Application Form

Name
Home Address:
Home phone: / Work/mob: / Email:
Emergency contact person &number: / Name/s of people permitted to pick your dog up from day care:
Dog 1 / Dog 2
Name:
Age:
Breed:
Size of dog/Colour
Sex: M/F?
Neutered Y/N
Date of last Season:
Microchip number:
How long have you had your dog?

Vet, Dog and Medical Health

Name address & telephone number of Vet Practice you use:
Pet Vaccinations
Please list the dates the vaccine was given:
Canine parvovirus
Canine distemper virus
Leptospirosis
Infectious canine hepatitis
Kennel Cough
Does your dog have any medical conditions? (Please specify)
Any recent or current injuries or restrictions on movement? (Please specify)
Is your dog taking any medication, if yes please list?
Does your dog have any allergies or food sensitivities?
Is it ok for us to give your dog the occasional food treat?

Dog Behaviour

What type of activity or exercise does your dog do on a regular basis?
Please describe aspects of your dog(s) personality that you think relevant. Likes,dislikes, preferred play, sharing toys etc
Has your dog ever shown negative behaviour around food, people, or other dogs? If yes,please give further details.
Is your dog worried or frightened by noises, people, other dog, animals or anything else youthink we should know about?

Booking Details

What day /date would you like daycare to commence?
Is this ongoing or for a specific date?
Our opening hours are 8am – 6pm, what time would you like to drop off?
What time would you like to collect?

Permissions

Please tick if you are happy for your dog to take part in the following extra activities. These will always be at our discretion.

Activity / Tick
Walking off site - Walking onsite is included as standard. However on occasion we may walk dogs off site, this will be at our discretion.
  • Are you happy for your dog to be let off lead?

Agility
Swimming Pool

Payment Requirements

I understand that I must pay for any day care in advance. I understand the hours of operation and that if I fail to collect my dog up by closing time (6pm Monday- Thursday & 5.30pm Fridays) Fundays Dog Daycare have the right to make arrangements for overnight boarding at my expense and will charge a late fee of £5.

Current rates: please see

Extra hour or part hour (by arrangement only) £5

Payment

We have two methods of payment:

Cash

or

Bank transfer: Fundays Dog Daycare Sort code 60 70 03 Account no 50287125.

For regular places everyone will change to payment monthly in advance. Online payments will be required on the 1st of each month for that month. For cash payments it will be the first day of the month that your dog comes in. Anything other than this will be classed as ad hoc and charged accordingly.

Terms and conditions – Liability

I (the owner) confirm to Fundays Dog Daycare that I am the legal owner of my dog; that to my knowledge my dog has not been exposed to distemper, rabies, kennel cough or parvo within the past 30 days and that my dog has been vaccinated as indicated or by records presented.

I understand that my obligations under the control of dogs act 1992 states that my dog(s) must wear a collar and identity tag in a public place.

I understand that Fundays Dog Daycare is a facility that involves dogs playing off lead in groups. I accept that there are inherent risks involved in this and that Fundays Dog Daycare will not be liable for any injuries, illness or medical costs resulting from my dog’s attendance.

I allow and consent to my dog being photographed /videoed and understand that this may be displayed/published or used in advertising/media.

I have disclosed to Fundays Dog Daycare all relevant information regarding my dog’s history and understand it is my responsibility to keep Fundays Dog Daycare informed of any changes to my dog’s behaviour, circumstances or health in the future.

I waive all claims against Fundays Dog Daycare, its employees and representatives, except those arising from gross negligence on the part of Fundays Dog Daycare.

If any medical problems develop while my dog is in the care of Fundays Dog Daycare, I authorise Fundays Dog Daycare to do whatever they believe is necessary for the safety, health and well-being of my dog and I agree to pay all expenses incurred. NB. In the unlikely event that this happens, Fundays Dog Daycare will endeavour to contact you as soon as possible, using the contact information provided.

Cancellation terms

We require one week’s notice of absences in writing i.e. by text or email. This would mean if your dog comes in on a Monday we need to know by Monday that week that your dog will not be in next week. This gives us time to re-allocate your dog’s place to someone who wants an ad- hoc space. To make this fair to everyone, this applies to all dogs for any reasons. If we do not receive this period of notice that day’s place will be charged for.

I accept that I have read and understood the pre-requisites to group play and that Fundays Dog Daycare reserves the right to refuse entry at any time for any reason.

Signed: / Date: