DROP OFF

Date Time

PICK UP

Time

CLIENT INFORMATION

Name Phone Address
City State Zip
Email
Home Phone: Cell Phone

Emergency Information
Person who can make decisions for your dog if we can not reach you
Phone

PET INFORMATION

Dog's Name Breed Color
Dog's Gender MaleFemale Spayed or Neutered? —Please choose an option—SpayedNeuteredNone Date of Birth

Veterinarian Phone
Vaccinations have been faxed by the Veterinarian YesNo They must be faxed to 269 857-8379

Does your dog require medication?—Please choose an option—NoYes

DOG PROFILE

Dog's Name Breed

Is your dog taking heartworm preventative? —Please choose an option—YesNo

Does your dog have any preexisting or current medical conditions? —Please choose an option—YesNo
If yes please describe.

Does your dog have any food allergies? —Please choose an option—YesNo
If yes please describe.

Does your dog have any sensitive areas to his or her body? —Please choose an option—YesNo
If yes, please describe.

Please check the boxes that best describe your dog's temperament. (Check all that apply.)
CalmPlayfulExcitableShyDominantAggressive
Other:

Does your dog have fears or phobias? —Please choose an option—YesNo
If yes, please describe.

Has your dog ever bitten another dog? —Please choose an option—YesNo
If yes, please describe the situation.

Has your dog ever bitten a person? —Please choose an option—YesNo
If yes, please describe the situation.

How does your dog behave around the following?
Children PoorFairGoodExcellent
Men PoorFairGoodExcellent
Women PoorFairGoodExcellent
Male Dogs PoorFairGoodExcellent
Female Dogs PoorFairGoodExcellent
Puppies/Small Dogs PoorFairGoodExcellent

Does your dog do any guarding of food or toys? —Please choose an option—YesNo
If yes, please describe

Has your dog ever jumped or climbed over a fence or gate? —Please choose an option—YesNo
If yes, please describe

Does your dog dig? —Please choose an option—YesNo

Is your dog crate trained? —Please choose an option—YesNo

What are your dog's favorite activities?

Is there anything your dog should not have? (Certain toys, food, etc?) —Please choose an option—YesNo

Anything else you would like us to know about your fur friend?

I am aware of the vaccination requirements for my dogs visit and I agree it is my responsibility to get this information to Dogs Bay.Click here to view the vaccination requirements.
I, the undersigned owner, understand that in case of an emergency, DBCC staff reserves the right to take my dog to the veterinarian of their choice, should my dog require medical attention. I agree to reimburse DBCC for any financial expenses that incur as result of medical treatment for my dog. Provided all due and diligent care is exercised at all times, I hereby waive and release DBCC from any and all liability of any nature due to illness or injury.
Check here if you understand this agreement.

How you were referred to us?
—Please choose an option—InternetYellow PagesVet's OfficeHolland SentinelObserver92.7 The VanFriend/FamilyOther

BENEFITS VS RISKS

Illness

Similar to children in school, bugs can be passed from dog to dog in a group environment. From a simple tummy bug to the canine flu or bordatella (canine/kennel cough) and/or fecal oral parasites.

Prevention/Treatment: We require the bordatella vaccine and we recommend the canine flu vaccine, but both have different strains of the bacteria/virus, so you can vaccinate for one strain but still get another. We also require fecal checks every 6 month and disinfect your play yards weekly.

Please Initial Here
I understand there is an increased risk of infectious disease by bringing my fur friend to daycare/preschool. I agree not to bring my dog to daycare/preschool if s/he exhibits any of the following symptoms within 24 hours of attendance; vomiting, cough/hack, fever, lethargy, discharge from eyes/nose or suspicious rash. I agree to pick up my dog promptly, if s/he displays any of these symptoms while at daycare.

Papilloma Virus

Viral papillomas are round, but often have a rough, almost jagged surface-- like a cauliflower. They generally occur on the lips and muzzle of a young dog (typically less than 2 years of age). Less commonly, papillomas can occur on the eyelids and even the surface of the eye or between the toes. Papilloma tumors are not dangerous and will go away on their own.

Prevention/Treatment: We do random weekly checks of the dog’s mouths to check for Papilloma, but you should also check your dog at home.

Please Initial Here. I understand Papilloma is contagious and that I should do weekly mouth checks for my dog. I will not bring my dog to daycare/preschool if there are any visible signs of suspected papilloma virus.

Fleas/Ticks

We highly recommend having your dog on flea/tick prevention! Ticks especially are prevalent in our area! If you use the Soresto Flea/Tick collars, you will need to remove the collar prior to bringing your dog to daycare/preschool as they do not have a quick release option, so they pose a safety risk for dogs playing together.

Prevention/Treatment: We will remove a tick if we find one on your dog, but if we see any fleas, you will be contacted for immediate pick up of your fur friend.

Please Initial Here
I understand my dog cannot come to daycare/preschool if there are any signs of fleas and/or ticks. If the daycare team finds fleas or multiple ticks on my dog, I will make arrangements to promptly pick up my fur friend.

Stress Diarrhea

Dogs process stress very differently than humans. They do not process negative stress and positive stress separately, so the stress of a busy, fun filled day can cause some stress diarrhea, especially for new daycare/preschool friends.

Prevention/Treatment: If your dog has diarrhea while in our care, we will take the dog’s temperature. If the dog does not have an elevated temperature, we can assume stress is the trigger. We may give your dog a break during the day. If your dog has an elevated temperature, you will be called for immediate pick up.

