(813) 333-1004 service@westfetch.com Day Care and/or Dog Boarding Application Owner Home Cell Phone Number(s) Address City Email Address Other Phone # Work Date ST Zip ST Zip (number you can be reached at while you are away) Emergency Contact Phone # Veterinarian Phone # Address City Doggie #1 Name Breed Gender DOB Weight Color 1. 2. 3. 4. House broken? Yes No Crate trained? Yes No Spayed/Neutered? Yes No Medication? Yes No If so, please give details (type, dose amount, etc) 5. 6. 7. Flea/Tick Preventative: Frontline Advantix Trifexis None Other: Allergies? Yes No (if yes, please list details below) Do they have any of the following traits? (Please note details at the end of this section as needed) Possessive (food, toys etc) Sound Sensitive (storms, fireworks) Separation Anxiety Allowed on Furniture Climber Digger Leaper Chewer 8. Ever bitten a person or another dog? Yes No (If yes, please explain below) 9. Ever caused damage to the house or household items? Yes No (If yes, please explain below) 10. Do you crate or restrict room access when you leave the house? (please give some details) Yes 11. 12. 13. 14. Barker Marks No Car or motion sickness? Yes No Do you take your dog to dog parks? Yes No Are they OK playing in groups of dogs? Yes No Ever been to a day care before? Yes No If yes, why did you stop or are looking to change? Should any of these types of dogs be kept away from your dog? Small Large Hyper Young Any others and please offer details why: 15. Feeding instructions (how much and how often fed) 16. Where do they sleep at night (crate, their own bed, etc)? Owner Initials ______ Document1, Page 1 of 4 Doggie #2 Name Breed Gender DOB Weight Color 1. 2. 3. 4. House broken? Yes No Crate trained? Yes No Spayed/Neutered? Yes No Medication? Yes No If so, please give details (type, dose amount, etc) 5. 6. 7. Flea/Tick Preventative: Frontline Advantix Trifexis None Other: Allergies? Yes No (if yes, please list details below) Do they have any of the following traits? (Please note details at the end of this section as needed) Possessive (food, toys etc) Sound Sensitive (storms, fireworks) Separation Anxiety Allowed on Furniture Climber Digger Leaper Chewer 8. Ever bitten a person or another dog? Yes No (If yes, please explain below) 9. Ever caused damage to the house or household items? Yes No (If yes, please explain below) 10. Do you crate or restrict room access when you leave the house? (please give some details) Yes Barker Marks No 11. 12. 13. 14. Car or motion sickness? Yes No Do you take your dog to dog parks? Yes No Are they OK playing in groups of dogs? Yes No Ever been to a day care before? Yes No If yes, why did you stop or are looking to change? Should any of these types of dogs be kept away from your dog? Small Large Hyper Young Any others and please offer details why: 15. Feeding instructions (how much and how often fed) 16. Where do they sleep at night (crate, their own bed, etc)? Any special instructions for either dogs or notes from above? Any medical conditions we should be aware of? Any additional info? Boarders Only: I’d like to include dogs(s) in day care activities (no extra charge)? Owner Initials ______ Document1, Page 2 of 4 Yes No Boarding Rates Weight Age Off-Peak Nightly Rate Less Than 20 lbs 20 – 79 lbs 80+ lbs Any Over One Year Over One Year Over One Year 6 Mo – 1 Year $55 $60 $65 $65 Peak Nightly Rate Thanksgiving & Christmas (see dates below) (see dates below) $60 $65 $70 $70 $65 $70 $75 $75 Sorry, we cannot accept puppies under 6 months that have not completed all of their booster shots. Two (2) night minimum charge for boarders. Three (3) night minimum for Thanksgiving and Christmas holidays. Peak Dates: Mar 1st through and including Labor Day (Spring & Summer), Thanksgiving Weekend (Wed – Sat Nights). Please check our website for Christmas and New Year’s as these dates change each year. DISCOUNTS: o Seven (7) or more nights will be discounted 10%. o Second guest discounted at $5 per night (can be combined with the extended stay 10% discount). Check in and out at any reasonable time, however we do request you set up an appointment to drop off and pick up your pet(s). For check out between 12:00PM and 5:00PM, a late check out of $30 will be assessed per pet. After 5:00 pm, another night is billed per pet. Rates subject to change without notice Day Care Rates $30/day for day care participants. No extra charge for boarders Minimum Charge: WestFetch requires a $300 minimum for new clients. WestFetch will allow for a one week (5 consecutive days) “test run”. After the test run, the minimum payment will be required for continued service. Full amount must be used within six (6) months of the first day at day care (after any test run if there is one) or the unused amount will be forfeited. Policies Cancellations o Boarding: WestFetch, Inc. reserves the right to charge a cancellation fee as noted below (minimum of one night) to any cancellations, in whole or part, made to your reservation. Exceptions to the cancellation penalty are inclement weather, life threatening emergencies or a death in the family. 