K9to5 Doggy Daycare

How did you hear about K9to5?

If you were referred by a current client, please name the client so we can thank them!

Owner Name *

First Name Last Name

Phone Number *

Area Code Phone Number

Email *

example@example.com

Address *

Street Address

City State / Province

Postal / Zip Code

Emergency Contact Name *

Emergency Contact Phone Number *

Credit Card Number

Expiration Date

CVV Code

Desired Services *

Doggy Daycare Boarding Training Grooming

Why do you want to enroll your dog in daycare?

Veterinary Clinic Name *

Vet Clinic Phone Number *

Area Code Phone Number

Vet Address

Street Address

Street Address Line 2

City State / Province

Vet Email

example@example.com

Dog Name *

Breed *

Sex *

Spayed/Neutered? *

Recommended but not required. We do NOT allow in heat females for daycare/boarding.

Microchipped? *

Microchip Number

Birthday

Leave Blank if Unknown

Weight *

Color

Dog Food Brand + Type *

Feeding Schedule *

How Many Cups? What Times?

Is your dog allowed to have treats? *

Does your dog have any allergies? *

List treat restrictions + allergies:

Is your dog on any medication? *

If yes, list:

Does your dog have any known health concerns? *

Does your dog have any restrictions on his/her activities? *

List health concerns or activity restrictions:

Has your dog ever escaped / attempted to escape by *

Digging Jumping Climbing Running Never Escaped / Attempted

Is your dog crate trained? *

Can be Kenneled with No Major Anxiety

Has your dog ever resource guarded *

Food Water Toys A Person / Other Dog Never Resource Guarded

Demonstrated this behavior *

With People With Other Dogs Never Resource Guarded

Has your dog ever bitten a person or another dog/ been in a fight? *

If yes, describe:

Has your dog ever been to a dog park? *

How did he/she react to other dogs?

Does your dog have any kinds of people or dogs he/she automatically fears or dislikes? *

If yes, describe:

Has your dog ever received formal training? *

If yes, when and where?

Does your dog know any commands? *

If yes, describe:

Does your dog have any circumstance or situation that he/she is afraid of? *

ex: thunderstorms, cars, etc.

If yes, describe the situation and how to calm them:

Does you dog have any area on their body they do not like to be touched? *

ex: feet, ears, etc.

If yes, where?

Is your dog on flea/tick prevention? *

Flea and tick prevention is REQUIRED

If yes, what type and how often?

Where did you get this dog? *

Be specific- breeder/shelter name

What do you know of his/her prior history/ living conditions? *

Be specific- breeder/shelter name

How long have you had him/her? *

Be specific- breeder/shelter name

List any other animals in the household: *

Species, Breed, and Age

List the people that make up your household: *

Ex: 2 adult males, 1 adult woman, children ages 4 and 6

What known behavioral problems does your dog have? *

Ex: jumping, counter surfing, chewing furniture

Is there anything else you would like us to know about your dog?

Upload Shot Records

Browse Files

Upload Pet Profile Picture

Browse Files

Paper copies of shot records can also be brought in before or during your dog's first time with us. You can also opt to have your vet email copies to info@k9to5doggydaycare.com

We require:

Bordetella (Kennel Cough)
DHLPP (Distemper/ Parvo/ Lepto Combo)
Rabies (All Dogs 6+ Months)

Puppies are required to have all three rounds of boosters. Shot records must be from a licensed veterinarian.

Because we are growing and making our staff schedule according to our reservation count, here is our cancellation policy for daycare, boarding, training, assessment testing, & grooming.

