Application
Date
*
-
Month
-
Day
Year
Date
Pet Owner Name
*
First Name
Last Name
Phone Number
*
Email
*
example@example.com
Second Pet Owner Name
First Name
Last Name
Phone Number
Email
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name of 1st Emergency Contact
*
First Name
Last Name
Relation to Applicant
*
Phone Number
*
Email
*
example@example.com
Name of 2nd Emergency Contact
*
First Name
Last Name
Relation to Applicant
*
Phone Number
*
Email
*
example@example.com
Name of Veterinary Clinic
*
Phone Number of Veterinarian
*
Name of Pet
*
Breed
*
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Weight
*
Coat Color
*
Is your dog neutered/spayed?
*
Please Select
Yes
No
Has your pet ever boarded?
*
Please Select
Yes
No
If yes to above question, have there ever been any problems?
Has your dog ever attended doggy day care in a group of 20 or more dogs?
*
Please Select
Yes
No
If yes to above question, Have there ever been any problems?
Has your pet ever bitten a person or another animal?
*
Please Select
Yes
No
If yes to above question, please explain.
Is your pet destructive or prone to eating non food items
*
Please Select
Yes
No
If yes to above question, please explain.
Has your dog ever been aggressive toward people or other dogs?
*
Please Select
Yes
No
If yes to above question, please explain.
Is your pet fearful of strangers or other animals?
*
Please Select
Yes
No
If yes to above question, please explain.
Are there specific situations that cause fear or anxiety?
*
Please Select
Yes
No
If yes to above question, please explain.
Has your dog ever jumped over fencing?
*
Please Select
Yes
No
If yes to above question, please explain.
Does your pet have allergies or other medical conditions?
*
Please Select
Yes
NO
If yes to above question, please explain.
If your pet is on medications, please list below. Include medication name, dose, and frequency. (charges may apply for injectable, eye, and ear medications).
It is highly recommended that you bring your dog's own food. Failure to do so may result in upset stomach and diarrhea. Food must be portioned per meal/day in baggies.If you prefer that The Dog Cabin provide the food, there will be a $5.00 per day charge for food.
*
Please Select
The Dog Cabin Food
Own Food
Feeding Instructions. Include type of food, amount and frequency of feeding.
*
Do you wish to add another pet?
*
Yes
No
Name of Second Pet
*
Breed
*
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Weight
*
Coat Color
*
Is your dog neutered/spayed?
*
Please Select
Yes
No
Has your pet ever boarded?
*
Please Select
Yes
No
If yes to above question, have there ever been any problems?
Has your dog ever attended doggy day care in a group of 20 or more dogs?
*
Please Select
Yes
No
If yes to above question, have there ever been any problems?
Has your pet ever bitten a person or another animal?
*
Please Select
Yes
No
If yes to above question, please explain.
Is your pet destructive or prone to eating non food items
*
Please Select
Yes
No
If yes to above question, please explain.
Has your dog ever been aggressive toward people or other dogs?
*
Please Select
Yes
No
If yes to above question, please explain.
Are there specific situations that cause fear or anxiety?
*
Please Select
Yes
No
If yes to above question, please explain.
Has your dog ever jumped over fencing?
*
Please Select
Yes
No
If yes to above question, please explain.
Does your pet have allergies or other medical conditions?
*
Please Select
Yes
NO
If yes to above question, please explain.
If your pet is on medications, please list below. Include medication name, dose, and frequency. (charges may apply for injectable, eye, and ear medications).
*
It is highly recommended that you bring your dog's own food. Failure to do so may result in upset stomach and diarrhea. Food must be portioned per meal/day in baggies.If you prefer that The Dog Cabin provide the food, there will be a $5.00 per day charge for food.
*
Please Select
The Dog Cabin Food
Own Food
Feeding Instructions. Include type of food, amount and frequency of feeding.
*
Do you wish to add another pet?
*
Yes
No
Name of Third Pet
*
Breed
*
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Weight
*
Coat Color
*
Is your dog neutered/spayed?
