Paw Law Dog Training Academy Doggie DaycareApplication
630-893-5789
Owner’s Name Date:
Dog’s Name:
Dog’s breed, sex, & age:
Dog’s birthday or adoption day: BD AD
Has the dog been spayed or neutered? If so, at what age:
How long have you owned the dog?
Where did you acquire the dog?
If adopted, do you know any of the dog’s prior history?
Has your dog ever attended daycare? If so, which one and the reason you no longer go there?
Has your dog ever had any formal obedience training? If yes, when and where?
Does your dog have any problems in the following areas? Please explain:
Mouthiness
Barking
Jumping
Digging
Housebreaking
Ignoring commands
What commands does you dog know?
Does your dog have a bathroom command? If yes, describe:
What signals does your dog use to show you they need to go out?
Does your dog have a play command? If yes, please describe:
Does your dog have a quiet command? If yes, please describe:
Does your dog object to being in a crate? If yes, how do you know?
Is your dog protective of his crate or bed/resting area?
Does your dog act afraid of any specific items/noises? If so, please explain:
What over-excites your dog?
Does your dog have any restrictions on its physical movements or activities (i.e. hip dysplasia, asthma, previous injury)?
Does your dog have any sensitive areas on its body?
Is your dog a special diet? If so, please describe:
Is your dog on any medication? If yes, please describe:
Behavior
Has your dog ever growled at someone? If yes, please explain:
Has your dog ever bitten anyone? If yes, please explain:
Has your dog ever growled or snapped at anyone who has taken food or toys away from them?
Are there children in your household? If so, what is the age of the youngest?
How does your dog behave around children?
How does your dog react to strangers coming into your yard or home?
Does your dog ever bark or growl at anyone passing outside your home or
yard?
Are there any kinds of people your dog fears or dislikes (for example, men with beards, etc.)?
Are there other animals in your household?
If so, please list type, sex and age?
How does your dog get along with those other animals?
Are there any kinds of dogs your dog automatically fears or dislikes?
How often does your dog play with other dogs?
Describe how your dog plays with other dogs:
Are there any kinds of dogs that your dog seems to prefer? If yes, please describe:
If yes, how do you know?
Have you taken your dog to a dog park?
If yes, can you describe your dog’s behavior with the other dogs at the park?
How does your dog react when he/she sees another dog?
On Leash?
Off Leash?
How does he/she react when actually approached by another dog?
On Leash?
Off Leash?
Has your dog ever been in an altercation or fight with another dog?If yes, please describe the circumstances:
Has your dog ever WOUNDED another dog in ANY way? If yes, please describe the circumstances:
How does your dog react to puppies?
Does your dog play with any toys? If yes, what kind
What games does your dog play?
Has your dog ever shared its food or toys with other animals?
Does your dog protect his/her toys or food from other dogs?
From cats?
From kids?
From adults?
Does your dog ever destroy toys and then eat the pieces?
Does your dog steal items at home to get attention?
Does your dog chew on items it shouldn’t? If yes, what were the
circumstances?
Has your dog ever climbed or jumped over a fence? If so, how high was it?
Paw Law Dog Training Academy Daytime Services Information
Dog’s name: ______Breed: ______Sex:____Altered:___
Owners Name: ______
Address: ______
City: ______State: ______Zip: ______
Home Phone: ______Work Phone: ______
Cell Phone: ______
Email: ______
Others who are authorized to pick up your pet:
______
______
______
Emergency Contact (other than vet)
Name: ______
Address: ______
City: ______State: ______Zip: ______
Home Phone: ______Work Phone: ______
Cell Phone: ______
Veterinarian Information
Vet’s Name: ______
Address: ______
City: ______State: ______Zip: ______
Phone: ______
Does your dog have any medical conditions? ______
Does your dog have any food sensitivities? ______
Is your dog allowed to have treats? ______
Additional comments: ______
______
PAW LAW DOG TRAINING ACADEMY
Agreement, Release and Indemnification for Daytime Socialization and/or Drop-off Dog Training Services
1053 E. Lake St.
Hanover Park, IL 60133
630-893-5789
By signing this Agreement, Release and Indemnification (hereinafter the “Agreement”)and in consideration of services provided to you and/or to your dog(s) by Paw Law Dog Training Academy, (hereinafter,” PLDTA”) you, hereinafter, the “Owner”, acknowledges that you have paid an enrollment fee for your dog(s) to use PLDTA for daytime socialization (doggie daycare) and/or drop-off dog training, (hereinafter “Daytime Services”). Owner agrees that any and all fees are non-refundable and are not transferable to any other dog owner, who has not executed this Agreement. Owner acknowledges that on the date this Agreement is signed, the fees, hours and requirements for use of PLDTA’s daytime services are outlined below and on any attachments that are attached hereto. Owner understands that PLDTA’s management reserves the right to alter or amend the fees, hours and requirements at any time and with notice to the Owner.
