E-Form – Happy Tail Shome

Owner’s Information:

Owner’s Name(s):

Address:

City/State/Zip:

Primary phone:

Alternate phone:

Email address:

Emergency Contact Information:

Emergency contact (other than you):

Emergency contact primary phone

Persons authorized to pick up my dog:

Pet Identification Information:

Dog name:

Birth Date:

Breed:

Colors:

Neutered Male Spayed Female Unaltered (all dogs over 8 months of age must be spayed or neutered)

Does your dog have an I.D. tag?

Yes No

Pet Health and Emergency Information:

Veterinary clinic:

Please list health concerns, allergies, diagnoses, treatments, medications, etc.

Temperament, characteristics, likes and dislikes of your dog:

Is your dog housebroken?

Yes No

Has your dog ever been boarded or attended doggie day care?

Yes No

If yes, was it a good or bad experience? Please provide information about your dog’s experience, good or bad.

Has your dog ever bitten a person or another dog?

Yes No

Please explain what happened:

Has your dog ever shown any aggressive behavior (growling, showing teeth, pupil dilation, etc.) toward people, children, or other dogs?

Yes No

Please explain your dog’s behavior and the reason they became aggressive.

Is your dog a jumper, climber, or an escape artist?

Yes No

Please list past methods of escape:

Please list any other traits, likes and dislikes your dog has. We like to know the unique stuff too, like favorite places to be scratched, favorite treats, tricks your dog knows, etc.

Signature:

Date

How did you hear about us?

HAS YOUR DOG EVER SHOWN ANY AGGRESSIVE BEHAVIOR TOWARD PEOPLE OR OTHER DOGS?

Yes No

PLEASE EXPLAIN YOUR DOG’S BEHAVIOR AND THE REASON HE OR SHE BECAME AGGRESSIVE.

IS YOUR DOG A JUMPER, CLIMBER, OR AN ESCAPE ARTIST?

Yes No

PLEASE LIST ANY PAST METHODS OF ESCAPE:

PLEASE LIST ANY OTHER TRAITS, LIKES AND DISLIKES YOUR DOG HAS. WE LIKE TO KNOW THE UNIQUE STUFF TOO, LIKE FAVORITE PLACES TO BE SCRATCHED, FAVORITE TREATS, TRICKS YOUR DOG KNOWS, ETC.

SIGNATURE:

Date

PRINTED NAME:

HOW DID YOU HEAR ABOUT HAPPY TAILS?

ANY ADDITIONAL INFORMATION YOU WOULD LIKE US TO KNOW ABOUT YOUR DOG:

Happy Tails Doggie Daycare Inc Policies:

In order to provide services, the following form must be signed and dated. By choosing to employ the services at Happy Tails doggie daycare Inc, I agree to the following policies and items listed in the Waiver and Agreement section below. All dogs attending daycare or boarding must have a snap or buckle type collar with an identification tag with the dog’s first and last name and phone number or address of the owner. All dogs must be leashed, no retractable leashes, must be leashed when entering and exiting Happy Tails Doggie Daycare Inc. No choke type collars, car safety gear, sweaters, clothing, and decorative hair ornaments, electronic tracking devices, flea/tick collars, lights, bandanas, etc. must be removed when presenting your dog for day camp or boarding. If your leaving food, it’s needs to be labeled with your dog’s name, include feeding times and amount to be served. Due to the communal nature of our playgroups, Happy Tails daycare will not allow any known or suspected aggressive dog to attend daycare. It is the owner’s responsibility to disclose any aggressive or threatening behavior exhibited by their dog toward any person or dog. Dogs over eight months of age attending daycare must be spayed or neutered. Dogs attending daycare or boarding must have current Rabies and Distemper combo (DHPP) and Bordetella (Kennel Cough) vaccination records with a completed, signed Happy Tails service request form and waiver on file.

Waiver and Agreement:

