Dog Info & Care Sheet

Dog Info & Care Sheet
Contact Information
Your Name*

First NameLast Name
Contact Number*
Please enter a valid phone number.
Email Address*
example@example.com
Emergency Contact Name*

First NameLast Name
Emergency Contact Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Items to Send*

25lb Bag Food/monthBag of Treats - 1 bag/weekWalking Gear - Collar and LeashEdible Long Term Chews - 1 bag/week3-5 Toys (Optional)Bed/Blanket (Optional)Kennel/Crate (Optional)Service Dog Gear (Optional)
Booking Information
Check In Date*

MonthDayYear
Date
Check Out Date*

MonthDayYear
Date
Book Additional Stays (Confirmation will be sent vis text)
Example: Maple 10/30-11/15
Your Dog's Details
Your Dogs*
Health Details
Any medical conditions or recent injuries or illnesses? Any medications? Please write detailed instructions.*
Up to date with all vaccinations?*

YesNo
Rabies Vacination - Expiration Date*

MonthDayYear
Must be current on Rabies. No exceptions.
All dogs are required to be on Flea/Tick prevention. Is your dog currently on monthly preventative?*

YesNo
Date Preventions are given.

MonthDayYear
Most are monthly, check your box for dosage and date info.
Brand of Preventatives given
List BOTH flea/tick and heartworm prevention here.
Upload proof of Rabies & vaccinations*

Ex: Pro-heart yearly injection.
Cancelof
Any allergies or food sensitivities?*
Brief information about feeding patterns*
Allowed treats?*

YesNo
Any additional notes about your dogs (aggressive tendencies, possessions, level of obedience and etc.)*
Please only check the items your dog is able to enjoy and use without damage or danger to the animal. Damaged items (except toys) will be charged to your account. Trainers reserve the right to limit or remove items if the dogs behavior is incompatable or unsafe for itself or others.
Included Kennel Amenities *Boarding Rates start at $125/night for standard and $150/night for Medical/Behavioral, Board&Train Packages - $170 and up**

Carpeted Floor (Optional)4in Pillow Top Dog Bed(Optional)Personal Toy Box - Bring all your toys.(Optional)Extra Blankets(Optional)Raised Comfort Rest Bed(Optional)Private Playgroup - 1 on 1 with staffDog Daycare Playgroup - Must have evaluation on file.Special Diet Prep - Pumpkin add ins, wet food, frozen toppers, vitamins, oils, etc.NoneSibling suites *check availability*
Details on Special Diet Prep:
Additional Kennel Amenities

Training Hour(s) - $50/sessionAdditional 1 on 1 Time - $30/dayBrushing Teeth/Hair - $15/dayDaily Update - $25/dayVet Appointment - Have an appointment scheduled? No need to cancel, we will take your dog. - $30/hour + vet fees.Grooming Appointment - Want your pup groomed before check out? Schedule your regular groomer or use ours! - $30 + grooming feesAdditional Chews and Treats - $/BagSnack Attack - Lick mat, quick snacks, extra mini-meal time. $10/dayChef Service - Home made people grade meal. - $25/mealField Trip/Outing - $75/hourNone.Other
Details on Additional Services:
Ex: Brush teeth every other day, 1 field trip, 1 extra training per day, Grooming 1/1 at 4pm with Groomerz-R-Us
Vet Details
Clinic Name*

Name Preferred Location
Phone Number
Please enter a valid phone number.
Behavioral Issues?*

NoneDog ReactiveFood AgressiveToy PossessionPeople reactiveLeash PullingDestructive BehaviorAttention/Excessive BarkingJumpingGuarding Space/Kennel areasHyperactiveSeparation AnxietyGeneral AnxietyFear Based BehaviorsRescue/Shelter Foster - Unknown BehaviorRescue/Shelter Foster - Known BehaviorBite RiskNoise sensitiveHandling SensitiveFear of MenFear of WomenNot HousebrokenNot Kennel TrainedOther
I authorize the Academy of Canine Excellence to make decisions pertaining to my dogs immediate health and well being while in their care, including but not limited to administration of medications if deemed necessary (ie: Flea/Tick, Heartguard, CBD, allergy meds, etc). I also authorize Academy of Canine Excellence to take my dog to the vet in the case of a medical emergency or medical concern. I assume all financial liability for all fees related to my dogs health care, medications, and vet costs. *

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I understand there are no guarantees or refunds offered for any services at any time. *
Cancelation policy: I understand I will be charged 100% of my total stay if I cancel within 2 weeks of the start date on my booking. I understand all bookings are subject to a 50% cancelation charges (30 days prior to bookings). *
Date*

MonthDayYear
Date
AGREEMENT TO HOLD HARMLESS, WAIVER AND ASSUMPTION OF RISK

I understand that attendance of a dog training program is not without risk to myself, members of my family or guests who may attend, and to my dog. There is an inherent risk when working with animals even when handled with the greatest amount of care, I understand that injury to my dog or other persons and/or damage to property may occur. I understand I am liable for all medical costs (both human and animal) as well as property damage caused by my dog in the course of the training, boarding, or any other services.

I am signing below to officially waive and release The Academy of Canince Excellence/Service Dogs of NM and all contract staff hereinafter referred to as the "Training Organization", its employees, officers, members and agents from any and all liability of any nature, for injury, health condition, death or damage which I or my dog may suffer, including specifically, but without limitation, any injury or damage resulting from the action of any dog, and I expressly assume the risk of such damage or injury while attending any training session, boarding seervices, or any other function, of the Training Organization.
Your Signature*

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Dog Info & Care Sheet

Contact Information

Booking Information

Your Dog's Details

Health Details

Vet Details