A Dog’s Day Out Owner Agreement

On this date _____________ , I ______________________the owner of ___________________________ state that he/she/or they qualify to participate in activities at A Dog’s Day Out (ADDO) facilities based on the

statements I am confirming in this two page owner agreement.

1. Health & Pet Profile

I certify that my dog(s) is/are: in good health, up to date on Rabies, Bordetella, and Distemper vaccinations, has not

been sick during the last month and is free from any communicable diseases.

2. Responsibility

I am solely responsible for any harm my dog(s) cause to: another dog, ADDO employees, guests, equipment, or

ADDO property.

3. Representation

I recognize that ADDO & their staff have agreed to accept my dog(s) for care based upon the information I provided

in the required Owner Agreement, Pet Profile, Emergency Care form, and my dog’s veterinary vaccination records or

current invoice detailing required vaccinations. I am presenting my dog(s) to ADDO as not having aggressive or

threatening behavior. I further certify my dog(s) has/ have not harmed them self, another dog, or any person.

4. Liability

I agree that ADDO & its staff will not be held liable for any behavioral problems, health problems, or injuries that

may occur while my dog(s) is/are in the care of ADDO, or are playing at an ADDO facility. I release ADDO from all

claims of any kind.

5. Treatment & Reasonable Care

I understand there are inherent risks involved with my dog playing in open play areas like ADDO, even when my

dog(s) are constantly supervised. These inherent risks include but are not limited to: scratches, broken nails, sore or

cut paws, puppy warts, kennel cough, & even behavioral problems. In the event of an injury/ or sickness involving

my dog, it will be treated as deemed best by the staff of ADDO within their sole discretion. I assume full financial

responsibility for any & all expenses involved in my dogs extra care. ADDO will attempt to contact me & contacts

listed on my emergency care form. I understand that ADDO is not a veterinarian & that if my dog takes multiple

medications for any reason that I am enlisting the help of non-medical professionals to administer my dogs medicines,

as best they can, following the directions left for staff.

6. Right of Refusal

I understand that ADDO has the right to reject a dog that: Is/ or becomes aggressive, threatens to harm themselves,

other dogs, staff, or guests. Dogs with fleas or dogs believed to be too sick, old, or heavily medicated for our care,

can also be refused. ADDO can refuse service to clients who: Do not pay overdue bills, become abusive/ or become a

problem for ADDO staff or management, repetitively cancel their dogs requested service, or do not show up for

reservations on more than two occasions.

7. Hours of Operation

We are open every day for our clients. Monday – Saturday 7am-7pm & Sunday’s 9am – 6pm

8. Photos, Videos & Recordings

I hereby give ADDO full permission to use videos, photos, recordings, or any likeness of my dog(s) for any company

materials without receiving any compensation for its use & without any dispute. By entering into an ADDO facility, I

understand that a photo, video, recording, or likeness of me with my dog(s) can also be used by ADDO without

receiving any notice, compensation, & without any dispute. I further release to ADDO all my rights or claims that I

have, for myself & my dog(s), to any photos, videos, recordings, or likeness, etc.

____________ _________

Client Initials Date

9. Payments & Fees

Prices & discounts are subject to change. Paid reservations ensure your dog’s space at ADDO.

The ADDO hours of operation & pricing listed on our company web site www.adogsdayout.com & in our company

brochures, available in each ADDO reception area, takes precedence over all other company documents.

ADDO offers a 33% discount on the 2nd – 4th family dogs, after the 1st (daycare & boarding only).

Pre-arranged early drop offs are $20 fee, Monday-Saturday between 6:30-6:59am, & Sunday’s 8am-8:59am.

ADDO will impose a $20 late fee for dogs picked up after regular business hours (up to 30 minutes after close).

The early drop off/& late pickup fee increases to $65 for a 5-day period that begins two days before all US Holiday’s

and runs through second day after that Holiday. This fee must be paid in full before your dog is received/or retrieved.

Daycare & boarding dogs not picked up within 30 minutes of close will receive overnight care & will be billed

according to ADDO pricing, until such time that they are picked up, during regular business hours.

All ADDO services are pre-paid or paid no later than drop off. Daycare must be paid in full each day. Any unpaid

balance of more than 14-days of service will result in ADDO imposing a 2% interest charge per month until the

unpaid balance is paid in full. If ADDO pursues legal proceedings to collect unpaid fees, then ADDO client will pay

attorney’s fees & costs related to collection, on behalf of ADDO.

10. Reservations & Refunds

Reservations are required. Each dog’s spot is only guaranteed once payment is received in full. Boarding

cancellations specifically for the four major US Holiday’s (Thanksgiving, Christmas/ New Years, Easter/ Spring

Break, & 4th of July) must occur five days before the boarding was to begin, or five days before the actual day of that

major Holiday (whichever comes first), in order to receive a full refund. Boarding reservations, on the four major US

Holiday’s which are canceled within five days of the boarding/ or Holiday will receive a 75% refund.

We provide refunds on daycare passes in cases where: Client moves out of area, dog dies, or is expelled.

11. Abandonment

Any dog left fourteen days beyond planned pickup and without payment will be considered to have been abandoned.

In order to finalize my dog’s file at ADDO, I agree to complete & turn-in the ADDO: Owner Agreement, Pet Profile,

Emergency Care form, and my dog’s veterinary vaccination records or current invoice detailing required vaccinations.

