personality of dogs can sometimes lead to injury or spreading of illnesses,
such as Kennel Cough.
Dog Owner expressly agrees that SPOT for Dogs, LLC liability for any circumstances related to the dog shall in no event exceed the current
chattel value of a dog of the same breed, without regard to parentage or pedigree, as the dog delivered by Owner to the facility pursuant to
this contract.
Owner represents to SPOT for Dogs, LLC that all credit card information Owner has provided is accurate. Owner further represents that all
information he/she has provided to SPOT for Dogs, LLC is accurate, and that he/she is over 21 years of age.
SPOT for Dogs, LLC reserves the right, without notice, to adjust its fees for services. Please inquire at the front desk as to our current fees.
Our policy regarding BOARDING charges is as follows: A boarding charge applies when a dog stays in our facility for a 24-hour period. On
your check out day, a four-hour grace period will be allowed after your pick up time. Owners of dogs picked up after this four-hour window
will be charged for a day of daycare. Upon a dog’s departure, a daycare charge is added only when the dog’s checkout time is more than four
hours after his check in time.
Owner agrees that if dog becomes ill or if the state of the dog’s health otherwise requires professional attention, SPOT for Dogs, LLC, in its
sole discretion, may engage the services of a veterinarian of our selection or administer medicine or give other requisite attention to the dog,
and the expenses thereof shall be paid by the Owner. Owner gives consent to SPOT for Dogs, LLC to act in the Owner’s behalf in obtaining
emergency veterinary care at Owner’s expense if deemed necessary by SPOT for Dogs, LLC or any of its employees, officers, directors,
agents, etc. Owner agrees to indemnify and hold SPOT for Dogs, LLC, its owners, members, managers, and employees harmless from: The
expenses associated with such veterinarian care and treatment; and, the acts or omissions of any licensed veterinarian so engaged to
provide services to Owner’s dogs.
Owner agrees to pay all charges for special services requested, all veterinary costs for dog during the time said dog is in the care of SPOT for
Dogs, LLC (including transportation to/from the veterinarian clinic), and all fees incurred by Owner through Owner’s failure to comply with
SPOT for Dog’s cancellation policy.
Owner agrees to pay the rate for day care and/or boarding in effect on the date Owner checks dog into SPOT for Dogs, LLC.
Owner hereby grants SPOT for Dogs, LLC a lien on owner’s dog for any and all unpaid charge resulting from daycare, boarding, or any other
service provided by SPOT for Dogs, LLC.
Owner assumes any and all expenses or liability for injuries that Owner’s dog may inflict on any human or other dog while in the facility.
Owner agrees to indemnify and hold SPOT for Dogs, LLC and its employees harmless from any and all expenses and liability incurred as a
result of injuries Owner’s dog inflicts upon any human or other dog while in the facility.
All dogs must have an identification tag with either a phone number or address of the Owner. We recommend the tag include the dog’s
name. All dogs must be on a leash when entering or leaving the premises.
By signing below, I understand and agree to abide by any and all policies outlined in this agreement; and, that this Agreement constitutes the
sole and entire agreement between us concerning your dog. This agreement shall be governed by Georgia law.
Signature:________________________________________
Date:_______________