Boarding Service Agreement Date: File Number: Phone Number: Pet Names: 718-229-9247 info@waggersdogdaycare.com This agreement is between Waggers Dog Daycare, Inc. and______________________________(hereinafter referred to as “client”) who resides at__________________________________________________________. Phone Number: _________________ Cell Number: _________________ Other Number: _______________ Email: _________________________ How did you hear about us? _________________________________ Who can we call in the event of an emergency: _________________________________________________ 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. Waggers Dog Daycare, Inc. 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. Rate: $_______________ per day Payment for Services: Cash Check Card Type: Visa MC DC Credit Card AX Card #: _______________________________ Exp. Date: __________ Signature: _____________________________ Date: ______________ *In the event of a returned check, the client must pay the entire invoice and a $30 fee promptly via cash only. Credit Card kept on file for all boarding customers. Will charge at Check Out time or client may chose to pay with alternative method. *Forms on next pages: Veterinarian Release Form read and signed: Yes No Relevant Pet Information Sheet(s) filled out: Yes No Additional information/comments: ©Copyright 2009 by Home Business Forms Policies and Procedures The client hereto agrees as follows: 1) Waggers Dog Daycare, Inc. and its employees agree to provide services stated in this agreement in a reliable and trustworthy manner. In consideration of these services and as an express condition thereof, the client expressly waives any and all claims against Waggers Dog Daycare, Inc. or its employees, unless arising from gross negligence on the part of Waggers Dog Daycare, Inc. 2) 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 require about 2 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 pet(s) will not be admitted. 3) The client understands that all pets must be treated with a flea, tick and heartworm preventative. If fleas are found on pet, a flea bath will be given at owner’s expense. 4) The client understands that we will not administer sedatives to your pet -- regardless if they are veterinarian prescribed. If your pet needs this type of medication you need to make arrangements for your pet to be hospitalized with your veterinarian. 5) Waggers Dog Daycare, Inc. does not diagnose, prognose, nor make therapy decisions nor does it offer veterinary services. Any veterinary/medical concerns will be referred to a veterinarian. 6) Waggers Dog Daycare, Inc. will not board acutely ill animals or those with uncontrolled medical conditions. We suggest the pet be boarded with a vet. Certain medical conditions may also be referred to a veterinarian for boarding. Pets infected with Feline Aids, FIP, ringworm or any other contagious disease will not be admitted. 7) The client understands that the animals interact with other animals and employees. The client must express any known aggression problems that the animal has with other pets or people and must be free of any communicable diseases. The pet is being admitted based on client’s representation. 8) Client is solely responsible for any harm caused by their pet to any employees, other pets/owners, or property. Client agrees to reimburse Waggers Dog Daycare, Inc. for all costs (including, but not limited to, medical care and lost wages) associated with exposure to pet(s). 9) Waggers Dog Daycare, Inc. does not provide food, and bedding; however, if you decide to provide your own, Waggers Dog Daycare, Inc. is not responsible for those items. Please label all items including medications with pet’s name and owner’s name. It is recommended that the client provide the pet’s own food as a change in diet can cause upset stomachs. 10) Waggers Dog Daycare, Inc. does not accept aggressive animals. Client understands if a playgroup setting is requested for your pet that accidents do happen. Client understands Waggers Dog Daycare, Inc. will not be responsible for scrapes, scratches, playful bites, transmission of diseases, etc. as these things are common amongst play groups. 11) All dogs must be accompanied by a leash or they will not be admitted. Collars will be removed during your pet’s stay for safety reasons. All other pets must arrive in their own, CLEAN cages. 12) Waggers Dog Daycare, Inc. reserves the right to take pet(s) to vet if necessary. Client is responsible for all charges including, but not limited to, vet fees and transportation fees. 13) Waggers Dog Daycare, Inc. reserves the right to deny service or terminate service because of safety concerns, financial concerns, or inappropriate or uncomfortable situations. 14) The client agrees if pet is not picked up, or we are not notified, within 5 days after scheduled pick up date, Waggers Dog Daycare, Inc. will consider pet abandoned and pet will be dropped off at nearest shelter. 15) Payment can be made before or after services are rendered. In the event of additional unforeseen costs (such as food, supplies, flea bath, vet fees, etc.), payment is expected at the completion of services or a late charge of $20 will be applied and invoiced per month. 16) Cancellations must be received 2 days prior to the scheduled boarding day or a $25 cancellation fee will apply. We must be notified within 2 days of an early return or you will be charged for the remaining number of booked days. There will be a $5 fee for late pick-ups. If pet is not picked up by 30min after close it will remain for another night and will be billed for another boarding day. Check out time is 12pm any dogs picked up after 12pm will be charged $10 till 4pm and $20 till 7pm By signing below the client fully understands and agrees to the contents of this agreement: _________________________________________ Client’s signature ©Copyright 2009 by Home Business Forms _______________ Date Dog Boarding Information Sheet 718-229-9247 *Please fill out one form for each dog so that we may provide the best possible care for your pet. Thank you. Dog’s Name: ______________ Sex: M / F Date Altered: ________ Breed: _________________________________ Colors/Markings: __________________________________ Has your dog every attended a boarding facility: Yes □ No □ If yes, where: _______________________ Pet’s Health Record (must be accompanied by veterinarian records): Date of Last Fecal Exam: _________________________ Flea/Tick Preventative: _______________________________ Date Last Given:________________________ Any known allergies, medical problems or restrictions: ____________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ Has your dog been ill with any communicable diseases in the past month: Yes □ No □ If yes, please describe: _____________________________________________________________________ Vaccination Dates: Must provide records from Veterinarian I, _________________________, have entered the above information as truthfully and accurately as possible. ___________________________________________________ Client Signature Date ©Copyright 2009 by Home Business Forms Veterinarian Release Date: File Number: Owner’s Phone Number: Owner’s Name: 718-229-9247(WAGS) Email:Info@Waggersdogdaycare.com Pet Information Veterinarian Information Type of Animals: _____________________________ Veterinarian: ___________________________ Animal’s Names: _____________________________ Address: ______________________________ Birth Dates: _________________________________ Phone: _______________________________ Known medical conditions: ____________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ During my absence, Waggers Dog Daycare, Inc. will be caring for my pet(s). In the event of an emergency, I authorize you (veterinarian) to administer medical treatment and will be responsible for payment to you (veterinarian) upon my return. I, _________________________________, give Waggers Dog Daycare, Inc. permission to transport my pet(s) to the above veterinarian and authorize treatment in the event of an emergency or sickness. If this veterinarian is not available, I authorize Waggers Dog Daycare, Inc. to transport my pet(s) to a veterinarian of choice and authorize treatment. If emergency care is needed after regular office hours, my pet(s) may be taken to the nearest Veterinarian Emergency Clinic/Hospital. I give permission to Waggers Dog Daycare, Inc. to approve treatment up to $__________________ (input maximum dollar amount or “no limit”). I agree to be responsible for all charges upon my return including, but not limited to, vet fees, extra visit fees and transportation fees. I agree to authorize veterinarian to euthanize my pet in extreme circumstances after all reasonable attempts have been made to reach me or my emergency contact. In the event of my pet’s death, I would like the pet cremated / kept at vet / other: _________________. I agree that Waggers Dog Daycare, Inc. is released from all liability related to transportation to and from veterinarian and treatment for sickness or emergency. This release will remain valid for all current and future visits unless a new release is signed. Client’s Signature ©Copyright 2009 by Home Business Forms Date