Boarding / Daycare Agreement Your NameYour AddressEmail AddressHome PhoneWork PhoneCell Phone Emergency Contacts (Persons outside of your home) You will always be our first contact, this is if we cannot reach you.ContactNameHome PhoneWork PhoneCell PhoneUntitled Dog's InformationNameBreedAgePlease enter a number from 0 to 100.GenderColorVeternarian Name / ClinicVeterinarian Phone NumberIs your Dog Spayed or Neutered? Yes No List any allergies your dog hasWhat kind of flea treatment is used on your dog?Please check what applies to your dog Stool Eater Runs Away Toy Possessive Escapes Jumps or Climbs Fences Special Instructions / Is there anything else we need to know about your dog? Referral InformationWhere did you hear about us? Google Yelp Internet Facebook Driveby Referred by a friend? Who?Any other referrals? As owner of the above said pet, I hereby give consent for emergency medical care as prescribed by a duly licensed veterinarian. This care may be given under whatever conditions are necessary to preserve life, limb or well being of my pet.K-9 Divine Dog Ranch Boarding Policies, please check each box Day Care: All dogs must complete a temperament evaluation. K-9 Divine Dog Ranch reserves the right to refuse or to reject any dog that might be a safety hazard to itself or other dogs in our care or staff member. This includes, but is not limited to dogs who are aggressive, anti-social, toy or people possessive, anxious, or physically ill. All dogs must have at least 2 rounds of booster shots to attend day care/boarding. Intact females are not allowed to attend while in heat. Vaccinations: All dogs must have current vaccinations against Rabies, Bordetella, DHLPP and Influenza. Your dog will not be admitted into K-9 Divine Dog Ranch until we have proof of vaccinations. Three notices will be given prior to shots being due. The third reminder (due date) will also be notice that you can no longer bring your dog in without proof of updated vaccinations. Also NOTE: If you have not been here for several weeks or months and your dog is past due for any vaccination, you will not be able to drop him off without proof of vaccination. Flea Protection: All dogs are required to have flea protection. Your dog must be on a veterinarian approved form of flea control. Acceptable flea treatments are (but not limited to) Frontline, Frontline Plus, Advantage, K-9 Advantage, and Revolution. Any dog that has fleas will not be allowed in our facility. Collars and Leashes: All dogs must be on leash when entering and exiting K-9 Divine Dog Ranch. All dogs must also have a nylon or leather buckle or martingale collar. We do not allow choke chains, prong collars or shock collars. Toys and Beds: You may not bring your own toys or beds from home. This could cause possessive behavior. Service Fees: All fees for services are due when services are rendered. Acceptable forms of payment are checks, credit cards & cash. I certify that to the best of my knowledge my dog is unwilling or unable to jump a 6 foot fence. I understand that K-9 Divine Dog Ranch cannot properly contain my dog if he/she can jump a 6 foot fence. K-9 Divine Dog Ranch, its owner, employee(s), representative(s) or any other person(s) affiliated with the company shall hereinafter be referred to as “K-9 Divine Dog Ranch.” By signing this form, you or your representative(s) (print dog parent’s name) Dog Parent's Nameshall hereinafter be referred to as “Parent,” and agree not to hold “K-9 Divine Dog Ranch” liable or sue for any injuries and/or death to your dog(s) (print dog’s name)Dog's Namewhile in the care of “K-9 Divine Dog Ranch” Although, K-9 Divine Dog Ranch screens the dogs for temperament, watches the dogs carefully, and does not take aggressive dogs, day care can be hazardous. Dogs can get rambunctious at times and we cannot be held responsible for injuries and/or death that may occur in and out of the day care including the transporting of animals. If, in my absence, my pet should become ill, injured or in need of veterinary care, K-9 Divine Dog Ranch has my permission to consult with my veterinarian. If my pet should require immediate care, I hereby give K-9 Divine Dog Ranch permission to bring my pet to K-9 Divine Dog Ranch associate veterinarians’ facilities. I understand that I am responsible for all veterinary costs, including the transportation of my pet to and from the veterinarian. I understand that my dog will be taken outside on a daily basis at K-9 Divine Dog Ranch. I hereby declare that my dog has never shown aggression, bitten, injured or killed another dog or person. If my dog does I agree to pay all bills associated with the incident. I hereby declare that my animal has not been exposed to any communicable diseases within the last 30 days, and is fully vaccinated in accordance with K-9 Divine Dog Ranch policy. By signing this form, you acknowledge that you understand and accept the terms and conditions set forth by this agreement.Your Name