Day-Stay Request

Day-Stay Request

There's an option at the bottom to include a 2nd pet during the same service. Have more pets? Complete and additional form. Day-Stay rates are $9/hour.
Has your pet stayed with me previously?*

Yesno
Owner*

First NameLast Name
E-mail*
example@example.com
Mobile Number*
Address*

Street Address

CityState / Province

Postal / Zip Code
My pet is a:*

Puppy, 8 to 20 weeks oldAdult Dog, 5 months & upCat
Pet's name:*
Predominant Breed*
Birth Date

MonthDayYear
OR approximate age
Gender*

male, neuteredmale, intactfemale, neuteredfemale, intact
Desired Date and Drop-off Time *
Pick up time - anytime up until 7pm*

AM/PM Option
Additional Comments or Questions
Does your pet struggle or have issues with any of the following:*

has allergieshas digestive issuesResource guarding - food, objects, toys, people, etc...seeing other dogs or animalsgiving up an objectcrating or confinement issuesdoesn't like certain parts of his or her body touchedis an escape artistOtherNone of the above
Explain in detail. Please be completely transparent. Details help me safely navigate your pet's care and provide the best experience possible
Any additional information you'd like me to know about your pet's personality, temperament, etc...?
Please be completely honest about any behavior issues
Is your pet on heartworm, flea and tick preventative? Indicate brand and type*
Dogs must be on a flea and tick preventative utilize the Day-Stay service
What will my pet's Day-Stay experience look like?

Your pet will have multiple opportunities throughout the day for potty time, play, enrichment games and attention. If your dog is social, they can play with my dogs. I have a rule, if I cannot have my eyes on your pet, then they are kenneled. This will include times to decompress and rest, but also if I have to run a quick errand, etc. Your pet MUST be okay with crating.

What do I need to bring for my pet's Day-Stay?

I have plenty of bowls, bedding and toys. You will provide food (if needed), poopie bags and any chews or treats you'd like them to enjoy.

I often share other yummy treats, so please let me know if you do not want your pet to have anything in addition to what you provide.

Please be prompt for your drop-off and pick-up times.

*Day-Stay Policy*

Please be prompt for your drop-off and pick-up times.

Drop-Off: If you are running more than 10 minutes late for your requested drop-off time, you must let me know.

If you drop off later than what was reserved, you will still be charged for the starting reservation time. If you have not dropped off your pet withing 30 minutes of your reservation, you forfeit your pet's stay and will be charged for the entire reservation. No exceptions.

Pick-Up: An additional $10 per each 15 minutes beyond the scheduled time is charged for late pick-ups.
Veterinarian:*
It is suggested you inform your veterinarian your pet will be with me in case of an emergency or concern
Address*

Street Address

Street Address Line 2

CityState

Postal / Zip Code
Do I have your permission to transport your pet if the need arises? (in an emergency or other situation)*

yes
The following immunizations are required for the Day-Stay program:
Date of pet's last parvo/distemper vaccination distemper*
Pet's last kennel cough (Bordetella) vaccination kennel cough*
Date of last rabies rabies*
Pet's under 16 weeks of age will not have had all their shots yet. This is expected. As long as your pet is up to date on vaccines appropriate for his or her age, your pet is fine to board.
Upload your pet's veterinary records for confirmation*

In case of emergency, It is suggested that you inform your vet of their boarding stay
Cancelof
Emergency Contact*

First NameLast Name
Mobile Number*
I, your name * , give my permission for Diane Sammarco (DBA Trainer Diane / Hub Of The Wholesome Dog) to host my pet(s) in her home for the Day-Stay program. Diane will provide kind, conscientious and loving care and attention to my pet(s). My signature indicates that I understand that accidents, illness or unforeseen circumstances can happen and that I hold harmless Diane Sammarco (DBA Trainer Diane / Hub Of The Wholesome Dog) for any such situations that may occur from this and any future services. I agree to reimburse Diane for any additional expenses that may occur for emergency vet visits, property damage and the like. I agree that the terms, conditions and policies sited apply to all pets included on this form and future services. Signature*
Do you want to add another pet to this request?

yesno
My 2nd pet is a:*

Puppy, 8 to 20 weeks oldAdult Dog, 5 months & upCat
Pet's name:*
Predominant Breed*
Birth Date

MonthDayYear
OR approximate age
Gender*

male, neuteredmale, intactfemale, neuteredfemale, intact
Does your pet struggle or have issues with any of the following:

has allergieshas digestive issuesResource guarding - food, objects, toys, people, etc...seeing other dogs or animalsgiving up an objectcrating or confinement issuesdoesn't like certain parts of his or her body touchedis an escape artistOther
Explain in detail. Please be completely transparent. Details help me safely navigate your pet's care and provide the best experience possible
Is your pet on heartworm, flea and tick preventative? Indicate brand and type*
Any additional information you'd like me to know about your pet's personality, temperament, etc...?
Please be completely honest about any behavior issues
Do I have your permission to transport your pet if the need arises? (in an emergency or other situation)*

yes
The following immunizations are required for the Day-Stay progam:
Date of pet's last parvo/distemper vaccination distemper*
Pet's last kennel cough (Bordetella) vaccination kennel cough*
Date of last rabies rabies*
Pet's under 16 weeks of age will not have had all their shots yet. This is expected. As long as your pet is up to date on vaccines appropriate for his or her age, your pet is fine to board.
Upload your pet's veterinary records for confirmation*

In case of emergency, It is suggested that you inform your vet of their boarding stay
Cancelof
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