If you don’t show up to a scheduled daycare visit or call in advance to cancel, you will be charged one full day of daycare ($22 per dog or membership day). If you show up for daycare without a reservation, your spot is not guaranteed.
When making a sleepover reservation, a 50% deposit must be made in order to reserve your pet's spot. The other 50% must be paid at or before drop off.
NO refunds will be granted if cancellation is less than 7 business days prior to the drop off date.
Holiday boarding must be cancelled 14 days prior to drop off date or NO refunds will be granted.
NO refunds will be granted for training or grooming of any sort. If a trainer cancels a training session, the session will be rescheduled for a future date. If YOU cancel a training session more than one time, you will lose the class.
Any refund before the cancellation deadline will have a $30 cancellation fee. Your refund will be posted within 7 business days of the end of boarding dates.
If you schedule a boarding with less than a 48 hours’ notice, you must pay in full and if you cancel NO refunds will be granted.
If you have a scheduled grooming appointment and can’t make appointment, you must call or text and cancel 24 hours before. If you don’t call or text to cancel and are a no-show, you will have two strikes before you are dismissed as a client.
If you pick your dog up after 6pm, you will be charged a late fee of $10 per hour. There are no pickups after 8pm unless discussed with staff, pickups after 8pm will be charged a full overnight fee. Your dog must be picked up by 8am the following day to avoid another day charge.
Memberships expire at the end of every month, if you fail to use up your membership days prior to the last day of the month, you will not be refunded and your additional days will not carry over into the next month.

Cancellation Policy Signature *

Clear

If an emergency scenario such as fire, tornado, etc arises, resulting in K9to5 needing to remove all dogs from the building, I hereby give K9to5 permission to remove my dog(s) from the premises. There are other instances such as training or out of facility walks that we may bring your dog(s) outside and around the plaza. In such cases, we are advising you that your dog(s) may qualify for this policy amendment.

Because of this necessary policy amendment, we are required to let you know in advance and have you sign the paperwork that would allow your dog(s) to be taken off the premise and be in the care of one of our qualified staff members at all times. By signing this form, I release and hold harmless K9to5 Doggy Daycare, LLC and its employees from any incident that may occur during the time my dog is in their care.

Off Premises Policy Signature *

Clear

First and for most, the safety and well-being of your pet(s) is of the upmost importance to us. Ensuring that your pet(s) remains safe and well cared for is our first responsibility and as such we take it very seriously. We do our best to have our pet(s) parents screen for pre-existing health conditions but some factors may be beyond our control. In the event that a medical emergency arises while a pet(s) is at our facility or participating in a service that we provide, it is imperative that we are immediately able to get them medical treatment at the closest available facility when deemed necessary by our staff.

We will call ahead to the veterinary offices in closest proximity geographically to us to ensure they can handle the emergency present. Your pet(s) will be rushed to the closest available facility for treatment and you will be notified once your pet(s) is in veterinary care. For that reason it is a requirement to have our pet parents to sign this form. I understand that in the event of a medical emergency, that K9to5 Doggy Daycare, LLC, at its sole discretion deems to need the immediate attention of a licensed veterinarian. I authorize K9to5 Doggy Daycare, LLC. to seek medical attention at the closest available veterinary facility. I further agree that I am financially responsible for any medical treatment my pet(s) receive as a result of a medical emergency while attending services provided by K9to5 Doggy Daycare, LLC.

