Pampered Pet Luxury Pet Resort Forms


Client Information
Owners Name ___________________________________________
Street Address: __________________________________________
City: ____________________ State: ________Zip Code: __________
Home Phone: ___________________ Cell Phone: ________________
Email:___________________________________________________

Emergency Contact Information
Name: __________________________________________________
Primary Contact Number: ___________________________________
Additional Contact Numbers: ________________________________

Veterinary Information
Clinic/Hospital Name: ______________________________________
Dr. Name: _____________________ Phone Number: ______________
Address: __________________________________________________

How did you hear about us? (Ask about our refer a friend program) ______________________________________________________________________________________________________________________________
Pet Information (1st Pet) Additional sheets available for multiple pets
Name _________________________ Breed ____________ Sex ______
Neutered/Spayed _________ Birthday ____________
Weight ___________ Color ____________________________

Internet/Publications Permission
Photos are often taken at Pampered Pup, LLC, and are used in brochures, Facebook, Instagram or on our website. Our Facebook page is used as a tool to post pictures of your pets stay and inform owners of current events. Let us know if you would like to have pictures posted on our Facebook page during your pets visit.
___ I give permission for my pet’s picture to be used in brochures and/or uploaded to our internet publications.
___ I do not give consent for my pet’s picture to be used for any purpose.

Pet Personality Profile: Health & Grooming
Are you currently using flea and tick prevention on your pet? YES or NO

Are you currently using heartworm prevention on your pet? YES or NO

My pet eats food brand/type: ________________________________________

Can your pet have treats provided by Pampered Pup? _______________

Does your pet suffer from any of the following: (circle all existing conditions)
• Flea Allergies, Contact Allergies, Food Allergies
• Heart murmur, other circulatory conditions
• Arthritis, hip/elbow dysplasia, any other bone related conditions
• Severe separation anxiety
• Constipation/loose stool, corpophagy (poop eating), gas
• Dry skin, cracked foot pad’s, flaky/cracking nails
• Eye problems: cataracts, growths, dryness, cherry eye, chronic infections
• Repeat bladder or urinary tract infections
• Other ______________________________________

Pet Personality Profile: General Information

How would you best describe your pet’s personality toward people? (Circle All that Apply)

Never grown up Aggressive Timid Happy Go Lucky A Lover

How would you best describe your pet’s behavior towards other pets? (Circle All that Apply)

Aggressive Timid Fearful Overly enthusiastic Not a group player

Pet Personality Profile: Behavior

Has your pet ever bitten anyone? Yes No

What were the circumstances? ____________________________________________________________________________________________________________________________________________________

Has your pet ever climbed or jumped a fence? Yes No
How high was the fence? _________________

Lifestyle: ____ Active ____ Moderately Active _____ Sedentary

Do you use a crate? YES or NO
If yes, are they comfortable in the crate? ___ Yes ___ No

Is your dog comfortable with having his/her feet touched? YES or NO ___ Unsure

Is your dog head shy? YES or NO ___ Unsure

Are there any specific items or noises that scare your dog? _________________________________


Has your dog ever growled or snapped at any person who has touched his/her bones, food or toys?
YES or NO ___ Unsure

Has your dog ever growled or snapped at any dog who has touched his/her bones, food or toys?
YES or NO ___ Unsure

Does your dog play with other dogs on a regular basis? YES or NO
If yes, would you say he/she plays nicely? YES or NO
Comments: ________________________________________________________________________________________________________________________________________________________________

Does your dog prefer a certain sex dog over the other? YES or NO
If yes, which sex? ____________________

Does your dog automatically dislike any kind of dog? YES or NO
If yes, what kinds? ________________________________________________________________________________________________________________________________________________________________

How does your dog react to puppies? (Circle One)
Happy to see them Doesn’t care for them Indifferent

How does your dog react to strangers?
Happy to see them Doesn’t care for them Indifferent

Does your dog automatically dislike any kind of person? YES or NO
If yes, what kinds? ________________________________________________________________________________________________________________________________________________________________

Does your dog have any issues in any of the following areas (if so please explain):

Mouthinesss:______________________________________________________________________
Barking:__________________________________________________________________________
Housetraining:_____________________________________________________________________
Jumping:_________________________________________________________________________
Digging:__________________________________________________________________________

Describe any behavioral problems/idiosyncrasies/special sensitivities we should be aware of: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


Health & Temperament Agreement

I understand that I am solely responsible for any harm caused by my pet(s) while my pet(s) are attending Pampered Pup Luxury Pet Resort. I further understand and agree that in admitting my pet(s), Pampered Pup Luxury Pet Resort has relied on my representation that my pet(s) is/are in good health and have not harmed, shown aggression or displayed threatening behavior towards any person or other pets.
I further understand and agree that Pampered Pup Luxury Pet Resort and their staff will not be liable for any problems that develop provided reasonable care and precautions are followed, and I hereby release them of any liability arising from my pet(s) attendance at Pampered Pup Luxury Pet Resort.
I further understand and agree that any problems that develop with my pet(s) will be treated as deemed best by the staff of Pampered Pup Luxury Pet Resort, in their discretion, and that I assume full financial responsibility for any and all expenses involved.
I certify that I have read and understand the policies and procedures set forth, and agree to abide by them.

