Secret Garden Daycare Form

api_key*

Owner's Name*

First and Last

Mobile Phone*

Your cell phone number

Address*

Email*

example@example.com

Emergency Contact*

Please list a local contact who can care for your pet in the case of an emergency. Do not list a contact who will be traveling with you and/or unavailable at the time of your pet's stay

Vet*

Days planning to attend daycare (Dogs must attend on the same days each week)*

Dog's Name*

Breed(s)*

Weight*

Current Age*

Is you your dog Spayed / Neutered? (Dogs who are over 1 year old and are not spayed/neutered are not eligible for our program)*

YesNo

When?*

What knowledge do you have of your dog's past history?*

Why are you considering our daycare program for your dog? (check all that apply)*

Which of the following best describes your dog's level of socialization with other dogs?*

None - No knowledge of other dog interactionMinimal - On leash encounters onlyModerate - Some off-leash playtime on occasion with visitor's/neighbor's/friend's dogExtensive - Regular visits to dog social events, off-leash dog parks, dog daycare, etc.

Has your dog had any problems previously in an off-leash social environment*

YesNo

Check all that apply*

Altercation or fight at a public dog parkAltercation or fight with a neighbor or friend's dogFearful or defensive reaction in a group of dogsDismissed from a prior daycare or social playgroup programOther

Please describe your dog's flea/tick control and prevention program*

Does your dog have any allergies*

NoYes

If yes, please explain:*

Does your dog have any physical disabilities?*

NoYes

If yes, what restrictions need to be placed on your dog's activities or movements?*

Does your dog have any medical conditions or illnesses?*

NoYes

If yes, please describe and list any medications with dosages*

Does your dog have any bathroom related issues or concerns? (If applicable)

Does your dog have any sensitive areas on his/her body (e.g. paws, nails)?*

NoYes

If yes, please explain:*

How frequently is your dog walked outside?*

How long are your walks?*

What best describes your dog's overall level of exercise routine:*

Couch Potato: Spends days sleeping, occasional walk and/or or playtime with humans or other dogsMild Exerciser: Short daily walks and/or regular playtime with humans or other dogsModerate Exerciser: Long or multiple walks and/or regular playtime with humans or other dogsAthlete: Regular jogs/runs and/or regular participation in a dog sport activity as agility, fetch, etc.

Please complete the table with info on any other pets in the household

	Bread	Age	Sex	Fixed?
Dog 1
Dog 2
Dog 3

How does your dog get along with other household animals?*

How does your dog behave around children?*

Do any visitors bring their dog(s) to your house?*

YesNo

If yes, how do they get along?*

How does your dog react to a stranger coming into your home or yard?*

Does your dog ever bark or growl at anyone passing outside your home or yard?*

YesNo

If yes, please explain:*

Are they any types and/or breeds of dogs your dog seems to automatically fear or dislike?*

YesNo

Yes, please describe*

How does your dog react to puppies?*

On Leash*

Off Leash*

Does your dog play with other dogs?

YesNo

If yes, which type?

MalesFemalesBoth

How does your dog interact with these other dogs*

Has your dog ever shared his/her food or toys with other animals?

YesNo

If yes, how does your dog react to another dog approaching his/her food or toys?*

Which commands does your dog know? (Please check all that apply)*

How did your dog get his/her obedience training? (Please check all that apply)*

Attended group classAttended private classSent to board and train progrmOther

If so, where?*

Which of the following best describe the use of obedience cues with your dog at home?*

What kind of collar do you use to walk your dog?*

Is it effective in keeping him/her under control?*

YesNo

Is your dog crate trained?*

How does your dog behave while in a crate? (Dogs who are not comfortable in a kennel or crate may not be accepted into our program)*

Is your dog fearful of anything?*

What does your dog do to show he/she is upset?*

Does your dog have any problems in any of the following areas?*

If yes, please explain*

Are there any particular types of people your dog seems to automatically fear or dislike?*

Has your dog ever growled or bitten a person?*

YesNo

If yes, please explain circumstances and injuries, if any: *

Has your dog ever bitten another animal?*

YesNo

If yes, please explain circumstances and injuries, if any: *

Has your dog ever climbed/jumped a fence?*

YesNo

If yes, please explain the circumstances*

Has your dog ever escaped from your house, yard or on a walk?*

YesNo

If yes, please explain the circumstances*

Has your dog ever tried to chase a small animal?*

YesNo

If yes, please explain the circumstances*

Has your dog ever chased someone (or wanted to) who was running, on a bicycle, or in a car?*

YesNo

If yes, please explain the circumstances*

Has your dog ever snapped at a person who has taken food or toys away from him/her?*

YesNo

If yes, please explain*

Has your dog ever snapped another animal that has taken food or toys away from him/her?*

YesNo

If yes, please explain*

Are there any other comments or information about your dog that you feel might be helpful?*

Do you have any concerns about your dog attending daycare?*

Owner's Signature*

Daycare Terms & Conditions

1. The Resort does not assume and shall not be held responsible for any liability with respect to the pets listed in this agreement, of any kind, character, or nature whatsoever, arising out of or from the daycare of this pet, or any damages which may occur from any other cause whether this pet be on the premises of the Resort or not. The owner of said animal agrees hereby to be and is solely responsible for any and all acts of behavior of said pet at any time within the term and time of the contract.