I agree with all of the terms listed herein. I agree to pay for all charges incurred by my dog while my dog is attending Happy Tails, Dog owner acknowledges the risks involved in communal daycare and cage free boarding of dogs. Happy Tails will always offer reasonable care, however, given the unpredictable nature and personality of dogs some unexpected injury may occur. Due to the communal nature of our playgroups, Happy Tails Doggie Daycare Inc will not allow any known or suspected aggressive dog to attend daycare. It is the owner’s responsibility to disclose any aggressive or threatening behavior exhibited by their dog toward any person or dog. I agree to the late pick up fees and boarding cancellation with less than 48 hours’ notice. I authorize Happy Tails INC to obtain the vaccination records for your dog from his/her veterinarian. Dogs over eight months of age attending daycare must be spayed or neutered. I release Happy Tails Doggie Daycare INC, its employees, volunteers from any and all manner of damagers, claims, liabilities, losses, costs, expenses, cause of action or lawsuits, attorney's fees, court costs and related costs arising out of or related to the services provided by Happy Tails Doggie Daycare Inc. I release Happy Tails Doggie Daycare Inc from any medical expenses, I will not hold Happy Tails Doggie Daycare Inc, it’s employees or volunteers liable for loss of my dog due to fire, theft, death, elopement, injury, or illness and hold Happy Tails Doggie Daycare Inc harmless from any claims for any losses unless due to gross negligence by Happy Tails Doggie Daycare Inc. I affirm I am the legal owner of my dog and, to my knowledge, my dog has not been exposed to any communicable disease including but not limited to parvo, rabies, distemper, mange, ringworm in the last 30 days. My dog has been inoculated as documented on his or her vaccination records. I guarantee all information collected is true and no information including illness, communicable disease, health diagnosis, human or dog aggression or history of biting has been withheld in an attempt to enroll your dog into daycare. I have read this waiver and agreement to its entirety. I agree and accept all rules, policies, requirements and conditions of this agreement and as owner of this dog I have the express right to enlist services by Happy Tails Doggie Daycare Inc.

Signature:

Date:

Printed Name:

PET REGISTRATION AGREEMENT

1. This is a contract between Happy Tails Doggie Daycare,Inc(hereinafter called the “Company”) and the pet owner whose signature appears below (hereinafter called “Owner”).
2. The Owner specifically represents that he or she is the sole owner of the pet.
3. The Owner certifies that all information given about said pet is accurate.
4. The Owner specifically represents to the Company that the pet has not been exposed to rabies, canine/feline distemper, or canine cough within a thirty-day period prior to boarding.
5. The Owner agrees to be solely responsible for any and all acts or behavior of said pet(s) while the pet(s) is in the care of the Company.
6. The Company shall exercise reasonable care for the pet(s) delivered by the Owner to the Company for boarding, daycare, grooming, training or other services. The Owner agrees that despite the efforts of Happy Tails doggie daycare,Inc staff to provide a safe environment, there may be unpredictable or unforeseeable circumstances that may expose Owners and/or their pet(s) to health risks or injury. The Owner hereby waives and releases Happy Tails doggie daycare, Inc., it's employees, owners and agents from any claims while Owners and/or their pets are on the property.
7. If the pet(s) becomes ill, or the state of health or well-being otherwise requires professional attention, the Company, at it's sole discretion, may engage the services of a veterinarian or administer medicine or other requisite attention to the animal, and it is agreed that all costs and charges thereof shall be paid by the Owner.
8. The Owner agrees to pay all costs and charges for services he/she requests.
9. All charges incurred by the Owner shall be payable at the time the pet(s) is discharged from the Company. The Owner agrees that in the event the charges are not paid in accordance with this contract and proper notice is given, the Company may exercise it's rights regarding liens, abandonment consideration and disposal in accordance with State Statute subdivisions 437:19 and 437:20.
10. For long-term boarding arrangements, the Company, at its sole discretion, may require a deposit before agreeing to provide services. The Owner agrees to pay such deposit, as required.
11. Owner understands and acknowledges that from time to time, for the purpose of training, and/or advertising and/or promoting its business, the Company takes photographs of its employees and programs, including pets on site. In consideration of the Company’s agreement to accept Owner’s pet for participation in its programs Owner hereby releases from liability and licenses to Company the right to use any photos of or including Owner’s pet for any lawful purpose(s) including training materials, advertising and/or promotional materials.
12. This Contract contains the entire agreement between the parties. All terms and conditions of this Contract shall be binding on the heirs, administrators, personal representatives and assignees of the Owner and the Company. This contract is entered into and shall be interpreted under the laws of the State of New Hampshire. Owner agrees to submit to the jurisdiction of only the New Hampshire Courts with respect to any dispute relating to this agreement and/or the Owner or Owner’s pet’s relationship with the Company.
13. This Contract is binding for the present and all subsequent engagements for services of the Company by the Owner.

I hereby acknowledge that I have read all of the above and agree as the Owner of the animal(s) foregoing I hereby acknowledge that I have read all of the above and agree as the Owner of the animal(s) foregoing.

Signature:

Date:

Day Camp at Happy Tails

Day Camp at Happy Tails

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