Please Initial Here
I agree not to bring my dog to daycare/preschool if s/he has had diarrhea in the past 24 hours. If my dog becomes ill at daycare/preschool, I will make arrangements to promptly pick up my fur friend.

Noise and Excitement

Dogs get very excited to greet mom/dad and new friends! Drop off and pick up times are a time of very high energy and the dogs can be very vocal. We promise the dogs do not bark all day long! The dogs usually calm down and settle in nicely once all the fur friends are in attendance for the day.

The dogs get very excited when owners start showing up and it can cause issues at the fence and/or gates. When you arrive to drop off or pick up your fur friend, please do not approach the fence and it’s best not to call out to your dog in the play yard as it causes excitement in the dogs.

Please initial here
I agree not to approach the outside play yard fencing or call out to the dogs. I agree to have my dog on a leash and under my control at all times when entering/exiting the facility or grounds.

Doggie Disagreements and Boo Boos

Dogs are pack animals and operate on pack structure and hierarchy. They may “scuffle” for dominance and/or position. With this said, doggie disagreements are inevitable. Most are just a form of communication and although they are loud and sometimes physical, they do not result in injury...similar to kids getting into a pushing match.

We will always alert you if your dog has been involved in a doggie disagreement. We classify them as “appropriate in nature” and “inappropriate in nature”. If the disagreement was “inappropriate in nature”, a consult via phone or email, with the owner and Certified Trainer Deb Lewis, will be necessary before your dog can return to daycare.

Dogs play by “mouthing” and some have to learn to play appropriately....until they do, they can mouth another fur friend a little too hard causing a little puncture to their friend’s ear, muzzle, neck, etc. We do our best to keep the play at an appropriate level, but some dogs love to play rambunctiously! They also run, jump, wrestle and dig and can get a few boo boos here and there. We’ve had dogs get scrapes/cuts from running into the play equipment, break a toenail by jumping on the gates, pull a muscle from over exertion or stopping/starting too quickly and the pea stone in the play yards can cause some sensitivity to some dog’s pads of their feet until their pads toughen up a little (similar to going barefoot the first few times in the summer).

Prevention/Treatment: We do everything we can to keep the fur kids safe, but at the end of the day, they are there to play and we can regulate, but not control every dog interaction. A few minor boo boos are to be expected.

Please Initial Here
I understand that there is risk of injury when dogs play in a group setting. I assume all liability for my dog’s own injuries in the event of a doggie scuffle. I agree to inform Dogs Bay if my dog ever bites another dog or human outside of daycare.

Doggie Daycare Contract

E-signature of this form applies to all future visits to Dogs Bay South Doggie Daycare

Hours

7 a.m. to 6 p.m.
There is a late fee of $5 for every 15 minutes you are late picking up your fur friend. Special arrangements can be made for early or late drop off, but must be made in advance. See a Dogs Bay Team Member for details.

Required Vaccines: Rabies, Distemper, Bordatella and a negative fecal. Fecals are due every 6 months. There is a 7 day waiting period after the Bordatella vaccine, if it's in the inject-able form. No waiting period for the nasal or oral. Please note, it is your responsibility to keep your pet’s vaccine information updated and faxed over by your veterinarian after relevant vet visits. We do not send out vaccine reminders.

Emergency Policy: In the event of an emergency, we will notify you at the number designated on your enrollment form for emergencies. Please understand, we have no way to transport your pet to a veterinarian, so it’s very important we have up-to-date emergency contact information on file, for not only for you, but at least one other emergency contact person.

Illness Policy: We cannot accept any dogs with the following; fleas, parasites, vomiting, diarrhea, eye or nose discharge unrelated to allergies, contagious skin condition or cough or any injury. If your dog shows any signs of these conditions while in our care, we will separate your pet and contact you for immediate pick up, within the hour. If your pet is not picked up within the hour, a rate of $2/hour will be added for the extra staff needed to care for your pet.

Dog Bite Policy: We do everything we can to ensure a happy and safe environment, however dogs are animals and can be unpredictable, even in the safest environment. In the event your dog is bitten, you hold harmless all parties, including Dogs NorthSouth and Dogs Bay staff. If your dog bites a human, you will be liable under the laws in the State of Michigan.

Payment: Payment is due at time services are rendered. Packages are available and must be paid upfront. If your package runs out, and your dog attends daycare without advancec payment, you will be charged for a single visit. DBS accepts Cash, Check and all major credit cards

Please check that you agree to the following

I understand my pet’s photo will be published on Dogs Bay’s Facebook page and may be used in other website and/or marketing materials.

All information I provided in my pet’s profile is true to the best of my knowledge. I agree to inform Dogs Bay South if my dog ever bites another dog or human, while enrolled in the program.

I have read and understand the Welcome Letter and Risks vs Benefits information.

I understand I will be financially responsible for any days my puppy misses, without a 72-hour notice, unless the spot can be filled. Illness may be an exception, with a veterinarian’s note, and will be decided on a case by case basis.

I understand Dogs not regularly socialized or not exposed to the level activity of doggie daycare run a higher risk on injury and/or incident, which may require frequent breaks, time outs or your pet being on a long leash.

I agree to have my dog on a leash have my dog on a leash at all times, coming to and from the facility and while on the property.

I agree to bring my dog on a properly fitted quick release collar. If you do not, one will be purchased an you will be invoiced accordingly.

I certify my dog is in good health and can participate in all daycare activities.

Provided all due and diligent cares is exercised at the best of the Dogs Bay Team’s ability, I hereby waive and release Dogs Bay South from all liability, including medical expenses and attorney fees, due to illness, injury or any other nature.