DogDaze Boarding Contract

Loving, Affordable Pet Care

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Boarding/House-Sitting & Doggie Day Care

Boarding/House-Sitting & Doggie Day Care Contract

Please fill out this form and click the submit button to send to DogDaze Pet Care.

IF YOU HAVE MORE THAN THREE PETS, PLEASE JUST EMAIL US THEIR INFO AFTER COMPLETING THE CONTRACT FOR THE OTHER THREE PETS.

Owner(s) Information
First Name:
Last Name:
Spouse/Partner Name:
Address Street 1:
Address Street 2:
City:
Zip Code:	(5 digits)
State:
Home Phone:
Cell Phone:
Other Phone:
One Email Address:
Emergency Contact Information
First Name(Emergency Contact):
Last Name(Emergency Contact):
Phone Number:
Pet # 1 Information
Pet Name (1):
Breed (1):
Age (1):
Items Brought (1):
Feeding Amount and Frequency (1):
Medication/Supplement Schedule (1):
	*Please be sure to mark all medication clearly*
	Pet 1 has separation anxiety.
	Pet 1 has storm anxiety.
	Pet 1 will climb fences.
	Pet 1 will jump fences.
	Pet 1 is up-to-date on heartworm prevention.
	Pet 1 is up-to-date on flea prevention.
	*If your pet has storm or separation anxiety please visit your vet and have medication dispensed before your start date.*
Special Instructions (1):
Pet # 2 Information
Pet Name (2):
Breed (2):
Age (2):
Items Brought (2):
Feeding Amount and Frequency (2):
Medication/Supplement Schedule (2):
	*Please be sure to mark all medication clearly*
	Pet 2 has separation anxiety.
	Pet 2 has storm anxiety.
	Pet 2 will climb fences.
	Pet 2 will jump fences.
	Pet 2 is up-to-date on heartworm prevention.
	Pet 2 is up-to-date on flea prevention.
	*If your pet has storm or separation anxiety please visit your vet and have medication dispensed before your start date.*
Special Instructions (2):
Pet # 3 Information
Pet Name (3):
Breed (3):
Age (3):
Items Brought (3):
Feeding Amount and Frequency (3):
Medication/Supplement Schedule (3):
	*Please be sure to mark all medication clearly*
	Pet 3 has seperation anxiety.
	Pet 3 has storm anxiety.
	Pet 3 will climb fences.
	Pet 3 will jump fences.
	Pet 3 is up-to-date on heartworm prevention.
	Pet 3 is up-to-date on flea prevention.
	*If your pet has storm or separation anxiety please visit your vet and have medication dispensed before your start date.*
Special Instructions (3):
Other Information
Drop-Off/Start Date:
Pick-up/End Date:
Any Other Informatio:	Enter comments here!
Referred by:
	In the event of illness or injury, I give Pam Biagi and/or Pat Ottensmeier permission to seek medical care for my pet. If they cannot reach my vet, I give them permission to take my pet(s) to Crossroads Veterinary Hospital in Woodstock, GA for treatment. I further agree to pay any and all charges incurred for treatment. My pet(s) is (are) on flea prevention and heart worm medication, and are up-to-date on all vaccines, including the Bordetella vaccine for kennel cough. I will provide proof of vaccines at the consultation, or I will bring them to DogDaze Pet Care. I state that everything above is true to the best of my knowledge. By checking the box to the left, and signing below, I release Pam Biagi, Pat Ottensmeier and their estate of any liability for loss or injury while my pet is in their care. _____________________________________________ Typing your name below will serve as an electronic signature
Electronic Signature:
Security Code: *
Date:

*Upon clicking "submit" you will be taken to the Medical Release Form. Please read, sign and submit. Once I receive your contract, I will email you directions.

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