Print Owner Name: ____________________________________________________________
Owner Signature:______________________________________________________________
Date: ________________________________

Pick Up Authorization

This form lists individuals who are authorized to pick up the pet(s) if the owner is unable to do so.

Owners Name: _____________________ Pet(s) Name: _______________________

Authorized Persons

Name ____________________________ Name ______________________________
Home Phone __________________________ Home Phone _________________________
Cell Phone ____________________________ Cell Phone ___________________________
Relation to you _________________________ Relation to you ________________________

I give permission to the above stated individuals to pick up my pet in my absence. I also understand that I must call Pampered Pup Luxury Pet Resort ahead of time and give them the pass code to authorize this action unless instructions for pick up were given at drop off.

Pass code ______________________

Print Owner Name: ____________________________________________________________
Owner Signature:______________________________________________________________
Date: ________________________________

Absent Owner Treatment Consent Form

To be filled out by the owner and used in case their pet(s) need emergency care while staying at Pampered Pup Luxury Pet Resort.

Owner Name ______________________Contact Phone number(s): ___________________

Pampered Pup Luxury Pet Resort is responsible for my pet(s) while I am away. For decisions regarding veterinary care, I wish to be contacted. If I cannot be contacted, I appoint the following person to act on my behalf.

Name: ____________________________ Phone #: __________________________

In the event that my emergency contact and I are unable to be reached I agree to give Pampered Pup, LLC permission to treat my pet as they see fit at my own expense.

Finances

( ) I authorize any amount necessary for treatment of my pet.

( ) I authorize a maximum of $ __________ to be used towards my pet(s) care.

Print Owner Name: ________________________ Owner Signature:___________________________
Date: ________________________________
Client Agreement & Enrollment Contract
for Doggie Daycare


I, ________________________________, hereby certify that my dog ________________________, is in good health and has not been ill with any communicable conditions within the past 30 days. As the owner of the above referenced dog, I understand that Pampered Pup, LLC and its employees will exercise due care to protect the health and safety of my dog while in their care. I understand that the concept of doggie daycare is to allow for dogs to be socialized by interacting with people and dogs. As always, with the interaction of dogs there is a chance of injury. I understand that all reasonable care will be taken to prevent unnecessary injury and therefore assume all risk of injury to my dog while at Pampered Pup, LLC. I hereby waive and release Pampered Pup, LLC and its employees from any and all liability of any nature for any injury, death, or loss of my dog resulting from participation in any and all activities or from the action of my dog or any other dog while in the custody of, or on the grounds or surrounding area Pampered Pup, LLC 2709 Mays Landing Road, Millville, NJ 08332. If my dog causes injury to another dog or a person while at Pampered Pup, LLC I will assume all liability for these actions and agree to indemnify and subrogate Pampered Pup, LLC from any action which may be brought against it and for any defense, settlement or judgment entered against Pampered Pup, LLC. I have been given a copy of the policies of dog daycare and agree to abide by all policies and procedures. In the event that my dog becomes ill or sustains an injury, I authorize Pampered Pup, LLC and its representatives to obtain medical treatment and assume all financial responsibility for all medical expenses. I have read and agree to the Pampered Pup daycare policies. I understand that my dog’s participation in Pampered Pup Doggie Daycare is by reservation. I agree to provide 24 hours’ notice for cancellations. No shows will be assessed your dog’s full daycare fee. Dogs picked up after 7:00pm will be assessed a late fee of $5 every 15 minutes. All dogs not picked up by 7:30 pm will be checked in to Pampered Pup Luxury Pet Resort for an overnight stay for a fee of $27 per night.

