Dog Daycare Application Form


Client Name *
Address *
Phoneexample: 555-555-5555
  Home *
  Work
  Cell


In case of emergency contact
Name *
Phoneexample: 555-555-5555
  Home   *
  Work
  Cell


Veterinarian
Name
Address


Pet Information
Name
Sex M/FMale Female
Spayed/Neutered Y/NYes No
Age
DOB
Breed
Color
Weight

Is there any important Medical Information we should be aware of? Please explain



Is your dog allowed treats? Yes No

Does your dog receive any flea/tick preventative? Yes No
What Brand?

Has your dog EVER bitten anyone? Yes No

Has your dog ever shown aggression? Yes No

Pet Care Agreement


  1. I understand that Tail Waggers of Litchfield has relied upon my information that my dog is in good health and has not injured or shown aggression or threatening behavior to any person or dog in admitting my dog for services at their facility.

  2. I further understand and agree that their owners, staff, partners, volunteers and visitors will not be liable, financially or otherwise, for injuries to my dog, me or any property of mine while my dog is participating in services provided by Tail Waggers of Litchfield. I hereby release Tail Waggers of Litchfield of any liability of any kind arising from my dog's participation in any and all services provides by Tail Waggers of Litchfield.

  3. I understand and agree that any problems with my dog, behavioral, medical or otherwise will be treated as deemed necessary, including using a veterinarian other than my own, by staff of Tail Waggers of Litchfield in their sole discretion, and in what they view as the best interest of the animal. I understand that I assume full financial responsibility and all liability for any and all expenses involved in regards to the behavior and health of my dog.

  4. I understand that there are risks and benefits associated with group socialization of dogs. I agree that the benefits outweigh the risks and I accept the risks. I desire a socialized environment for my dog while attending services provided by Tail Waggers of Litchfield and while in their care. I understand that while the socialization and play is closely and carefully monitored by Tail Waggers of Litchfield staff to prevent injury, it is still possible that during the course of normal play, my dog may receive minor nicks and scratches or even a bite from roughhousing with other dogs. Any injuries to my dog will be pointed out by staff upon pick-up.

  5. I understand by allowing my dog to participate in services offered by Tail Waggers of Litchfield I hereby agree to allow Tail Waggers of Litchfield to take photographs or use images of my pet in print form or otherwise for publication and or promotion.

  6. I further understand that I am solely responsible, financially or otherwise, for any harm or damage caused by my dog while attending any services provided by Tail Waggers of Litchfield.

  7. I understand that if my dog is not picked up on time or by a date specified in a separate agreement I hereby authorize Tail Waggers of Litchfield to take whatever action is deemed necessary for the continuing care of my dog. I will pay Tail Waggers of Litchfield the cost of nay such continuing care upon demand by Tail Waggers of Litchfield. I understand that if I do not pick up my animal, Tail Waggers of Litchfield will proceed according to the guidelines provided by Connecticut Abandoned Animal Statute, abandonment of animals by owners, procedures for handling. I also acknowledge that I will be fully responsible for all attorneys fees and associated cost if I abandon my dog.

  8. Tail Waggers of Litchfield reserves the right to permanently expel any dog from daycare at any time. Although your dog may have been accepted into the daycare program, if behaviors change over time and become unacceptable, you will be notified that your dog will no longer by allowed to attend.


I understand and agree to the Pet Care Agreement   *


By entering your name and date you agree that you have read the Pet Care Agreement in its entirety and understand and agree to it.


Name *
Date * example: 01/01/2010

Medical Release Form


First and foremost the safety and well being of your pet(s) is of the highest importance. Insuring that your pet remains safe and well cared for is our first responsibility and as such we take it very seriously. We do our best to have our pet owners screen for preexisting health conditions but some factors may beyond our control. In the event that a medical emergency arises while a pet is at our facility or participating in a services that we provide it is imperative that we are immediately able to get them to medical treatment at the closest medical facility. We will call ahead to the veterinary office in closest proximity geographically to us to insure they can handles the emergency presented. We notify the owner after we have secured a medical treatment center to avoid delays that may be caused by emotion on the part of the owner. Our goal is to get your pet medical attention as quickly as humanly possible, and any distractions may interfere with that process.


For that reason, it is a requirement to have our pet owners sign this form.


I understand that in the event of a medical emergency that Tail Waggers of Litchfield, at its sole discretion, deems the need to immediate attention of a licensed veterinarian, I authorize Tail Waggers of Litchfield, to seek medical attention at the closest veterinary facility. I further agree that I am financially responsible for any medical treatment my pet(s) receives as a result of a medical emergency while attending services provide by Tail Waggers of Litchfield.


I understand and agree to the Medical Release Form   *


By entering your name and date you agree that you have read the Medical Release Form in its entirety and understand and agree to it.


Name *
Date * example: 01/01/2010

Thank you for completing our online dog daycare application and agreements. Please be advised that daycare participants may experience some of the following:

  • Sore pads on the bottom of their feet
  • Sore muscles or joints
  • Physically and or mental tiredness

The above signs may occur in your dog when first attending day care. Exercise as well as mental stimulation should be advanced gradually. Please don't be surprised if your favorite four legged friend is tired at the end of the day. Over time the sore muscles and pads will fade as your pet gets stronger and more in shape. Our hope is that your K-9 arrives happy and departs even happier.


If you have any questions or concerns about day care please don't hesitate to ask.


Thank you,
Tail Waggers of Litchfield