1. Use of daytime services are to be provided only to dogs meeting the enrollment requirements of PLDTA as set forth in the Enrollment Requirements attached hereto.
2. Owner warrants that his/her dog(s) is healthy and has provided a certificate of health from a licensed veterinarian certifying them free of worms, parasites, fleas, ticks or any other communicable disease.
3. Reservations are required for all of PLDTA’s Daytime Services. All reservations must be made by noon the day prior to a dog attending any of PLDTA’s Daytime Services. Due to limited enrollment in PLDTA’s Daytime Services, any and all cancellations made after 4:00pm the day prior to a dog’s reservation, will result in the Owner being charged in full for the services reserved.
4. Fees are due and payable at time services are rendered. Daytime socialization hours and fees are:
$36.00 per full day Monday through Friday 6:00 am – 6:00 pm.
$27.00 per half day Monday through Friday for up to 5 hours.
Multiple Full & Half Day Passes are also available at a reduced rate.
Drop-off Training 8 Day Pass is $425 and Half-Day Pass is $310.
5. Suggested Drop-off times are from 7:00am to 9:00am for full day and morning only clients and from 1:30pm to 2:00pm for afternoon half-day only clients. Suggested Pick-ups are from 11:30-noon for morning half-day only clients. All dogs must be picked up 6:00pm. Any dogs picked up after 6:00 will be crated until the owner’s arrival and will be charged a late fee of $5.00 for every 5 minutes. Clients can arrange for drop-offs & pick-ups during non-business hours for a $15 fee.
OWNER AGREES
1. By executing this agreement, the undersigned, the Owner is/are solely responsible for any harm caused by their dog(s) while their dog(s) is/are attending PLDTA’s Daytime Services
2. That in enrolling their dog(s) inPLDTA’s Daytime Services, the Owner acknowledges that PLDTA has relied on the Owner’s representation that his/her dog(s) is/are in good health, does not currently have and has not had within the last fourteen (14) days any communicable diseases, and has/have not harmed or shown aggressive or threatening behavior towards any person or any other dog.
3. Aggressive dogs are prohibited from all PLDTA’s Daytime Services programs. Definition of aggressive dog is – any dog that shows an inappropriate challenge, threat or contest to another being (human or canine). Owners and dogs asked to leave any of PLDTA’s Daytime Services because of their dog’s aggressive behavior, will not receive a refund of any fees paid. However, a pro rata credit may be applied for private sessions
4. That any problem, including a medical emergency, that develops with an Owner’s dog(s) will be treated as deemed best by owners, employees, and/or agents of PLDTA in their sole discretion,
and that the Owner assumes full financial responsibility for any and all expenses involved, including expenses resulting from injuries caused by his/her dog(s).
5. To follow all policies of PLDTA described in this agreement.
6. To pay for all services rendered and fees assessed as described in this Agreement.
7. To indemnify and hold harmless Paw Law Dog Training Academy and/or its officers, its employees, volunteers, instructors and/or any other person associated with Paw Law Dog Training Academy from any and all claims for personal injury and/or property damage of any member of the Owner’s family and/or other person accompanying the Owner to any training session or function on PLDTA’s premises, property or surrounding area thereto, including costs of defense.
8.To discharge Paw Law Dog Training Academy, its officers, employees, volunteers, instructors and/or any other person associated with Paw Law Dog Training Academy from any and all liability arising out of or in any way connected or associated with any accident and/or injury that may arise from said training or attendance of any and all functions at Paw Law Dog Training Academy even though that liability may arise allegedly or actually from any actions whatsoever of Paw Law Dog Training Academy or persons or entities acting on Paw Law Dog Training Academy’s behalf.
9. To hold harmless from any cost and/or attorney’s fees Paw Law Dog Training Academy or it’s officers, its employees, volunteers, instructors and/or any other person associated with Paw Law Dog Training Academy from any claim based on the Owner’s negligent use of the property or claims arising through the ownership of the Owner’s dog(s). The Owner(s) agrees to abide by any and all “house rules” set forth by Paw Law Dog Training Academy. This Agreement, Release and Indemnification supercedes all previous such agreements with Paw Law Dog Training Academy
Although we watch the dogs carefully, and DO NOT accept aggressive dogs, daycare can be hazardous due to multiple dogs playing together. We cannot be held responsible for injuries occurring while the dogs are playing.
By signing this form, I acknowledge that I understand and accept the terms and conditions set forth by this agreement.
Owners Name: (please print) ______
Owners Signature: ______
Date: ______