Medical Release Form Signature *

Clear

I understand that K9to5 Doggy Daycare, LLC., has relied upon my representation that my dog(s) is in good health and has not injured or shown aggressive behavior to any person or dog in admitting my dog for services at our facility.
I further understand that K9to5 Doggy Daycare, LLC., their owners, staff, partners, and volunteers, will not be held liable, financially or otherwise, for injuries to my dog(s), myself, or any property of mine while my dog(s) is participating in activities or services provided by K9to5 Doggy Daycare, LLC.
I hereby release K9to5 Doggy Daycare, LLC., of any liability, of any kind, arising from my dogs participation in any and all services provided by K9to5 Doggy Daycare, LLC.
I further understand and agree that any problems with my dog(s) behavior, medical or otherwise will be treated as deemed best by the staff of K9to5 Doggy Daycare, LLC, in their sole discretion, and in what they view as the best interest of the animal.
I understand that I assume full financial responsibility and all liability for any and all expenses involved in regards to the behavior and health of my dog(s). I further understand that there are risks and benefits associated with group socialization of dogs.
I agree that the benefits outweigh the risks and I accept the risk. I desire a socialized environment for my dog(s) while attending service provided by K9to5 Doggy Daycare, LLC, and while in their care.
I understand that while the socialization and play is closely and carefully monitored by K9to5 Doggy Daycare, LLC. staff to prevent injury; it is still possible that during the course of normal play my dog(s) may receive minor nicks and scratches from roughhousing with other dogs. Any injuries to my dog(s) will be pointed out by staff upon pick-up.
I understand by allowing my dog(s) to participate in services offered by K9to5 Doggy Daycare, LLC. I hereby agree to allow K9to5 Doggy Daycare, LLC. to take photographs or use images of my pet in print form or otherwise for publication and/or promotion.
I further understand that I am solely responsible, financially or otherwise, for any harm or damage caused by my dog(s) while my dog(s) is attending any services provided by K9to5 Doggy Daycare, LLC.
I understand that if my dog is not picked up on time or by a date specified in a separate agreement, I hereby authorized K9to5 Doggy Daycare, LLC. to take whatever action is deemed necessary for the continuing care for my dog(s). I will pay K9to5 Doggy Daycare, LLC., the cost of any such continuing care upon demand by K9to5 Doggy Daycare, LLC.
I understand that if I do not pick up my animal(s), K9to5 Doggy Daycare, LLC. will proceed according to the guidelines provided by Ohio Statute 959.01 Abandonment of animals by owner; procedures for handling. I also acknowledge that I will by fully responsible for all attorney’s fees and associated costs if I abandon my dog(s).
I understand that mild contagious illnesses are a possible risk associated with dogs participating in group play as K9to5 Doggy Daycare cannot control what clients do with their dogs outside of our care. Client dogs may be exposed to contagious bacteria in dog parks or other facilities. K9to5 does require DHLPP, Bordetella, and Rabies to protect clients from serious illnesses, but we cannot protect clients from sicknesses not covered by vaccinations besides doing our part to sanitize our facility, switching water bowls regularly, and ventilating our facility.

Pet Agreement Signature *

Clear

All grooming’s are by appointment only. Please schedule in advance to ensure your pet will be groomed regularly and in adequate time.
Cancellations must be made 24 hours in advance. If you fail to cancel within 24 hours of your scheduled appointment time, there will be a charge of the cost of your scheduled service to a credit card on file.
Failure to cancel grooming appointments within 24 hours will result in a “no call no show” strike. After two strikes, you will be required to make a pre-payment for future appointments, if you don't show up after pre-payment, you will lose the credit on file.
Please arrive five minutes before your scheduled appointment in order to discuss instructions for grooming.
Please provide adequate grooming instructions to ensure your satisfaction on your pets grooming.
Not every pet can be done exactly as envisioned. If your pet has matting, it can be bad for their health and cause discomfort. Matts are required to be removed for your pet’s comfort and health. Other fees may apply for matt removal.
Parasites will be removed if found and other fees will apply.
If your pet has any type of medical issues, please inform the groomer upon drop off.
Your pet must be picked up within 20 minutes from getting a call from the groomer. If you are unable to do this, you will be charged $10.00 for the first hour and $5.00 for every additional hour of wait time up-to $25/a day of daycare. We are a cage less facility and are not able to separate grooming dogs from the population easily. If you cannot make accommodations, we can do an assessment test and have the dog in for daycare while here for grooming.
Remember that we are here for the health and best interest of your pet. Not every pet is perfect for grooming, and it can be a stressful experience. We will try to do our best to provide you with what is instructed. However, we must keep safety in mind. Not all pets are able to be groomed without the assistance of medication. Please keep this in mind.

Grooming Policy Signature *

Clear

If you have used our services before, how would you rate them?

Please list any suggestions, comments, or concerns: