Especially For Pets Daycare Registration

Owner Information:

Owner's Name*

First NameLast Name

Daytime Phone*

Please enter a valid phone number.

Business Phone

Please enter a valid phone number.

Cell Phone

Please enter a valid phone number.

Email Address*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Alternate Contact*

First NameLast Name

Alternate Contact Phone Number*

Please enter a valid phone number.

Pet Information:

Dogs Name*

Breed*

Age*

Birth Date*

Sex*

MaleFemale

Neutered*

YesNo

*Males over 6 months must be neutered

Kennel Cough Vaccine

YesNo

*Dogs must wait a minimum of 10 days to visit Daycare after a kennel cough vaccine

Date of last vaccination*

Vaccines Given*

Vet Clinic*

Vet Phone*

Please enter a valid phone number.

Allergies/Special Needs*

How did you hear about us?*

Especially For Pets

Welcome to our Daycare. Please take a moment to read and sign the following agreement to ensure the understanding of our services.

Please select yes to indicate you have read and understood each point in the agreement.

I grant permission for my dog to play with daycare equipment as well as participate in socialization exercises with other dogs. I understand and consent that I will be exposing my dog(s) to situations where dogs are interacting with one another and there is a risk of injury during play, including but not limited to cuts and scratches,bruises, etc. I agree to let the staff take my dog for neighborhood walks during daycare stays.*

Yes

In the event of an emergency veterinary situation, when I cannot be contacted, or am delayed in getting to the facility, I grant permission to the Daycare Supervisor to obtain veterinary care of the facility’s choice for my dog. If my dog shows any sign of a communicable disease, I agree to immediately pick him/her up from the facility. I further agree to reimburse the facility for any expense incurred in the event of such an emergency.*

Yes

I agree to walk my dog into and out of the daycare center on a leash and collar/harness.*

Yes

I have reviewed a copy of the House Rules and understand and agree to abide by such rules when using the daycare services and facilities.*

Yes

As per the House Rules, when the curtains are closed at the daycare gate, I will not attempt to open the curtains or try to enter the daycare. Instead, I will ask the front desk for assistance in obtaining my dog.*

Yes

Should I bring a lunch/medication for my dog(s) I will provide a labeled container with my dog’s name and advise the staff of the portion required.*

Yes

As some of the dogs have severe food allergies; I agree not to feed any dogs in the facility any sort of food or treats except for my own.*

Yes

I agree to settle the fees ahead of the services rendered irrespective of days missed for vacation or illness.*

Yes

I understand that male puppies over the age of 6 months are required to be neutered before they can return to daycare. Female dogs that are in season are not able to attend daycare.*

Yes

Daycare hours are from 7am to 6pm Monday thru Friday, except for statutory holidays. In the event that I am late picking up my dog, I will be subject to a late fee of one day pass for every 15 minutes that I am delayed for pass holder or $30 for every 15 minutes that I am delayed if I am not a pass holder.*

Yes

I agree to keep my dog’s vaccinations current. I also agree to give my dog Revolution or equivalent treatments on a regular treatment to control lice, mites, ticks and fleas. I agree to make the daycare staff aware of any changes in my dog’s health and/or behavior.*

Yes

I swear that my dog has never brought harm of any kind to another dog,human or animal and will advise the staff immediately should this happen.*

Yes

Especially For Pets reserves the rights to terminate your dogs care without notice for any reason.*

Yes

I agree to hold the employee(s) and the facility harmless for any claims for any loss, damage or injury which may be alleged to have been caused directly or indirectly to any person/animal or thing by the act of my dog or another dog while in or upon the daycare area,or near the entrance thereto, and I personally assume all responsibility and liability for any such claim; I further agree to hold the aforementioned party(ies) harmless for any claim whether such loss, theft, disappearance, damage, or injury can be caused or be alleged to be caused by the negligence of the aforementioned party, or by the negligence of any other person, animal, or any other cause.*

Yes

I understand that if my dog is sick in daycare and requires a clean- up(e.g. a bath), that I will be responsible for any additional grooming fees that may apply.*

Yes

I understand that all daycare fees are non-refundable and non-transferable.*

Yes

I understand that should my dog pass his assessment day, all appointments shall be pre-booked on the online system found under the daycare tab at www.especially4pets.com.*

Yes

Please select Yes for any that are applicable, otherwise select No:

My dog is potty trained.*

YesNo

My dog is used to spending time in a crate and/or ex pen.*

YesNo

My dog has growled/snapped/snarled around food/treats and/or water bowl.*

YesNo

If Yes, please explain.

My dog has growled and/or snapped/broken skin on a human.*

YesNo

If Yes, please explain.

My dog is used to spending time at the off leash dog park and/or with other dogs.*

YesNo

If Yes, please explain.

My dog has certain breeds he/she does not get along with.*

YesNo

If Yes, please explain.

Has your dog been to doggy daycare before?*

YestNo

How did you hear about us?*

House Rules

The House Rules are designed to protect the safety and mental and physical wellbeing of all daycare participants involved. Please read and ask the staff if you have any questions.

Background:
Interacting with dogs in a pack structure setting has very different dynamics than interacting with an individual dog one on one. Dogs in a pack setting feed off energy from one another and from humans entering and exiting the pack. A pack of dogs naturally seek a calm, balanced and structured atmosphere and will attack each other in an attempt to restore this balance. Excited or uncontrolled dogs (or humans) entering or exiting the pack can cause the other pack members redirect their energies on each other, thus causing fights to occur. Dogs can also become territorial around the boundaries of their enclosure, and there is always a risk of injury to humans and dogs when approaching such boundaries. The House Rules have been designed to ensure the safety and wellbeing of all human and animal participants.

1. When approaching or entering the daycare, for your safety as well as the safety of your dog, please abide by 3 simple rules for all dogs in this area:
No Touch
No Talk
No Eye Contact

2. During socialization periods where dogs will be interacting with one another, dogs will be maintained in a structured environment to help maintain the calmness and balance of the pack. Any dog participating will be subject to humane, but effective actions to enforce this. Any dog that cannot be controlled in such group settings will be isolated and confined from the pack until suitable behavior can be established.

3. Upon pick up, check in at the front desk and please remain behind the curtain and gated area to allow for an authorized personnel to retrieve your dog. Please allow a few minutes of waiting time during pick up, as staff members will be ensuring all pack members are calm prior to the departure of your dog.

4. During play periods, please do not touch, talk to, or make eye contact with any dogs in play (including your own dog).

5. Should you have someone new picking up the dog, please provide their name and phone number so we can ensure we are releasing your dog to the right person.

I agree to abide by the operational policies of the centre and all policies set forth in this agreement; failure to do so may result in termination of our services.

Signature*

Date*

Date

Name*

First NameLast Name