Meg_Grooms Boarding Application

Owners Name:*

First NameLast Name

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Area CodePhone Number

Owner 2 Name

First NameLast Name

Owner 2 Phone Number

Area CodePhone Number

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Area CodePhone Number

Check Box(s) for "Yes"

Pick-up my dog from boarding or playcare?Make decisions for my dog on my behalf in an emergency?Make decisions for my dog on my behalf in non-emergency situations?

Click Box If You Agree, if you don't check box your dog will not be released to anyone other then the owner(s) listed above, with no exceptions.

you may verbally (by telephone) or in writing (facsimile or otherwise) request that Megan Wuerz (Meg_Wuerz) release your dog to someone other than the person(s) listed above, and you release Megan Wuerz (Meg_Wuerz) of and from any and all responsibility for releasing your dog to any person Megan Wuerz (Meg_Wuerz) reasonably believes to be authorized by yourself.

Dogs Name*

Dogs Breed*

Dogs Weight*

Dogs Age *

Gender*

FemaleMale

Spayed / Neutered*

YesNo

Veterinarian:*

Method of flea control and heartworm prevention:*

Please list any special conditions regarding health, diet, and/or grooming

Dogs your dog take any medication?*

YesNo

If Yes, what medication? How do you administer the medication? How much and what time of day?

Dog walking information: (Do you walk your dog? How often? For how long? Where? etc)*

Click Box If You Agree, if you don't want your pet to commingle with other dogs do not click the box. If box is not clicked your dog will not commingle with any other dogs.

you acknowledge that the dog listed above is/are permitted to be commingled with other dogs during group play and/or group exercise if Megan Wuerz (Meg_Grooms), in its sole discretion, determines that your dog is/are eligible for such activities.

Is your dog house broken?*

YesNo

Does your dog go to the dog park?*

YesNo

Has your dog ever bitten or exhibited aggressive behavior towards people or other animals?*

YesNoDon't Know

if yes, please explain

Has your dog ever been bitten or attacked another dog?*

YesNoDon't Know

if yes, please explain

Does your dog board well?*

YesNoDon't KnowNever Boarded

if no, please explain

please bring your dogs regular food either bagged in the portions you normally give or with the same utensils used for portions you use at home. *** Write feeding instructions here ****

Please describe any medical or physical problems, including allergies:

1) I (Owner) represent that I am the legal owner of the above named dog(s) and I assume all risks, dangers, and responsibility for injuries to the named dog(s). Owner understands and agrees that Owner is solely responsible for any harm while Owner’s dog(s) is/are attending Daycare / Boarding.
2) PHOTO AND VIDEO RELEASE: We love to post pictures and videos on Facebook, Instagram, Tiktok, our website, and/or in magazine ads. Owner agrees to allow Megan Wuerz (Meg_Grooms) to use Owner’s pet’s name and any images or likeness of Owner’s pet taken while he/she is with Megan Wuerz (Meg_Grooms), in any form, for use at any time, in any media, marketing, advertising, illustration, trade or promotional materials without compensation, and Owner releases to Megan Wuerz (Meg_Grooms) all rights that Owner may possess or claim to such image, likeness, recording, etc.
3) DOG’S HEALTH: Owner further understands and agrees that Owner’s dog(s) are healthy and will at all times while attending Megan Wuerz (Meg_Grooms) have current vaccinations for rabies, distemper and Bordetella. Owner is not enrolling any dog that has any condition that could potentially jeopardize the health of other dogs or people and has not had any potentially communicable condition within 30 days prior to enrollment. Owner further understands that even if Owner(s) dog is vaccinated for Bordetella (Kennel Cough) there is a chance that the Owner’s dog can still contract Kennel Cough. Owner agrees that Owner will not hold Megan Wuerz (Meg_Grooms) responsible if Owner’s dog(s) contracts Kennel Cough or other dog-dog transmitted ailments.
4) FLEA/TICK FREE: All dogs must be flea/tick free. Should a dog be observed to have fleas or ticks, a flea/tick bath treatment will be applied and charged to the owner at a rate of up to $80.00 depending on severity and size of dog.
5) GROUP PLAY: All dogs must pass a general behavior assessment in order to attend dog-dog group play. No dog may be admitted to group play who shows any signs of any type of aggression. Owner further understands and agrees that in admitting Owner’s dog(s) to dog-dog group play, Owner is representing to Megan Wuerz (Meg_Grooms) that Owner’s dog(s) is/are in good health and have not harmed, shown aggression, or exhibited any threatening behavior towards any person or other dogs. Any dog demonstrating aggression or other behavior deemed unacceptable by Megan Wuerz (Meg_Grooms) or staff may be required to leave daycare/boarding.
6) RELEASE OF LIABILITY: Owner understands and agrees that during normal dog play, Owner’s dog may sustain injuries. Dog play is monitored by Megan Wuerz (Meg_Grooms) and staff to best avoid injury, but scratches, punctures, torn ligaments, and other injuries may occur despite the best supervision. Owner further understands and agrees that neither daycare/boarding nor any of its employees, staff, or volunteers will be liable for any illness, injury, death, and/or escape of Owner’s dog(s) provided that reasonable care and precautions are followed, and Owner hereby releases Megan Wuerz (Meg_Grooms) staff or volunteers of any liability of any kind whatsoever arising from or as a result of Owner’s dog(s) with Megan Wuerz (Meg_Grooms).
7) PERSONAL PROPERTY: Owner understands that Owner is solely responsible for any harm, including to any other pet(s), to the employees or invitees with Megan Wuerz (Meg_Grooms), or to the equipment, facilities, or other property of Megan Wuerz (Meg_Grooms), caused by Owners dog(s). Owner also agrees that Megan Wuerz (Meg_Grooms) shall not be responsible or liable for any lost or damaged personal property belonging either to Owner or Owner’s pet.
8) FOOD/MEDS when boarding overnight, Owner agrees that it is the Owner’s responsibility to leave an adequate supply of food and medications for Owner’s dog(s) during the entire time Owner’s dog is cared for by Megan Wuerz (Meg_Grooms). Should the food/medication supply need replacement, Owner authorizes Megan Wuerz (Meg_Grooms) to purchase replacement and Owner will reimburse Megan Wuerz (Meg_Grooms) for the actual food and medication costs plus up to $25.00 time/distance trip fee (per occurrence).
9) VETERINARIAN LIABILITY AND CARE: Owner agrees to Megan Wuerz (Meg_Grooms) to obtain medical treatment for Owner’s dog(s) if he/she appears ill, injured, or exhibits any other behavior that would reasonably suggest that dog(s) may need medical treatment including anesthesia. Owner agrees to be fully responsible for the cost of any such medical treatment and for the cost of any transportation for the purposes of such treatment. Owner gives permission to Megan Wuerz (Meg_Grooms) to use Owner’s vet or nearest 24-hour vet hospital for required treatment.
10) WEAKENED IMMUNE SYSTEM: Owners understand special-needs dogs, young puppies, and senior dogs naturally have a higher risk of injury, stress-related illnesses, weakened immune system, or exacerbation of any pre-existing condition. As such, by using our facility for daycare or boarding the Owner is waiving any claim for injury or illness experienced by the Owner's dog while in our care.
11) ELDERLY DOGS: Owners of elderly dogs (approaching the end of life) need to know if in the event Owner’s dog passes on while in our care, our policy is to transport Owner’s dog to Owner’s vet (within 15 miles) where he/she will be held until Owner can be reached by the Vet for further instructions. If Owner’s vet is closed or outside of our transport distance, then we will transport to the nearest 24-hour facility. Trip charge will apply based on time/distance.
12) GROOMING expense to be paid if Owner’s dog(s) nails are too long and causing breaking of skin or deep scratches to staff, volunteers, and/or other dogs. Nail trim cost up to $15.00. In addition if Owner’s dog(s) happens to soil their fur we will bathe them at Owner’s expense.
13) PAYMENTS are due and payable at the end of each visit. Payment may be made in Cash, Zelle or Venmo. There is a 50% non refunable depoist for the cost of the board due when you book.
14) CANCELLATION / NO-SHOW POLICY: Cancellations must be done 5 days prior to the reservation date. If cancellation notice is less than 5 days you will not get your depoist back.
15) CLOSING TIME: Owner agrees that if Owner’s dog(s) is/are not picked up by pre discussed time then Owner hereby authorizes overnight boarding appropriate for dog(s) and to pay Megan Wuerz (Meg_Grooms) for an applicable overnight boarding charge plus any charge for required food.
16) RIGHT OF REFUSAL: Megan Wuerz (Meg_Grooms) reserves the right to refuse admittance to any dog or dismiss any dog that does not meet or maintain the health, temperament or other daycare/boarding standards. The determination shall be made at the sole discretion of Megan Wuerz (Meg_Grooms).
17) FULL FORCE AND EFFECT: Owner further understands and expressly agrees that each and every of the foregoing provisions contained in paragraphs 1-17 shall be in force and effect and shall apply to each and every occasion on which Owner’s dog(s) stays with Megan Wuerz (Meg_Grooms) for daycare, extended boarding, or other services, as the case may be. This Agreement shall remain in full force and effect as between the parties until and unless otherwise canceled or superseded by a writing signed by the parties.

Owner hereby certifies that Owner has read and understands this Waiver and Release of Liability and the regulations set forth above.

By signing this agreement, Owner agrees to be bound by its terms and conditions.

This is a one time form that is valid for any and all boards and/or daycare with Megan Wuerz (Meg_Grooms). I understand that it is my responsibility to update any information on this form with Megan Wuerz (Meg_Grooms) at later dates if any new or updated information and concerns occur about my pet.

I have read the above terms and conditions. I know, understand, agree and comply to all terms stated above and filled out this form to the best of my knowleage, By signing below, I am accepting this document as a contractual agreement.

Name*

First NameLast Name

Signature*

Date*

Date

Boarding / Daycare Application and Contract

This one time application allows me to get to know you and your pup a little better. If you have multiple dogs please fill out one form for each dog. If you haven't already, please reach out for a free meet and greet so you can get to know me as well!

Owners Information

Additional Contact Information

Dogs Information

Eating Habits

Dog Boarding and Doggy Daycare Policies and Release of Liability