DOG DIGGITY DAYCARE & BOARDING LLC



The Grooming Room Pet Hotel & Spa Llc.

Registration Form

Owner’s Name___________________________________________________________________

Address_________________________________________________________________________

City__________________________State_________Zip___________________

Home Phone_____________________Work_____________________Cell____________________

Email____________________________________________________________________________

Alternate Person who may pick up or drop off your pet_____________________________________

How did you hear about us?__________________________________________________________

ABOUT YOUR PET:

Dog Name____________________Age and Birth Date________________Weight_______________

Breed____________________ Color__________________ Valid Tag or License #:______________

Check one __Male __Female Check one __Neutered __Spayed

Microchip or Tattoo#______________ Check one ___Yes ___No

ADDITIONAL DOG:

Dog Name____________________ Age and Birth Date________________ Weight______________

Breed____________________ Color__________________ Valid Tag or License #:______________

Check one __Male __Female Check one __Neutered __Spayed

Microchip or Tattoo#______________ Check one ___Yes ___No

ABOUT YOUR VET:

Name________________________________________Phone_________________________________

Address________________________________City_________________State_____Zip____________

ABOUT YOUR PET’S HEALTH: *Please attach a photocopy of immunization records*

Immunization your dog has recieved____DHLPP____Bordatella (Kennel Cough)____Rabies

Medical Conditions________________________________Allergies____________________________

Has had flea/tick prevention ____Yes ____No Has had heartworm prevention ____Yes __No

Physical Limitations or Restrictions (sore back, hip dysplasia, etc.)______________________________

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ABOUT YOUR PET’S BACKGROUND:

Previous obedience training (when and where) _____________________________________________

Previous daycare experience_____________________________________________________________

Any sensitive spots____ Yes: explain__________________ ____No

How long have you owned your dog_______________________________

How does your dog react to new dogs__________________________________________________

Dog is afraid of____________________________________________________________________

ABOUT YOUR PET’S BEHAVIOR: (check all that apply)

____Biting or growling at people or other dogs (explain)____________________________________

____Aggressiveness with other dogs (explain)_____________________________________________

____Aggressiveness with food or toys (explain)____________________________________________

____Jumping over fences ____Jumping on people ____Chewing or digging

____Excessive pulling on leash ____Pulling out of leash ____Running away

Other__________________________________________________________________________

ABOUT YOUR PET’S FEEDING SCHEDULE: *food provided by client*

Additional Dog

____Morning Quantity____________________ ___Morning Quantity ______________

____Afternoon Quantity____________________ ___Afternoon Quantity ______________

____Evening Quantity____________________ ___Evening Quantity ______________

Medications: Medications for Additional Dog:

__Yes __No Name of Medications_______________ __Yes __No Name of Medications __________

AM/ PM/ Both AM & PM Dose_____________ AM/ PM/ Both AM & PM Dose ________

Feed dogs Together or Separate Check one ____Yes ____No

ABOUT YOUR PET’S EMERGENGY CONTACT INFO (Someone other than owner):

Name___________________________________________Relationship________________________

Phone________________________________Work_____________________________Cell_________

Client Signature_______________________________________Date____________________

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The Grooming Room Pet Hotel & Spa LLC

Pet Care Authorization and Release Form:

Initials____ The Grooming Room Pet Hotel & Spa LLC (TGR) will keep the premises sanitary and properly enclosed and exercise reasonable care for the safety of your dog. All dogs will be housed in safe, clean quarters. All dogs will be fed properly and regularly. Cannot be liable for damage or loss by or to dogs at this facility.

Initials____ Owner understands the concept of dog daycare, group play, and overnight boarding is to allow dogs to socially interact with both humans and dogs. Dogs in group play participate in supervised activities such as fetch, jumping, playing with toys; there is always a possibility of injury resulting from rough play between dogs. The owner agrees that any injury to their dog during their use of the facility shall not bring any liability of any type on the part of TGR.

Initials____ Owner agrees not to bring their pet into our facility if the dog is showing any signs of being sick, has fleas (owner will be charged for flea bath), or that its behavior may jeopardize the safety and health of other pets and/or our staff.

Initials____ Abandonment shall automatically relinquish all rights and claims by the owner to the animal. Abandonment is determined to be the refusal to provide or perform the legal obligations for care of the animal by its owner or agent.

Initials____ TGR is authorized by the owner to see veterinary care, including emergency care, at the owner’s expense. If time permits, TGR will try and contact you before obtaining any care; however, this form serves as the authorization TGR needs to obtain veterinarian care for your dog regardless. The owner is responsible for veterinarian expenses and transportation, whether or not the owner was reached in advance.

Initials____ The owner agrees to pay all charges for daycare and boarding before picking up their pet. Your pet will not be released until all charges are paid in full. Boarding check out time is 11:00 am. Dogs picked up after 12:00 pm will be charged $10.00 for additional daycare services. All daycare dogs must be picked up by the end of the business day. If not picked up by closing time, the dog will be placed in our boarding facility and the owner will charged for a night of boarding and will not be available to pick up until the next business day.

Initials____ Dogs must be spayed or neutered.

Initials____ The owner covenants not to initiate any legal proceedings of any sort against TGR as a result of illness, injury, damage or death to owner’s dog while staying at TGR and agree that, should the owner bring a legal action against TGR, the correct result of such a legal action should be a summary dismissal in favor of TGR and the owner will also agree to pay TGR costs, including, but not limited to attorney’s fees.

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Grooming Room Pet Hotel & Spa LLC

107 Central Ave.

Goose Creek, SC 29445

(843) 797 7568

Pet Care Authorization and Release Form:

Initials____ The owner agrees that by signing the Care and Authorization form one time that it remains in full effect and force each and every time the owner brings the owner’s dog or dogs to TGR for any of our services. This includes any and all owner’s dogs.

Initials____ Naptime hours are always included during time of daycare

Initials____ Please cancel bookings as soon as possible. Cancellations and No-Shows that take place less than 24 hours of the scheduled date will be charged a non-refundable daily rate. Cancelled and No-Show holiday bookings are also non-refundable and will be charged the entire scheduled cancelled or no-show visit.

Initials____ Daycare passes are non-refundable and cannot be used for boarding.

Initials____ TGR is not responsible for dogs that jump the fence and dogs that get loose from the owner and run away.

I HAVE READ, UNDERSTAND, AND AGREE TO ALL THE PROVISIONS OF THIS AUTHORIZATION. I fully intend to pick up my dog on the specified date. I will notify Grooming Room Pet Hotel & Spa of any changes to the pick up date and assume full responsibility for any additional charges.

The owner hereby agrees to waive and release TGR and their employees from any right that you may have in law to recover medical payments, bodily injury damages, or property damages for any liability regardless of the cost, as a result of any injury resulting from the actions of my dog, any other dog, or any humans.

I hereby agree to the pet care authorization form as the owner of the dog (s). I also certify that my dog(s) is/are in good health and do not show any signs of illness that may be contagious. Furthermore, I certify that all the information provided about my dog is accurate to the best of my knowledge. I have read, understand, and agree to all the provisions of this form.

Owner Signature: _____________________________________ Date: _______________

Daycare Signature_____________________________________ Date: ______________

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