Dogs At Play Registration Information

Owner's Name

First Last

Additional Owner's Name (if applicable)

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Cell

Home

Work

Email

Emergency Contact: Name

First Last

Phone

Relationship

How did you hear about us?

Dog Name

Nicknames

Sex

If your dog has not been spayed/neutered, please briefly explain.

Breed

Color / Description

Weight (pounds)

Date of Birth

Veterinary Hospital

Phone

Has your dog ever shown aggressive behavior?

If yes, please describe the circumstances.

Does your dog have any health issues, chronic injuries, or allergies? Please keep us up-to-date regarding your dog's health.

What flea prevention is your dog on?

(Examples: Frontline, Trifexis, Advantix...)

Date last given

Is there anything else you'd like us to know about your dog? Thank you for trusting us!

Dogs At Play Policies and Need-to-Know...

Please select "I Agree" for each item.

Your dog will be interacting with other dogs while in our care. Safety is always our primary concern, and the choice to bring your dog to Dogs at Play - or any facility/location with other dogs - involves of risk of injury. Potential injuries range in severity from small scrapes and punctures (a relatively normal part of dog play groups) to a condition requiring veterinary attention. Your initial here shows that you understand and accept the risks involved in bringing your dog to a social environment.

All employees are trained and work diligently to provide a safe and fun environment for all the dogs at Dogs At Play; however some injuries may not be treatable by our Pet-First-Aid-Certified Staff. In the event that your dog incurs an injury requiring medical attention from a veterinarian, Dogs At Play is not responsible for paying veterinary, emergency or medical bills.

Our hours are Monday – Friday, 6:30am-6:30pm; Saturday 9:00am-1:00pm and Sunday 2:00pm-6:00pm. Hours subject to change during holidays.

If you are unable pick your dog by the time we close, we enforce a strict rule of $1.00/minute late fee. Please call us if you would like to us hold your dog for up to 15 minutes at this rate; otherwise we are happy to board your dog overnight for an additional fee.

You can reserve a place for your dog in daycare on any given day by paying for the full day in advance. Daycare reservations can be changed or cancelled by close of business the day before without penalty. Late cancellations and no-shows will result in forfeiting the day’s credit to your account.

Reservations are required for overnight guests. House food available is available for $1/cup, but we recommend bringing your dog’s regular food for their comfort and digestive regularity. Please pack only enough food for your dog’s stay and secure it in a hard-sided, sealed, plastic container. Also be sure to bring any medications your dog is prescribed. We encourage your dog to check in before 3:00pm on your scheduled arrival date. The earlier they arrive, the more time they get to play!

Overnight rates include daycare and are assessed every 24 hours. On your dog’s departure day, normal daycare rates apply if your pick-up time is later than check-in time on arrival day.

Payment is due at the time services are rendered or can be paid in advance. All credit card charges under $50 will be charged an additional $1 processing fee. We also have a pre-pay program for your convenience. Ask the front desk for details!

We believe it is important that you view the areas where your dog will be playing and staying, and that you have an opportunity to see your dog interacting in the group setting. However, because each individual tour disrupts the group of dogs, we’ve set two strict rules:

1. Tours are given Monday-Friday between 10:00am-4:00pm by appointment only. We reserve the right to refuse a tour during these hours to ensure the dogs come first. If your tour is cancelled for any reason, we will always provide a time for you to reschedule. 2. You may only watch your dog play when you come to pick up your dog. This helps your dog integrate into the group without being concerned or preoccupied of your whereabouts. For the best interest of the dogs’ socialization and play, please try to limit your tour requests.

My signature below is to state that I have fully read, understand and agree with the “Dogs At Play Policies and Need-to-Know…” statements.

This form may be signed electronically using the format /Firstname Lastname/. An electronic signature will carry the same legal weight as a handwritten one.

Date

Daycare and Overnight Care Authorization for Veterinary Care Agreement for Release and Waiver of Liability

In consideration of my dog(s) participating in any way in the Daycare and/or Overnight Care program with Dogs At Play, L.L.C., I acknowledge and agree that:

1. The risk of injury to myself and and/or my dog(s) is significant, including the risk of being bitten. While the supervision of the staff at Dogs At Play will minimize the risk, the risk of serious injury does exist.

2. I knowingly and freely assume all such risks for myself and my dog(s), both known and unknown, even if arising from the negligence of those persons released from liability below, and assume full responsibility for leaving my dog(s) in the care of Dogs At Play, L.L.C.

3. In the event that my dog(s) should become ill or injured while in the care of Dogs At Play, L.L.C., I grant permission to the Dogs At Play staff to take my dog(s) to the veterinary hospital that I use.   In the event that the Dogs At Play staff decides that, due to an emergency situation, it is not feasible, nor in my dog’s best interest to take my dog to my veterinarian, I grant permission for the Dogs At Play staff to take my dog(s) to the veterinary hospital of their choice.

4. In the event that my dog(s) should become ill or injured while in the care of Dogs At Play, L.L.C., I understand I will not be able to obtain the name(s) of other dogs involved or owner information. This confidentiality will also be extended to myself and my dog(s) should they be involved in the injury or illness of another dog in the care of Dogs At Play, L.L.C.

5. In the event that my dog(s) should become ill or injured while in the care of Dogs At Play, L.L.C., I authorize any and all emergency care that the veterinarian and/or the staff of Dogs At Play deem necessary.  In addition, I agree to assume all veterinary and hospital costs that result from the veterinary care that is deemed necessary.

6.   I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release and hold harmless Dogs At Play, L.L.C., the owners, employees, volunteers and anyone else associated with Dogs At Play, L.L.C from any and all claims as a result of illness or injury to myself or my dogs during participation in the Daycare and Overnight Care programs.

I have read this authorization of veterinary care, release of liability and assumption of risk agreement, fully understand its terms and sign it freely and voluntarily.

Owner's Name

First Last

Date

Owner's Signature

This form may be signed electronically using the format /Firstname Lastname/. An electronic signature will carry the same legal weight as a handwritten one.

Dog's Name

The following people have permission to pick up my dog(s):

(910) 342-0602 Text: (910) 859-3639

Dogs At Play Policies and Need-to-Know...

Daycare and Overnight Care Authorization for Veterinary Care Agreement for Release and Waiver of Liability

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