DOGGIE INFORMATION

  • Dog Name (*)
  • Breed or Mix (*)
  • Coat Colour (*)
  • Age / DOB (*)
  • Sex (*)
  • MaleFemale
  • Spayed / Neutered (*)
  • YesNo
  • Micro-chipped / Tattoo
  • Micro-chippedTattoo

CLIENT INFORMATION

  • First Name (*)
  • Last Name (*)
  • Address (*)
  • Home Phone
  • Work Phone
  • Cell Phone (*)
  • Your Email (*)
  • How did you hear about Doggie Central?
  • Special Instructions for Contacts

WHO IS AUTHORIZED TO PICK UP YOUR DOG?

  • Name 1
  • Phone Number
  • Name 2
  • Phone Number

VETERINARIAN INFORMATION

  • Name of Clinic (*)
  • Phone number

DOGGIE PROFILE

  • How long have you had your dog?
  • Where did you get your dog?
  • BreederPet StoreOther
  • If adopted, do you have knowledge of your dog’s past history?

SOCIAL BEHAVIOUR

  • Does your dog respond to the following commands? (please check all applicable) (*)
  • SitStayDownComeOffDrop itQuiet
  • Please list any other commands your dog responds to.
  • When introduced to a new dog, is your dog; (please check all applicable) (*)
  • FriendlyConfidentStand offishPushyAggressive
  • Has your dog ever bitten another dog? (*)
  • YesNo
  • If yes please explain the circumstances.
  • What type of training if any has your dog had?
  • Has your dog ever bitten a person? (*)
  • YesNo
  • If yes please explain the circumstances.

LIFESTYLE

  • Number of adults in your household (*)
  • Number of children in your household
  • Please indicate how many and the type of other animals in your household
  • Is your dog house trained? (*)
  • YesNo
  • Is your dog crate trained? (*)
  • YesNo
  • Does your dog walk off leash (*)
  • YesNo
  • Does your dog have free run in your home? (*)
  • YesNo
  • Is your dog allowed on furniture? (*)
  • YesNo
  • Where does your dog typically sleep? (*)
  • Own BedCrateOur/my bed

OTHER INFORMATION

  • Contract, Release and Agreement (*)
  • DOGGIE CENTRAL LTD.
    CONTRACT, RELEASE AND AGREEMENT
    DAYCARE
    RELEASE OF LIABILITY AGREEMENT, WAIVER OF CLAIMS,
    ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT
    BY AGREEING TO THE TERMS OF THIS DOCUMENT YOU WILL WAIVE
    CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE
    PLEASE READ CAREFULLY!
    The Doggie Central Ltd. agrees to exercise due diligence and reasonable care, and to keep the premises sanitary and properly enclosed. All dogs are handled or cared for by the DAs (Dog Assistants) without liability on Doggie Central Limited part for loss or damage from disease, theft, fire, death, escape, injury, or harm to person's, other dog(s) or property by said dog, or from other unavoidable causes, due diligence and care having been exercised.

    Should any dog(s) become ill or seem to be in need of medical attention, Doggie Central Ltd. reserves the right to administer aid and/or to use any available veterinarian. All expenses so incurred shall be paid by the owner of said dog in addition to any other applicable fees.

    Owner agrees to pay the rate for service in effect, on the date and time the dog is checked into Doggie Central prices are subject to change without notice. Late cancellation fees will be applied for reservations cancelled after 5:00pm on the previous day of the scheduled reservation. Late pick up fees will be applied for pick up after 6:00 pm on the day of the scheduled reservation at a rate of 0.50 cents per minute for the first 15 minutes and $1.00 per minute all minutes thereafter.

    Should my dog not be picked up at the specified time I authorize Doggie Central Ltd to take whatever action deemed necessary for the continuing care of my dog and I will pay all costs and charges thereof.

    Owner shall remain liable for all daycare bills and other applicable charges accrued in the care and maintenance of the dog listed in this contract. The Owner further agrees to be solely responsible for any and all acts or behaviour of said dog while in the care of Doggie Central. The Owner of the pet agrees to pay any and all attorney fees incurred by Doggie Central Ltd. in the collections of any daycare services, training fees, or other charges accrued by the Owner of the dog.

    Owner shall report any and all incidents of aggression before dog is dropped off for daycare.

    The dog must have at least two sets of shots before entering the daycare. Valid proof of vaccinations must be present before pet can be dropped off for daycare. Owner also agrees to maintain vaccinations and to keep Doggie Central DA (Dog Assistants) staff up to date on any changes.

    Pets arriving with fleas / ticks will not be accepted. Sick and/or injured dogs will not be accepted into unless previous arrangements have been made. Doggie Central Ltd. reserves the right to refuse any dog for any reason.

    Owner agrees that the dog will be picked up by the owner or other pre-approved person by 6:00 pm weekdays, unless a prior extension is agreed to prior to dropping the pet off for daycare. Late charges will be executed at the manager's discretion as per above.

    There is a strict NO REFUND POLICY once payment has been received by the daycare, this includes pre-paid daycare packages. Pre-paid daycare packages are NOT TRANSFERABLE OR REFUNDABLE AT ANY TIME FOR ANY REASON. PRE-PAID PACKAGES ARE VALID FOR 1 YEAR FROM DATE OF PURCHASE.

    My dog may be videotaped, photographed and recorded when on Doggie Central premises and Doggie Central Ltd. shall be the exclusive owner to the results and proceeds of such taping, photography and recordings with the rights, throughout the world, of unlimited use, and to copyright, to use and license in any manner.

    Declaration
    Dogs are animals and as such can be unpredictable and have the potential of displaying unwanted behaviours without warning. Working with dogs is not without risk to students, family members, guests, other people, dogs and possessions.

    Assumption of Risk
    The undersigned hereby agrees to indemnity, agree to hold harmless, and to release from liability; Doggie Central Ltd. and/or its principals along with all other related names and combination of names, employees and agents for any and all risks involved with any and all products and/or services of the facility, and any and all direct or indirect results thereafter.

    Indemnity
    The undersigned hereby agrees to indemnity, agree to hold harmless, and to release from liability; for any claim by any person or company against Doggie Central Ltd. and/or its principals along with all other related names and combination of names, employees and agents including the legal costs to defend any such claim, whether or not the damages are caused in whole or in part by the negligence, actions or inaction's of any of these parties.

    Release from Liability
    In consideration of the care of my animal, I hereby agree to waive any and all claims I have or in the future may have as against, Doggie Central Ltd. their affiliates, and their respective, directors, officers, employees, agents, representatives, successors and assigns (all of whom are hereinafter collectively referred to as “THE RELEASEES”), and TO RELEASE THE RELEASEES from any and all liability for any loss, damage, expense or injury that I may suffer, or that my next of kin may suffer resulting from my presence on the Facilities, DUE TO ANY CAUSE WHATSOEVER, INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, INCLUDING ANY DUTY OF CARE OWED UNDER THE OCCUPIERS’ LIABILITY ACT AND DOG OWNERS’ LIABILITY ACT , ON THE PART OF THE RELEASEES,

    Aggression
    I certify that my dog (s) has not shown aggression or threatening behaviour towards any person, other dogs, toys, or food.

    I will abide by the rules and regulations of Doggie Central Ltd. provided to me and/or posted from time to time at either of the premises.

    Signing below indicates your acknowledgment, understanding and agreement to all of the terms contained within this Contract, Agreement and Release, and that you are setting your hand hereto delivering your signature freely, voluntarily and unconditionally.

  • Today's Date (*)
  • I Agree (*)
  • I agree to the Contract Release and Agreement
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