By signing this Owner Agreement, I understand what is required of my dog(s). I acknowledge that I have read both

pages, and understand/ agree to the terms set forth above.

___________________________ ___________________________ _____________

Client & Legal Dog Owner Client & Legal Dog Owner Date

(Print Name) (Signature)

1

A Dog’s Day Out – Pet Profile Date: ________ The Pet Profile is designed to help “A Dog’s Day Out” (ADDO) understand your dog’s history/ personality/ and temperament. This

completed form must be turned in on/ or before your dog’s first day of daycare or boarding.

Client Information Client Name: Home Address:

Cell Phone: Work Phone: E-mail:

Emergency/ Alternate Contact - Name & Phone Numbers:

I am primarily interested in (daycare, boarding, grooming, play groups, or all services)? ________________________________________

Your Dog’s Bio – Part 1 Dog Name: DOB: Sex: Weight: Breed:

Spayed/ or Neutered? If yes, what date? What city & state?

How did your dog come into your life (shelter/ breeder/ friend/ etc) & how old?

Vet Info (Company & Dr’s Name) Veterinarian Phone:

Veterinarian Office Address:

Vaccination Records Date Received Next Due Date 1. Rabies ____________ ____________ 2. Bordatella ____________ ____________ 3. Distemper ____________ ____________

Anything else we should know regarding your dog’s vaccination s?

* Please bring the most recent invoice from your Vet that details the vaccinations above. We can make a copy for our ADDO records.Medicine

Is your dog taking any medicine? ________ If yes, what medicine & how often is the dosage?

Does your dog have allergies to any food or medicine? ________ If so, what allergies does your dog have?

Feeding How many cups for AM & PM feeding? ________ Any water mix? ________ Anything else? ______________ What pet food brand & flavor does your dog eat? Anything else you would like to mention about your dog’s feeding?

Health What is your dog’s biggest health concern? __________________________________________________________________________

Are there any restrictions for your dog(s)? ___________________________________________________________________________ Please check all that your dog has experienced in recent months & then detail below critical info you want to pass along to us. Seizures Surgery Sensitive Spots Infections of any kind (ear/eye/intestinal). Illness Kennel Cough Spayed/Neutered

Hip Dysplasia Please use the space below to detail these recent experiences in your dog’s life. (Describe Below).

2

Your Dog’s Bio – Part 2

Behavior Please check all that apply below the statements that describe your dog’s habits: Digs Jumps Eats feces Fears/dislikes certain people Has formal training. Separation Anxiety Fears/dislikes certain dogs. Enjoys puppies. Does not enjoy puppies. Does not like ears &/or head touched Goes to dog park Exhibits fence aggression Fearful/nervous about certain noises/or objects Dominant Has a high prey drive Likes to be pet/ brushed Bit another dog Has attended dog daycare Escape artist Has leash aggression Food aggressive Was bit/ attacked by another dog Submissive Using the space below, please provide ADDO with any specific information you deem important, relating the behaviors described above:

Playtime

How many days a week does your dog play with other non-family dogs (circle one)? 0 1-2 2-3 3-4 4-5 5-7

Training

If your dog has received formal training, was it local?

Who trained your dog?

Would you recommend them to a friend? ADDO Feedback

How did you hear about A Dog’s Day Out (ADDO)?

Which offering was most important in your decision to come to ADDO (low price/ three separate play groups daily/ size of play areas/ open every day/ 33% discount on multi-dog families/ design of facility/ free play groups/ our Grooming/ etc)?

If you are a referral from an existing ADDO client, please tell us who (dog & owner if possible) recommended ADDO to you?

If you needed more space to complete your thoughts on any questions listed above, or you would like to add something not listed above, please use the space below.

We sincerely appreciate you choosing A Dog’s Day Out. 10/11

A Dog’s Day Out – Emergency Care Form The purpose of this letter is to give my permission for ‘A Dog’s Day Out, LLC’ (ADDO) staff to bring my

dog(s) (_____________________________) to your veterinary clinic or emergency vet care facility, should there be an emergency or should my dog need medical attention of any nature while I in the care of ADDO.

Options I’ve chosen to include if necessary have my initials listed below…

Client Initials for Agreement Monetary Benchmarks Approved for Care $500 Limit

$1,000 Limit “Heroic Measures”

$1,000 + (to include surgery when needed)

As needed, client further gives “ok” for the services listed below, if within price limits initialed above.

Blood Work Medication X-Rays Sedation Anesthesia

1. Client emergency contact information while out of town.Mobile Phone: _____________________ Phone # out of town: _______________________Name of Hotel/ or Contact we are calling, when asking for you: __________________________________

_________ If client has initialed on this line, they know they will not be accessible while out of town.

Should you have any questions in my absence & I cannot be reached immediately, please reach out to my emergency contacts provided below. I have listed primary contact numbers in order of importance, to ensure immediate medical attention is given to my dog.

2. Family/ Friend Contact(Relation to you/ Name): _________________/ ____________________________ Contact Phone #1: _____________________ Contact Phone #2: _____________________

3. Family/ Friend Contact(Relation to you/ Name): _________________/ ____________________________ Contact Phone #1: _____________________ Contact Phone #2: _____________________

Thank you for your assistance in this time of need.

__________________________________________ ______________________ Signature Date

www.adogsdayout.com 10/11

Attach Vet Records(Current Rabies, Bordetella, And Distemper Required.)