14 days or less from check-in date (21 days or less for holidays) – 50% Cancellation Fee 7 days or less from check-in date (14 days or less for holidays) – 100% Cancellation Fee o Day Care Less than 24-hours notice, one full day will be charged Your pets must be up to date on all shots (Rabies, Bordetella and DA2PPC) at least 30 days prior to check in. Documents from your vet are required. All puppies under must have completed all of their puppy booster shots (usually by six months of age) All pets must be spayed/neutered (with exception to puppies). All pets are required to visit us prior to first-time boarding or day care. Please call or email us to arrange for an appointment. All pets must be flea and tick free. Any pets arriving with fleas and/or ticks will be washed with a flea & tick shampoo or dip and the owner will be charged $25. What to Bring (Boarders Only) In order to best mimic the comforts of home during their stay, please bring the following: Food for the duration of the stay must be supplied and enclosed in a sealed container (Ziploc, Tupperware) along with written feeding instructions. Any medication required with written instructions Crates, beds, blankets, food bowls, leash Optional: Toys (please note we cannot guarantee the condition of the toys upon return). Owner Initials ______ Document1, Page 3 of 4 Agreement Owner understands that WestFetch’s day care property is includes a natural outdoor environment with grass, dirt, trees, etc. WestFetch will make every reasonable effort to ensure the pets are kept as clean as possible but without overly limiting the enjoyment of the pet’s play and fun times outside. Owner understands that it is very possible for their pets to return home happy and tired but not necessarily as clean as they were. Owner certifies that the pet is in good overall health and will disclose all and any potential health issues to WestFetch. Owner agrees to pay for all services in full. Late payments will be subject to a $20 late fee that will be assessed the day after the due date and every 30 days thereafter where payment in full is not received. A finance charge of 18% APR will be applied on any outstanding balance overdue. Returned checks will be subject to a $30 fee or maximum allowable by law. Owner agrees to pay all costs and charges for special services requested and all veterinary costs for your pet during the time the pet is in the care of WestFetch, should it be required. If the pet becomes ill or if the state of the animal’s health otherwise requires professional attention, WestFetch, in its sole discretion, may engage the services of a veterinarian, administer medicine or give other requisite attention to the animal and the expenses thereof shall be paid by the Owner. By signing this and leaving your pet with WestFetch, the owner certifies they have given full disclosure and accurate information regarding their pet(s). For myself, my heirs and any assigns, I hereby release WestFetch its agents, officers, subcontractors, employees, animal parents, customers and potential customers of WestFetch and the owner or lessor of WestFetch’s business premises from any and all liabilities for injuries to myself, my dog, or any other property of mine which arise in any way out of services and/or products provided by or as a consequence of my association with WestFetch. By signing below below, I/We waive any claims for any damages, punitive or otherwise, against all parties listed above. Owner is fully responsible for all medical expenses and damages resulting from an injury to any person or other animals by the pet(s). Owner agrees to indemnify and hold harmless WestFetch, Inc in the event of a claim by any person injured by the pet(s). By signing below, I certify that I am the actual owner of the listed pets and have full authority to enter into this agreement for and on the behalf of any other owner(s) or representative. X Signature Owner Initials ______ Date Document1, Page 4 of 4