*
Please Select
Yes
No
Has your pet ever boarded?
*
Please Select
Yes
No
If yes to above question, have there ever been any problems?
Has your dog ever attended doggy day care in a group of 20 or more dogs?
*
Please Select
Yes
No
If yes to above question, have there ever been any problems?
Has your pet ever bitten a person or another animal?
*
Please Select
Yes
No
If yes to above question, please explain.
Is your pet destructive or prone to eating non food items
*
Please Select
Yes
No
If yes to above question, please explain.
Has your dog ever been aggressive toward people or other dogs?
*
Please Select
Yes
No
If yes to above question, please explain.
Are there specific situations that cause fear or anxiety?
*
Please Select
Yes
No
If yes to above question, please explain.
Has your dog ever jumped over fencing?
*
Please Select
Yes
No
If yes to above question, please explain.
Does your pet have allergies or other medical conditions?
*
Please Select
Yes
NO
If yes to above question, please explain.
If your pet is on medications, please list below. Include medication name, dose, and frequency. (charges may apply for injectable, eye, and ear medications).
It is highly recommended that you bring your dog's own food. Failure to do so may result in upset stomach and diarrhea. Food must be portioned per meal/day in baggies.If you prefer that The Dog Cabin provide the food, there will be a $5.00 per day charge for food.
*
Please Select
The Dog Cabin Food
Own Food
Feeding Instructions. Include type of food, amount and frequency of feeding.
*
Terms of Application:
ENTRANCE REQUIREMENTS: Dog must be 4 months of age or older. Must be spayed or neutered if over 6 months of age. Dogs must have Bordatella (canine cough) Vaccine within the last 6 months and current on Distemper and Rabies Vaccines. Canine Influenza Vaccine is recommended but not required. We recommend that the Bordetella and Canine Influenza Vaccines be administered at least 2 weeks prior to boarding. Pets must be in good health and flea/tick free. If found to have fleas/ticks, preventative treatment will be given at pet owners expense. Must be non-aggressive. The Canine Day Camper & Boarder must successfully complete Camper Behavioral Interview. LATE FEES – For Boarding, pick-up time at end of reservation is 12:00pm. If you do not pick up your pet by that time, you will be charged the standard 1/2 day care fee. Your pet(s) will be overnight boarded if you are more than 15 minutes late after closing. You will charged the standard boarding fee. CANCELLATION POLICY - We ask for you to cancel 48 hours in advance of your day camp or overnight reservation. Day Campers are charged the normal rate for a no-show and boarders are charged a minimum of a two-night cancellation fee. 72 hours notice is required to cancel a holiday boarding reservation without a financial penalty. AGGRESSIVE DOGS - We do not accept aggressive dogs into the Day Camp or Overnight Boarding Programs. Our thorough interview process screens for aggression. If an accepted dog exhibits unacceptable behavior, the dog is given a timeout and the owner is informed of the incident. We will then work with the canine camper’s owner to resolve the situation; we may conclude at any time that a dog is not appropriate for participation in our Day Camp and Boarding Programs. FEEDING- It is highly recommended that you bring your dog's own food. Failure to do so may result in upset stomach and diarrhea. Food must be portioned per meal/day in baggies.If you prefer that The Dog Cabin provide the food, there will be a $5.00 per day charge for food. MEDICATIONS-Should your pet require oral medications during his/her stay, we will happy to accommodate that. Oral medications will be administered per your instructions at no extra charge. We can not administer injectable medications. Ear or Eye medications can be administered for a $2.00 fee per administration. You must bring medications clearly labeled with your pet’s name and instructions on dose, frequency and route (oral, eye, ear). WHAT TO BRING TO CAMP-Your dog must have a Quick Release Collar and tag with your current contact information when entering The Dog Cabin. You may feel free to bring in your pet’s favorite toy. No need to bring bedding as we provide a comfy bed. Please be advised that The Dog Cabin can not be held liable for lost or damaged belongings. Please label all belongings. (Let us know if your dog is prone to chewing bedding) The Dog Cabin provides bedding to each pet; if destroyed by pet, his/her owner will be held responsible for replacement cost of up to $30.00. Let us know if you don’t want us to provide