Print Owner Name: ____________________________________________________________
Owner Signature:______________________________________________________________
Date: ________________________________

Pet Information (Additional pet)
Name _________________________ Breed ____________ Sex ______
Neutered/Spayed _________ Birthday ____________
Weight ___________ Color ____________________________

Pet Personality Profile: Health & Grooming

Are you currently using flea and tick prevention on your pet? YES or NO

Are you currently using heartworm prevention on your pet? YES or NO

My pet eats food brand/type: ________________________________________

Can your pet have treats provided by Pampered Pup? _______________

Does your pet suffer from any of the following: (circle all existing conditions)
• Flea Allergies, Contact Allergies, Food Allergies
• Heart murmur, other circulatory conditions
• Arthritis, hip/elbow dysplasia, any other bone related conditions
• Severe separation anxiety
• Constipation/loose stool, corpophagy (poop eating), gas
• Dry skin, cracked foot pad’s, flaky/cracking nails
• Eye problems: cataracts, growths, dryness, cherry eye, chronic infections
• Repeat bladder or urinary tract infections
• Other ______________________________________

Pet Personality Profile: General Information

How would you best describe your pet’s personality toward people? (Circle All that Apply)

Never grown up Aggressive Timid Happy Go Lucky A Lover

How would you best describe your pet’s behavior towards other pets? (Circle All that Apply)

Aggressive Timid Fearful Overly enthusiastic Not a group player

Pet Personality Profile: Behavior

Has your pet ever bitten anyone? Yes No

What were the circumstances? ____________________________________________________________________________________________________________________________________________________

Has your pet ever climbed or jumped a fence? Yes No
How high was the fence? _________________

Lifestyle: ____ Active ____ Moderately Active _____ Sedentary

Do you use a crate? YES or NO
If yes, are they comfortable in the crate? ___ Yes ___ No

Is your dog comfortable with having his/her feet touched? YES or NO ___ Unsure

Is your dog head shy? YES or NO ___ Unsure

Are there any specific items or noises that scare your dog? _________________________________

Has your dog ever growled or snapped at any person who has touched his/her bones, food or toys?
YES or NO ___ Unsure

Has your dog ever growled or snapped at any dog who has touched his/her bones, food or toys?
YES or NO ___ Unsure

Does your dog play with other dogs on a regular basis? YES or NO
If yes, would you say he/she plays nicely? YES or NO
Comments: ________________________________________________________________________________________________________________________________________________________________

Does your dog prefer a certain sex dog over the other? YES or NO
If yes, which sex? ____________________

Does your dog automatically dislike any kind of dog? YES or NO
If yes, what kinds? ________________________________________________________________________________________________________________________________________________________________

How does your dog react to puppies? (Circle One)
Happy to see them Doesn’t care for them Indifferent

How does your dog react to strangers?
Happy to see them Doesn’t care for them Indifferent

Does your dog automatically dislike any kind of person? YES or NO
If yes, what kinds? ________________________________________________________________________________________________________________________________________________________________

Does your dog have any issues in any of the following areas (if so please explain):

Mouthinesss:______________________________________________________________________
Barking:__________________________________________________________________________
Housetraining:_____________________________________________________________________
Jumping:_________________________________________________________________________
Digging:__________________________________________________________________________

Describe any behavioral problems/idiosyncrasies/special sensitivities we should be aware of: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Pet Information Packet
Medication & Supplement Instructions
Pets Name: _______________________
Owners Name: ____________________
Arrival Date: ______________________
Departure Date: ___________________

Medication Name: __________________
Treatment For: _____________________
Frequency: _________________________
How to Administer: __________________________________________
__________________________________________________________


Medication Name: __________________
Treatment For: _____________________
Frequency: _________________________
How to Administer: __________________________________________
__________________________________________________________

Medication Name: __________________
Treatment For: _____________________
Frequency: _________________________
How to Administer: __________________________________________
__________________________________________________________

Medication Name: __________________
Treatment For: _____________________
Frequency: _________________________
How to Administer: __________________________________________
__________________________________________________________



Doggie Daycare Registration Information
Policies & Procedures

Thank you for choosing our doggie daycare! Our mission is to provide your dog with the highest quality of care in a safe, fun and stimulating environment. The purpose of our enrollment requirements and regulations is to ensure the health and safety of your dog and all our guests.
Please read through the following information carefully and complete the enclosed enrollment forms.

Requirements to Join Doggie Daycare

Dogs must be 12 weeks of age or older.

The dog must be non-aggressive towards humans and other dogs and cannot be protective of toys or water and must pass our pre-enrollment temperament evaluation*.
·
The dog must not have harmed or shown any aggressive or threatening behavior towards any person or any other dogs.

The dog must be in good health.

No illness within the last 30 days

Free from internal and external parasites.
All daycare dogs must be on flea preventative, no flea collars are to be worn during daycare for the dogs safety.

Current on immunizations. Proof of vaccinations is required.
(Distemper/Parvo Vaccine, Bordetella & Rabies for all dogs over 6 months of age)

Temperament Evaluation*
To ensure the enjoyment and safety of all dogs, each applicant will undergo a pre-enrollment temperament evaluation. This scheduled evaluation will give us a chance to meet your dog and learn his unique personality and individual needs and determine if doggie day care is right for your dog. During the evaluation we will interact with and observe your dog as we present and set up specific, controlled situations. Please plan on allowing a minimum of 30 minutes for the evaluation. There is a $35 non-refundable application fee to cover cost of the temperament evaluation and trial day.

