Sycamore Lane Dog Profile Registration

Your Dog Pet Profile and Boarding Agreement
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Alternate Phone Number*
Please enter a valid phone number.
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone*
Please enter a valid phone number.
Instructions in case of emergency*
Veterinarian or Clinic Name*
Veterinarian or Clinic Phone Number*
Please enter a valid phone number.
Dog's Name*
Dog Breed*
Dog's Date of Birth*

MonthDayYear
Dog Gender*
Color*
Who else is authorized to pick up/drop off your pet*
Does your dog have any allergies?*
List your dog's allergies*
Is your dog on medication*
List the medications, dosage and frequency and reason for medication:*
Does your dog have any physical disabilities or pre-existing medical conditions?*
List your dog's physical disabilities or pre-existing medical conditions:*
Does your dog have any sensitive areas on his/her body?*
Explain:*
Tell us what your dog eats (SPECIFICALLY THE PROTEIN & BRAND), quantity in actual cup measurements and times. Include any additional instructions.*
Explain how your dog reacts to another dog approaching in a park, at the beach or on a walk.*
Has your dog ever bitten a person?*
Explain in detail the circumstances including what lead up to the bite.*
Has your dog ever shared his/her food or toys with other animals?*
Explain the interaction by detailing your dog's reaction.*
Has your dog ever growled or snapped at anyone who has taken his/her food or toys away from him/her?*
Explain in detail the circumstances and how you responded.*
Has your dog ever climbed/jumped a fence*
Explain in detail the circumstances*

Boarding Agreement

This is an agreement between Sycamore Lane Kennels (Kennel) and the pet owner or authorized agent (Owner) whose signature appears below. Owner agrees as follows:

1. Owner represents that he or she is the owner of the pet, or has been authorized by the owner of the pet to enter into this Agreement. The term "pet" shall include Owner's multiple pets boarded at the Kennel where appropriate.

2. Owner agrees to pay the boarding rate for all services and treatments effective on the date the pet checks into the Kennel. Rates are subject to change.

3. Daily boarding charges begin on the date of entry. Owner agrees to notify Kennel 48 hours prior to check in date if there is any change in their check in date or pick up date. No boarding pet will be released until all charges are paid in full. Owner shall remain liable for the complete boarding bill as well as other charges incurred in the care and maintenance of their pet per this Agreement and its supplements.

4. Owner agrees to pay all attorney/collection fees incurred by Kennel in the collection of any boarding, grooming, training or other charges that have been incurred by Owner for said pet. Any damages by said pet to Kennel property will be the Owner's financial responsibility.

5. Owner authorizes Kennel to contact Owner's veterinarian in order to confirm health, temperament, and vaccinations when the Kennel considers such information necessary.

6. Medical Treatment In the event that medical attention is needed, the Kennel will make every effort to contact you or your designated emergency contact in addition to contacting your veterinarian. In the event that you or none of said emergency contacts are reachable, the Kennel will act on the advisement of your veterinarian, or if your veterinarian is unavailable, within the Kennel's discretion to do whatever treatment is necessary and reasonable to keep your pet stable until we are able to reach you. Non-emergency or minor veterinary treatment will be done in house with our on-call veterinarian. Owner agrees to be responsible for any and all veterinary fees and transport fees should the pet need to be taken to the veterinarian.

7. Please be advised that when older pets are boarded, they are placed under a great deal of stress because of the removal from their normal-home environment. This stress can cause latent (dormant) physical conditions to become active. This can result in illness or death. Owner shall not hold the Kennel, or its owners or employees, responsible for the illness, injury or death of said pet or for any expenses incurred because of the illness, injury or death of said pet caused by such latent physical conditions and treatment for such conditions.

8. Owner understands that extra charges may be added to the boarding bill at the Kennel's discretion for special care or treatment that is beyond routine care. Special care may be defined as health Issues, hand feeding, geriatric physical problems, etc. Owner authorizes Kennel to provide that care and agrees to pay Kennel to accommodate these conditions. Kennel reserves the right to request further documentation if needed for any issues that may be a concern while boarding (such as medical clearances).

9. Owner represents that pet has not been exposed to any known communicable diseases within the last 30-day period immediately prior to boarding. Owner agrees to disclose to Kennel any medical conditions or behavior problems which may affect pet's care prior to check-in. Owner agrees to Inform Kennel of any changes in health or behavior for any subsequent boarding stays.

Kennel requires that all pets be vaccinated against communicable diseases prior to boarding. Kennel reserves the right to refuse admittance to any pet that shows signs of illness or that does not meet the vaccine requirements. Despite these precautions, Owner acknowledges that some airborne or uncalculatable viruses are possible in an environment where other pets are housed. Owner’s release
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ONLY FOR CLIENTS REQUESTING THEIR DOGS TO BE ALLOWED TO PARTICIPATE IN GROUP PLAY TIME

PLAYGROUP RELEASE AND WAIVER: I understand that allowing my dog to participate in a supervised community dog playgroup is not without risks. I realize that when my dog is around people and other dogs, some accidents or injury may result, and that people, dogs and property might be injured or damaged.

I hereby waive and release the Kennel and its employees, officers, agents and guests from any and all liability for injury or damage resulting from the actions of my dog or any other dogs in the playgroup. I expressly assume the risk and any Injury to my dog, including any and all medical expenses resulting from or relating to said injury.

I hereby agree to indemnify and hold harmless the Kennel, its employees, officers, agents and guests from any and all claims resulting from any actions by any dog in the playgroup including my dog and acknowledge that this release and indemnification shall be in force whenever my dog participates in a community playgroup starting with the date indicated below.
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Your Dog Pet Profile and Boarding Agreement