Application & Indemnity

Application & Indemnity Form
First Name:
Surname:
ID Number/ Passport Number:
Phone No (Cell):
Email Address:

Confirmation EmailConfirm email address above
Address

Street Address

Street Address Line 2

City Province

Postal / Zip Code
Vets Name:
Vets Number:
At which which location do you prefer to use our service/s?
Which service/s do you require from Furry Kidz?:
1. Furkid's Name:
Sex:
CONDITION OF ENROLLMENT: Has your dog been Spayed/Neutered? We can only accept intact dogs until they are 6 months of age. Thereafter if your dog is not sterilised, you indemnify Furry Kidz from any claims made in this regard.
Please upload a photo of your furchild here (Jpeg file only)
Breed:
Age:
Birthday:

YearMonthDay
YYYY-MM-DD
N/A Minutes
Weight:
Is your dog microchipped?:
Microchip Number:
Please upload a picture of your furkid's vaccination card here (Jpeg file only):
Are your dog's viral vaccinations up to date? (Unless still ongoing with puppy vaccinations, we can only accept dogs that are fully vaccinated).
Last Viral & Rabies Vaccination or Puppy Vaccination:

YearMonthDay
YYYY-MM-DD
N/A Minutes
Has your dog received the kennel cough vaccination? This vaccination must he administered at least 3 days before coming to daycare as it's a live vaccination. The kennel cough vaccination doesn't prevent your dog from contracting kennel cough, but lowers the severity if infected.
Last kennel cough vaccination date? This vaccination is enrollment requirement to attend daycare & boarding:

YearMonthDay
YYYY-MM-DD
N/A Minutes
It is the owners responsibility to keep the dogs vaccinations current. We do have frequent vaccination days at the daycare to help with this requirement.
Is there anything your dog is not allowed or is allergic to? Yes/No - if yes, please describe:
Feeding Schedule:
* Puppies requiring lunch - this should be supplied.
* We work on positive reward and do feed treats.
If your dog/s are accepted to daycare, how many days a week would you like your dog/s to attend?
Which day/s are preferred?
Do you require Furry Kidz to manage your dog/s tick and flea treatments? We use Nexgard, this will be done every 4 weeks and added to your daycare account.
Date of your dogs last Tick & Flea control treatment:

YearMonthDay
YYYY-MM-DD
N/A Minutes
Compulsary Condition of enrollment at Furry Kidz: To keep every guest healthy and our environment free from any nasty parasites, each dog accepted into Furry Kidz daycare and boarding is treated for internal parasites with Veterinary grade deworming tablets, every second month. This will be added to your daycare account.
I have read and understand the above compulsary condition of enrolment and give Furry Kidz representatives permission and consent to give my dog deworming treatments every second month. We deworm all our guests during boarding/daycare every second month, alternating between Drontal & Milbemax, according to the schedule below to keep our environment and guests free from parasites. Drontal - January, May, Sep. Milbemax - March, July, Nov. To give your informed consent, please sign below:
Is there any dewormer that your dog is not allowed or has had a reaction to? Yes/No - if yes, please describe:
Does your dog have any health concerns or medical restrictions to their activity, that you are aware of? Yes/No - if yes, please describe:
Is your dog currently on any medication? Yes/No - if yes, please describe:
How long have you had your dog?
If you have not had him/her from puppy hood, what do you know about his/her prior history?
Please describe your dog's overall temperament:
How does your dog react to other dogs generally?:
How does your dog react to other dogs at home?:
How does your dog react to other dogs at the park?:
Does your dog have any kinds of people that he/she automatically fears or dislikes? Yes/No - if yes, please describe:
Has your dog ever bitten someone? Yes/No - if yes, please describe:
Has your dog ever been in a fight or bitten another dog? Yes/No - if yes, please describe:
Has your dog ever escaped or attempted to escape by digging/jumping/climbing fences? Yes/No - if yes, please describe:
What exercise does your dog receive and how often?:
What known behavioural problems does your dog have?:
Does your dog have a circumstance or situation that he/she is frightened of? Yes/No - if yes, please describe:
Does your dog play with toys? Yes/No - if yes, please describe:
Has your dog comfortablely & willingly shared toys/food/water bowl with other dogs before? Yes/No:
Has your dog received any formal training? Yes/No - if yes, where and when?:
Does your dog chew up furniture or their bed or bedding?:
Do you object to having your dogs photo taken and published on our website and Facebook page?:
Is there anything else you believe that we should know about your dog?:
Should be Empty:

Application & Indemnity Form