bedding. PAYMENT POLICY - Fees for Services & Products: The canine camper’s owner agrees to pay for camp fees, services or products with the credit cards listed on the front of this application or by cash or check. By listing your credit cards on the front of this application you are allowing The Dog Cabin, LLC to debit your credit card account for services, fees or products. You agree to pay an administrative fee for any returned check, or debit problems, such as nonsufficient funds, closed account, frozen or declined credit or similar circumstances. Refunds: There will be no refunds on services already provided such as daycare, boarding and grooming. Memo of Understanding: *I understand that The Dog Cabin LLC, its owners and employees, will exercise due care to protect the health and safety of my pet while in their care. I understand that The Dog Cabin’s Day Care and Boarding service is an open play environment and because of this there are inherent risks, which even when monitored, may result in but not limited to the following: a) Transfer of a communicable illness such as canine cough (also known as kennel cough), Canine influenza, Puppy warts and parasites. b) Injuries, usually benign, such as broken nails, sore pads, puncture wounds, abrasions and cuts. If injury, illness or death occurs, The Dog Cabin will attempt notify me immediately to receive specific instructions on how to proceed or to advise me that my pet(s) is being taken to its veterinarian on file. If The Dog Cabin staff is unable to reach me or emergency contact, I give permission to The Dog Cabin, LLC to seek any medical attention necessary and agree to pay for all charges incurred. I hereby waive and release the The Dog Cabin, LLC, its owners or employees from any and all liability of any nature for any injury, death or loss of my pet while receiving veterinary care during its stay at The Dog Cabin, LLC. I consent to the release of medical information about my pet to my veterinarian on file. I agree to pay all veterinarian charges incurred. *If I wish to board two or more dogs in one kennel, I understand I assume liability for any injuries they cause to each other. *By entering my pet into The Dog Cabin, I hereby waive and release The Dog Cabin, it’s owners or employees from any and all liability of any nature for any injury, death or loss of my pet resulting from their actions or from the action of my dog or any other dog while in the custody of, or on the grounds or surrounding area of The Dog Cabin. *In the event my do causes injury to another dog or to a person while at The Dog Cabin, I agree to indemnify and subrogate The Dog Cabin or it's owners from any action, which may be brought against them, and for any defense, settlement, or judgment against them. I will assume all liability for the actions of my dog and agree to maintain personal liability insurance to cover me in the event of such an incident. *I understand that I may not neglect to pick up my pet by the time he/she is scheduled for pick up without prior notification and approval by The Dog Cabin,LLC. I further understand that any pet that is left at The Dog Cabin without any notification by me or my representative will be considered abandoned on the14th day after scheduled pick up. I understand that if I abandon my pet, The Dog Cabin, LLC, by default, will assume primary ownership of my pet and may therefore take any action necessary to re-home him/her. I understand and agree that if I abandon my pet at the Dog Cabin, LLC I relinquish all my rights to custody of my pet and will have no recourse of action against The Dog Cabin, LLC. I lastly agree that I will still be held responsible for any and all charges incurred while my pet is in the care of The Dog Cabin, LLC including, but not limited to, Day Camp, Overnight Boarding, veterinary and re-homing expenses.
I, the undersigned, acknowledge and agree that all the information above is correct and true to the best of my knowledge. I further acknowledge that The Dog Cabin, LLC has provided me with a copy of their terms and conditions contained in Cabin Rules, policies and procedures as well as release of liability. I acknowledge that not only have I read but also understand and agree to said conditions. Lastly, I attest that if I am not the sole owner of the pet(s) named above, that my signature is sufficient to enter into this agreement for anyone who makes claims of ownership. Read carefully the policies & procedures,release of liability, assumption of risk and indemnification agreement located on the second page copy of this application.
*
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