Meet & Greet Packet. Name(s): Address: City: Zip: Home Phone: Mobile: Work: Address: How did you hear about us?
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1 Meet & Greet Packet Date completed: Client Information: Name(s): Address: City: Zip: Home Phone: Mobile: Work: Address: How did you hear about us? If referred, please tell us who: Emergency Contact: Phone(s): Relation:
2 Dog or Puppy Information: Name: Birth date: Breed: Color(s): Sex: Male or Female Neutered/Spayed: Yes or No (required by 7 months) Additional dog, Name: Birth date: Breed: Color(s): Sex: Male or Female Neutered/Spayed: Yes or No (required by 7 months)
3 Dog or Puppy Personality Profile: How long have you owned your dog? Where did you get your dog? If adopted, do you have knowledge of your dog s past history? If yes, describe: Does your dog like kids? Does your dog get along with other animals in your home? Does your dog like to be brushed? Does your dog like to play in pools or swim? How does your dog react to a stranger coming into your home or yard?
4 Are there any kinds of people or dogs your dog automatically fears or dislikes? How does your dog react to puppies? Has your dog ever growled or shown aggression? What were the circumstances? Has your dog ever bitten or injured a person or another dog? What were the circumstances? Has your dog ever jumped/climbed over a fence? How high was the fence? Are there any physical restrictions that need to be placed on your dog? Does your dog take medication, if so what and why?
5 May we give your dog an occasional dog biscuit? Does your dog have any problems in the following areas? (Check all that apply) Chewing Nipping Housetraining Barking Diggin Jumping Has your dog had any formal obedience training? If yes, with whom? What commands does your dog know? Is your dog crate trained? Does your dog have any medical conditions we should know about? Does your dog attend dog parks and if so, which park(s) and who does he or she like to play with? Any other comments or fun things we should know about your dog? May we post photos of your dog? Yes No
6 Veterinarian Information: Clinic Name: Vet Name: Address: City: Zip: Phone: Fax: Health Requirements: Your pup must be current with his or her vaccination schedule as directed by your vet. We require documentation for the following: Rabies, DHLPP and Bordatella. A negative fecal result within the past 6 months is needed. Heartworm and flea/tick monthly preventative medications are required. We must receive your pup s health record from your vet PRIOR to admission for daycare or boarding. For your convenience, your vet may fax a copy to: You may also a copy to info@hightailshideaway.com or send a copy in the mail.
7 Agreement 1. I understand that I am solely responsible for any actions, harm or destruction caused by my dog(s) while my dog(s) is/are attending HIGHTAILS HIDEAWAY, INC., including but not limited to any physical or property damage, medical bills, and/or legal bills. 2. I understand and agree that in admitting my dog(s) to HIGHTAILS HIDEAWAY, INC., their staff has relied on my representation that my dog(s) is/are in good health and has/have not harmed or shown aggressive or threatening behavior towards any person or any other dog. 3. I understand and agree that by admitting my dog(s) to HIGHTAILS HIDEAWAY, INC., there are certain risks inherent with a cage free environment that include, but are not limited to, injury and illness from interactions with other dogs and that HIGHTAILS HIDEAWAY, INC., their staff, as well as their volunteers will not be liable for any injuries or harm caused to or by my dog(s) and that I will assume full financial and legal responsibility for any injuries or illnesses that my dog(s) sustains. 4. I understand and agree that HIGHTAILS HIDEAWAY, INC., their staff, as well as volunteers will not be liable for any injuries or damages to my dog(s) arising out of or from the boarding and care of my dog(s) including loss by fire, theft, runaway, injury, or death while under the care of HIGHTAILS HIDEAWAY, INC. and I hereby release them of any liability of any kind whatsoever arising from my dog s attendance at HIGHTAILS HIDEAWAY, INC. 5. I understand and agree that any problems that develop with my dog(s) will be treated as deemed best by the staff of HIGHTAILS HIDEAWAY, INC., at their sole discretion, and that I will assume full financial responsibility for any and all expenses involved.
8 Agreement, (Continued): 6. I agree to indemnify, defend and hold harmless HIGHTAILS HIDEAWAY, INC., from any injury or harm of any kind whatsoever to third parties. 7. I agree to pay for all services that HIGHTAILS HIDEAWAY, INC. provides to my dog and me at the time of service initiation. 8. Hours of operation for Daycare: M-F: 6:30 am - 6:30 pm. I understand that HIGHTAILS HIDEAWAY S daycare staff goes off duty at 6:30pm and that any late pick up will charged a $10 late fee up until 6:45pm. 9. I understand and agree that if my dog is not picked up from daycare before 6:45pm, he/she will be boarded and I will pay overnight fees upon pick up of my dog the following day. A late fee charge may also be assessed at the sole discretion of HIGHTAILS HIDEAWAY, INC. 10. Drop off times for Boarding: M-F: 6:30 am 9:30 am, Saturday & Sunday: 8 am & 2 pm (by appt. only) Holidays: Closed 11. I understand that HIGHTAILS HIDEAWAY, INC. charges a holiday/peak time surcharge for boarding stays. This surcharge is in effect around all major holidays and/or peak travel times including but not limited to Spring Break, Memorial Day, Labor Day, Independence Day, Thanksgiving, Christmas, & New Year s. 12. I understand and agree that HIGHTAILS HIDEAWAY, INC. reserves the right to change prices, fees, and hours of operation without prior notice. 13. I certify that I am the legal guardian of this dog(s) and have the legal authority to enroll my dog(s) at HIGHTAILS HIDEAWAY, INC. I certify that I have read, understood, and agree to the above statements and conditions. Owner s Signature Date:
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