Doggie Daycare Enrollment Form (Page 3 of 3) in pdf

70 Range Road U Windham, NH 03087 U 603-890-6239

Email: info@woofwoof.net U

OGGIE

AYCARE

GREEMENT

Please Print

Dog’s Name: ______________________________________________ Breed:_________________________________________________________

Age: _________________________________

Male

Neutered

Female

Spayed Birthday: (M/D/Y)________________________________

1st Owner’s Name: ______________________________________________________________ Work# __________________________________

Cell# __________________________________ Email: ____________________________________________________________________________

Street Address: ___________________________________________________ Home Phone# __________________________________________

City: ______________________________________________________________ State: ____________________ Zip: _______________________

2nd Owner’s Name: _____________________________________________________________ Work# __________________________________

Cell# __________________________________ Email: ____________________________________________________________________________

As a condition of using our services for your pet, the following Policies and Waiver and Assumption to Hold Harmless must be signed. By

choosing to utilize the services and/or participate in activities, training or doggie daycare, for my pet at Woof Woof Professional Dog Services

(WWPDS), of Windham, New Hampshire, I agree to the following:

(Please initial each paragraph.)

______ I understand that upon entering WWPDS my pet will be examined for overall quality of health, including but not limited to: fleas, ticks,

mites, hot spots, etc. If my dog is found to have parasites, or has a health concern, my dog will be asked to leave any program that my dog is enrolled

in with WWPDS immediately. My dog will be reinstated in any programs that my dog is enrolled in with proof of a clean bill of health provided by

my dog’s veterinarian.

______ I understand that an interactive play setting/doggie daycare/training is not without possible risk of injury. Despite all the dogs appearing

healthy and being handled with care and foresight, dogs are not always predictable and the unexpected may occur. I recognize that the benefits of

an interactive playgroup/doggie daycare/training are valuable to my dog, and by signing this document I hereby assume and accept the potential

risks involved in taking advantage of the services offered by this facility. Further, I agree to pay any and all medical expenses incurred as a result of

any injury to my dog while at the facility.

______ If my pet appears to be ill, I authorize WWPDS to engage the services of a veterinarian at my expense, to give other requisite attention,

and to make whatever decisions are required for my pet’s veterinary treatment. I agree to pay all veterinary charges incurred by my pet while in the

care of WWPDS. I will not hold WWPDS, liable for failure to seek veterinary attention or for decisions made under this contract.

______ I understand that WWPDS offers doggie daycare by way of a pass program. The Gold, Silver, Bronze and Discount Passes must be used with-

in six (6) WEEKS from date of first visit. The Flexi pass must be used within six (6) MONTHS from date of first visit. I understand that I have the right

to change which pass program I use at any time. All fees are due and payable at the end of each day. We accept Visa, MasterCard, local checks, and

cash. All pass programs must be paid prior to use. Multiple pets in the same household may use the same pass for greater savings. Daycare visits

must be used by their expiration date or they are forfeited. NO refunds on unused daycare passes. Passes are not transferrable. All returned checks

are subject to a twenty-five dollar (

) fee. Pricing is subject to change.

______ I have read, signed, and agreed to follow the WWPDS Doggie Daycare Rules and Regulations Agreement.

______ I have read and answered, to the best of my knowledge and ability, the WWPDS Doggie Daycare Enrollment Form.

______ I understand that WWPDS reserves the right to dismiss a dog from the doggie daycare program for any reason.

______ I understand that Woof Woof Professional Dog Services will exercise due diligence and care in the guardianship of my pet. I hereby waive

and release Woof Woof Professional Dog Services, its agents, officers, subcontractors, employees, canine parents, and customers of WWPDS

from any and all liability of any nature, for injury or damage, including that which may result from the attention of any dog including my own, and I

expressly assume the risk of such damage or injury while my dog participates in or attends any function of Woof Woof Professional Dog Services,

while on the grounds or the surround area thereto.

On behalf of myself, my heirs, agents, and any and all other owners of this pet, I have read and agree to the terms of this contract. I warrant that I

have the authority to represent any and all other owners of this pet in signing this contract.

________________________________________________________________________________________________________________________

Signature of Owner, or Authorized Agent

Today’s Date