2. The Resort reserves the right to refuse to provide services for any reason in their sole and absolute discretion. The owner understands that the pet's participation in daycare is at the sole discretion of the Resort and that the pet may be separated from other pets at any time and for any reason.

3. Duty To Disclose: The owner of the named pet specifically represents that he/she is the owner of said animal and warrants to The Resort that:

The pet is free of and has not been exposed to any communicable disease within the last thirty days, and that the form of a written receipt or certificate from their veterinarian stating dog has received a Rabies, DHLPP and Bordetella within the required time period.
All of the information provided to The Resort is true and that the pet has not bitten or exhibited other aggressive behavior towards any person or animal, except as has been previously disclosed to.
The owner has disclosed and shall continue to disclose any and all medical or behavioral conditions or concerns that may affect, limit or prevent the pet's ability to participate in daycare.

4. Acceptance of Risk: The owner acknowledges that with the interaction of dogs, there is always a chance of injury and the possibility of infectious disease being passed between animals.

The owner assumes all risk of injury or illness to the pet while in the care of the Resort or otherwise relating to the care, control, health and/or safety of the pet arising from any of the Resort's services.
If the pet becomes ill, the owner or contact person shall be notified at once. If the owner does not immediately inform the Resort regarding measures to be taken or if the state of the pet's health requires quick action, the right to call a veterinarian or to administer medicine or give advisable attention within the discretion shall be taken for granted by Resort, and such expenses shall be promptly paid by owner. Owner agrees to pay a $50.00 per hour for veterinary transportation to and from our local vet and the amount of time spent there by our staff.
The Resort is not responsible nor will be held liable for any veterinary expenses incurred on the pet during or after the term of this contract.

5. Estimate of charges: Upon request, an estimate of charges can be provided. Events that can affect this estimate are: late pick up time, boarding, vet expense, medicine expenses and/or grooming expenses.

6. Scheduling: All dogs must come a minimum of one day per week. Owners must request changes to their weekly daycare schedule via call, text, or email for the following week by Friday at 6pm. We cannot guarantee the ability to accommodate schedule changes.

7. Cancelation Policy: All daycare cancelations must be texted to us no later than 48 hours before your pet’s scheduled visit. daycare cancelations that are not texted to us within 48 hours will result in a “Cancelation Fee” of one full day of daycare per dog ($39.00 per dog), or 1 credit per dog taken off your current daycare package.

8. Dogs accepted in our daycare program are considered on a trial period for the first 4 weeks from their date of acceptance into the pack.

9. Late Pick Up/No Shows: Dogs who are not picked up by 6:00PM will be charged a $30 late fee until 6:30PM. Owners may board the dog overnight for an additional fee of $40 per day Monday-Friday. If the decision to board the dog overnight is made before 6:00PM the $30 late fee is waived. If the decision to board the dog overnight is made after 6:00PM, or if the owner does not pick up the dog by 6:30PM, owners will be charged the $30 late fee in addition to the boarding fee.

10. Snow Days: The daycare is closed anytime East Bridgewater Public Schools are cancelled

11. Authorized pick up: The Resort will only release the pet to the owner and/or individuals specifically authorized either verbally or in writing by the owner. The Owner releases the Resort from any liability relating to the care, control, health and/or safety of the pet arising from pick up and transport by the owner and/or any individual the Resort believes to be authorized by the owner.

12. No person is authorized by the Resort to change or waive any of the terms or conditions of this contact and Resort will not be bound by any changes therein whether oral or written.

13. The owner agrees to pay for all fees for day care, boarding, grooming services, veterinary expenses and/or any other services owed on the day of pick up. Credit cards stored on file will be charged for the previous week's attendance on Mondays. Unpaid balances may be subject to a 18% late fee.

14. The owner agrees to allow the Resort to use the pet's name and/or images taken at the Resort for use in any form of marketing materials.

15. By signing this contract, the owner is herby acknowledging and agreeing to the above terms and conditions for the duration of said pet's stay, as well as any future reservations at the Resort.

Date*

Date