Connie's Canine Camp

Connie's Canine Camp

Business Agreement
Drop Off Date*

MonthDayYear
Date
Pick Up Date*

MonthDayYear
Date
Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Number*

Area CodePhone Number
Emergency Contact*

First NameLast Name
Emergency Contact*

Area CodePhone Number
Vet Name*

First NameLast Name
Vet Phone Number*

Area CodePhone Number
Dog Name*
Dog Age*
Dog Weight*
Is your dog spayed or neutered?*
Is your dog up to date on vaccines? Please send a copy of vaccine records.*
Does your dog have any medical problems? If so, explain.*
Does your dog take any medications? If so, please list name, dose and instructions. (see additional fees)*
General Information
Is Your Dog Small Dog and Cat Safe?
Where Does Your Dog Sleep?*
List feeding instructions. (see additional fees if you are not providing kibble or premixed food)*
Where Does Your Dog Stay When You Run Errands?*
Does Your Dog Get Along with Other Small Dogs, Cats? Has Your Dog Ever Bitten?*
Does Your Dog Have Any Fears? Loud Noises, Thunder, Being Held, Being Approached? Please Explain:*
Is Your Dog Food, Toy or People Aggressive? Please Explain:*
Has Your Dog Ever Jumped or Climbed a Fence? If so, how high was it?*
Please List any other information we should know about your dog.*
Disclaimer
Connie's Canine Camp (CCC) has a large fenced back yard for play in appropriate weather. The fence is 4ft chain link and is double gated with pad locks on the gates. We check the fences daily for holes or damage. We do not leave the dogs outside without supervision. CCC shall not be held liable if a dog jumps or climbs over the fence. Every effort to recover a dog will be made, but realize that incidents can happen anywhere there is an outdoor play area.
Dog Owner Responsibilities
By Signing this Agreement and letting my dog stay at Connie's Canine Camp I/We understand that if my dog bies or causes injury to another animal or person during their stay I/We will be responsible for all veterinary and/or medical bills incurred as a result.

I/We give permission to Connie or Tommy Stovall or one of their agents, to take my dog(s) to the vet of their choice (unless otherwise specified)if my dog(s) should become ill during their stay and I/We will be responsible for all vet costs. CCC will make every effort to contact the dog owner before treatment is made.

I/We understand a copy of dog(s) current vaccine records are required. I/We also understand that dog(s) must wear a collar with ID tag, Rabies tag, and microchip tag (if applicable) at all times during their stay.

I/We will provide enough food for dog(s) stay, plus a couple of days incase your are delayed in returning. Provide kibble/dry food in a sealed container. Any special diet needs must be addressed prior to stay and may include additional fee.
E-Signature*

First NameLast Name
By signing here you agree to this Business Agreement in it's entirity.
Date*

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Date
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Connie's Canine Camp

General Information

Disclaimer

Dog Owner Responsibilities