Doggie Dude Ranch New Client Form

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email*

example@example.com

Home Phone

Please enter a valid phone number.Format: (000) 000-0000.

Cell Phone*

Please enter a valid phone number.Format: (000) 000-0000.

Spouse's Name

First NameLast Name

Spouse's Phone

Please enter a valid phone number.Format: (000) 000-0000.

Pet's Name (One Pet Per Form)*

First NameLast Name

Species*

Breed*

Color*

Weight*

Age*

Date

Please upload a photo of your pet

YesNo

If Yes, please specify

YesNo

If Yes, please specify

YesNo

MaleFemale

YesNo

If yes, please specify what and when?

Climb fencesBark excessivelyHave a thunderstorm phobiaShow aggression when placed in a kennel

If yes, please elaborate

YesNo

If yes, please elaborate

YesNo

If yes, please elaborate

Are there any other special instructions or information to help us keep your pet safe during his/her stay?

This is a contract (hereafter the “Agreement”) between Doggie Dude Ranch (hereafter the “Company”) and the pet owner or agent whose signature appears below. This Agreement will be valid for one year (365 days) from the date of signing.

The owner or agent agrees to pay the rate in effect on the check-in date for all services including boarding, daycare, bathing, grooming, veterinary services, and other services requested or agreed to by the owner while the pet is boarding. The charges are to be paid in full prior to the departure of the pet from the Company.
Daycare reservations are recommended but typically not required. Daycare without a reservation is offered first-come, first-served, and may, from time to time, be refused if the facility has reached capacity.
The owner agrees to be responsible for payment of veterinary services if necessary. The Company agrees to contact and transport the pet of the owner’s veterinarian of choice if possible. The owner agrees to allow the Company to employ a veterinarian of their choosing if the owner’s veterinarian is not available, does not give the care deemed necessary, or if time is so critical that veterinary services need to be provided immediately.
After ten days from written notice to remove this animal from the Company, it wilt be considered abandoned and may be transferred to an appropriate animal shelter or to an individual deemed by the Company to be able to responsibly care for said pet. Abandonment will not relieve the owner or agent from paying all reasonable costs incurred regarding this animal, including interest, collection fees, and attorney fees if necessary.
The owner acknowledges he/she has disclosed and will disclose any aggression or bites by the pet prior to any current or future check-in. The owner acknowledges that the pet has not been exposed to any contagious disease within 30 days prior to any current or future check-in, including, but not limited to, rabies, distemper, parvovirus, canine cough or upper respiratory disease and that the pet is currently vaccinated for rabies. The owner acknowledges even though their pet has been vaccinated for kennel cough there is still a possibility of their pet contracting the illness. Kennel cough is one of the most common illnesses that dogs contracts. There are variations in strains of kennel cough and the current vaccines are not designed to protect against all types. In the event the pet contracts an illness the owner assumes all risks and agrees to pay for all medical treatment and does not hold the Company responsible for any costs.
The staff at the Company takes all reasonable precautions and closely supervises each pet to avoid the ingestion of any foreign objects, however, animal behavior is unpredictable. The Company will not be held responsible for the ingestion of any foreign object such as, but not limited to, rocks, toys, treats, bedding, etc.
The staff at the Company takes all reasonable precautions and closely supervises each pet to ensure a safe and injury-free environment. Animal behavior, however, can be unpredictable and instantaneous. As such, in facilities that offer group play care, the Company cannot guarantee that injuries (bites, scratches, etc.) will never happen. In cases when the Company can identify the pet that caused the injury (via eyewitness reports, video footage, etc.), the Owner of that pet assumes responsibility and costs to treat the injured pet(s). In cases where the pet causing the injury cannot be identified, the Owner of the injured pet assumes responsibility and costs to treat the injured pet. In cases of injury caused by the Company (human error, dangerous facility disrepair, etc.), the Company assumes responsibility and cost to treat the injured pet(s).
A charge for CAPSTAR flea treatment will be added to the bill if your pet has fleas at check-in.
The management assumes no responsibility for lost or damaged items. If you bring personal property from home, you do so at your own risk. We cannot guarantee the security of personal belongings.
Prescription medications must be in a prescription bottle with a current prescription label from a licensed veterinarian. Medication fee - $2.00 per administration.

YesNo

Preferred Veterinary Clinic*

Preferred Veterinarian*

If you are unavailable, who else may we contact regarding your pet's medical treatment in case of an emergency*

First NameLast Name

Emergency Contact Home Phone

Please enter a valid phone number.Format: (000) 000-0000.

Emergency Contact Cell Phone

Please enter a valid phone number.Format: (000) 000-0000.

Additional Contact

First NameLast Name

Additional Contact Home Phone

Please enter a valid phone number.Format: (000) 000-0000.

Additional Contact Cell Phone

Please enter a valid phone number.Format: (000) 000-0000.

Please indicate below the dollar amount you pre-authorize for emergency veterinary care in the event that we are unable to reach you or your designated emergency contact

In the event of an after-hours emergency, your pet may need to be transported to an emergency care facility. Emergencies can be costly and typically involve fees in excess of $150.00. Please note that the amount chosen reflects treatment for each pet.

IN WITNESS WHEREOF, the undersigned hereby agrees that all information provided is accurate to the best of his/her knowledge and executes the Agreement as of the date set forth as of the date submitted below

Signature*

Doggie Dude Ranch

Multiple Pet Household

Terms of Service

Media Release

Permission to Authorize Emergency Medical Treatment