Dog Day-care/ Boarding Enrollment Application                            ( SIGN,    PRINT,   BRING WITH YOU )


Owner's name___________________

Dog's Name: _____________________

Breed or description: __________________________________ Sex: _____ Weight:______

Birth date:____________

Spay or Neuter: Yes No (must be if over 6 months old to attend)Has your dog ever bitten another dog? Yes No

If yes please attach explanation ____________________________

Has your dog ever bitten a person? Yes No If yes please attach explanation ____________________________

Are there any other animals in your household? Dogs: Yes No Cats: Yes No

Has your dog ever been; to a dog park? Yes No to a day-care? Yes No boarded? Yes No

Does your dog have any health issues we should be aware of? Yes No If yes please explain______________________________________________________________________________

What else would you like to tell us about your dog? ________________________________________________________________________________________________

Contact information

Owners Name: ____________________________________

Address: _______________________________________

City ________________ State____ Zip_______ Home Phone: _________________Work Phone: __________________

Other Phone: ____________________ Email: ________________________________________

Emergency Contact (A person other than yourself to contact in the event we cannot reach you.)

Name: _____________________________________________Phone: ______________________________

Veterinarian Name: ____________________________________________Phone: ___________________________

Proof of Rabies, Distemper/Parvo, & Bordatella(kennel cough) vaccinations must accompany this application

All dogs must be in good health. Owners will certify that their dog(s) are in good health and have not been ill with a communicable condition in the last 30 days.

Upon admission, all dogs must be free of any condition that could potentially jeopardize other guests, including fleas or ticks.

Dogs who have been ill with a communicable condition in the last 30 days will require veterinarian certification of health to be admitted or readmitted.

How did you hear about Love My Dog Resort and Spa? _____________________________


Love My Dog Resort and Spa agrees to exercise due diligence and reasonable care and to keep the premises sanitary and properly enclosed. Love My Dog Resort and Spa is dedicated to providing a safe and fun environment for you, and we will take reasonable and necessary precautions to ensure the security of our guests – both human and canine. I understand and agree that in admitting my dog(s) to Love My Dog Resort and Spa that the staff have relied on my representation that my pet is in good health and has not harmed or shown aggressive or threatening behavior towards any person or dog.

I am responsible for informing the staff of any changes before my pet attends day-care. I understand that I am responsible for any harm caused by my dog(s) while he/she is attending Love My Dog Resort and Spa assumes no liability for loss or damage from disease, sickness, death, running away, theft, fire, injury to persons, other pets or property by your dog(s) or other unavoidable causes, due diligence and care having been exercised. I hereby release Love My Dog Resort and Spa of any liability and I further agree to indemnify and save them harmless against any and all claims arising from my pet's attendance and participation at Love My Dog Resort and Spa, including but not limited to, all costs, attorneys fees, expenses and liabilities in connection therewith.

I further understand and agree that any problems which develop with my dog(s) will be treated as deemed best by staff and volunteers of Love My Dog resort and Spa, at their sole discretion, and that I assume full financial responsibility for any and all expenses involved. I further understand that with my signature I am stating that all required vaccinations are up to date. Love My Dog Resort and Spa reserves the right to deny entry or remove from the premise any pet at their discretion. This owner agreement shall be deemed continuing so as to require you to immediately notify Love My Dog Resort and Spa if there is any change in the information disclosed in the Owners Agreement or application forms subsequent to the time such agreement and application were first executed.

I agree that my dog(s) may be video taped, photographed, and recorded. I further agree that my dog(s) may be used in any and all media and promotion, advertising, sale, publicizing, and exploitation of Love My Dog resort and Spa.I certify that I have read and understand the policies and rules of Love My Dog Resort and Spa as set forth on the preceding pages and that I have read and understand the conditions and statements of this agreement.

Date: _______________ Signature of Owner _________________________________________