Application

Application 2018-05-09T20:50:29+00:00
Sign Up
Owner's Name
Dog's Name
Color
Breed
DOB
Weight
Male / Female
Spayed / Neutered?
Feeding schedule (if staying overnight):
Morning amount and routine:
Evening amount and routine:
Medications (Please list all medications):
MorningAfternoonEvening
MorningAfternoonEvening
MorningAfternoonEvening
Getting To Know Your Dog
Can your dog have a blanket in his/her crate?
Is there any type of PERSON, type of DOG, or SITUATION that makes your dog seem uncomfortable?
How long have you had your dog?
Where did you get your dog?
Has your dog ever growled at or bit a PERSON?
If YES, please describe:
Has your dog ever growled at or bit another DOG?
If YES, please describe:
Can you take a food item away from your dog without him/her growling?
Will your dog readily share toys with other dogs?
Are there any areas on your dog’s body where he/she DOES NOT like to be touched by humans?
If yes, please describe:
Has your dog ever played with dogs over 15 pounds?
Has your dog ever played with dogs under 15 pounds?
Has your dog ever socialized with a large group of dogs(8 or more)?
Are there any restrictions that should be placed on your dog’s activities?
If yes, what activities?
Does your dog have any allergies or any other medical conditions?
Has your dog ever jumped a fence or barrier?
If yes, please describe:
Other than the owner, people authorized to pick up:
Agreement

I, the undersigned, hereby acknowledge and agree that all the information provided in this Application is complete and accurate to the best of my knowledge.

I have read and understand the attached Waiver of Liability, Assumption of Risk and Indemnification Agreements.

I further acknowledge and agree that I have read, understand and agree to all terms and conditions contained in the Policies, Procedures and Guest Release.

I hereby execute the above mentioned Agreements for my dog, myself and my heirs, successors, representatives and assigns.

I further attest that if I am not the sole owner or representative of the dog subject to this application, that my signature is sufficient to enter into these Agreements for and on behalf of any other owner or representative.

Signature
Date