What to Bring
Please have an adjustable nylon collar with a plastic quick-release clip to be worn during daycare. No buckle collars, chains, prong collars, harnesses etc. can be worn during daycare for safety but if that is how you feel it is best to walk your dog into the facility please bring a flat collar to be used during group play. Please do not bring chain leashes or flexi/retractable leashes to daycare.

Drop Off & Pick Up Guidelines

7:00am to 9:30am – Check – In
5:00pm to 6:45pm – Full Day Pick-Up
Reservations required.
Dogs picked up after 7:00pm will be assessed a late fee of $5 every 15 minutes. All dogs not picked up by 7:30 pm will be checked in to Pampered Pup Luxury Pet Resort for an overnight stay for a fee of $25.
Half day visits are available as well.
Temperament evaluations by appointment only.

Feeding During Daycare
For puppies, you may bring a midday meal, but most adult dogs should be fed at home before or after daycare. If there is a medical concern that requires your dog to eat while at daycare please let the staff know so we can make the proper arrangements. Please do not send your dog with his/her breakfast. When we feed a dog at daycare, the dog has to be removed from the pack and separated while feeding, then must be kept separate for an additional hour to allow the food to settle.

Nail Requirements
Your dog’s nails should be kept short and filed. Long and jagged nails can be dangerous to the other dogs and staff. If you need your dog’s nails clipped and/or filed, our professional pet stylists will provide that service for a small additional fee.

What to expect when you pick your dog up from Doggie Day Care:
Your dog may be very tired sometimes – and probably this is a good thing!
Your dog will be very excited to see you - not because he didn't have a good time, but because HE LOVES YOU. Your dog may drink a lot of water when they get home. Fresh water is always available for your dog, but sometimes dogs are having too much fun to stop and get a drink! We do our best to remind them to drink by taking them over to the dishes, but as they say, “you can lead a dog to water.....”

Schedule of Fees 2016

Attendance is by reservation only, honored on a first come-first served basis with preference given to dogs attending full time. All fees are due in advance.

**Please note, rates are subject to change without notice.**

Daycare hours: 7:00am – 7:00 pm Mon. – Fri.

Evaluation & Trial Day $35 for first dog
$20 for 2nd and/or additional dog(s)/same family

Single Day - $27 for 1st Dog
$18 for 2nd and/or additional dog(s)/same family

Punch Card Rates
5 Day Punch Card $125 ($25 per day)
10 Day Punch Card $225 ($22.50 per day)
20 Day Punch Card $400 ($20 per day)
Punch cards are non-refundable and good for 6 months from first day of usage.

Client Agreement & Enrollment Contract
(Client Copy)


I, ________________________________, hereby certify that my dog ________________________, is in good health and has not been ill with any communicable conditions within the past 30 days. As the owner of the above referenced dog, I understand that Pampered Pup and its employees will exercise due care to protect the health and safety of my dog while in their care. I understand that the concept of doggie daycare is to allow for dogs to be socialized by interacting with people and dogs. As always, with the interaction of dogs there is a chance of injury. I understand that all reasonable care will be taken to prevent unnecessary injury and therefore assume all risk of injury to my dog while at Pampered Pup, LLC. I hereby waive and release Pampered Pup, LLC and its employees from any and all liability of any nature for any injury, death, or loss of my dog resulting from participation in any and all activities or from the action of my dog or any other dog while in the custody of, or on the grounds or surrounding area Pampered Pup, LLC 2709 Mays Landing Road, Millville, NJ 08332. . If my dog causes injury to another dog or a person while at Pampered Pup, I will assume all liability for these actions and agree to indemnify and subrogate Pampered Pup, LLC from any action which may be brought against it and for any defense, settlement or judgment entered against Pampered Pup, LLC. I have been given a copy of the policies of dog day care and agree to abide by all policies and procedures. In the event that my dog becomes ill or sustains an injury, I authorize Pampered Pup, LLC and its representatives to obtain medical treatment and assume all financial responsibility for all medical expenses. I have read and agree to the Pampered Pup day care policies. I understand that my dog’s participation in Pampered Pup Doggie Day Care is by reservation. I agree to provide 24 hours’ notice for cancellations. No shows will be assessed your dog’s full daycare fee. Dogs picked up after 7:00pm will be assessed a late fee of $5 every 15 minutes. All dogs not picked up by 7:30 pm will be checked in to Pampered Pup Luxury Pet Resort for an overnight stay for a fee of $25 per night.

Print Name: ____________________________________________________________
Signature:______________________________________________________________
Date: ________________________________
Copyright 2016. Pampered Pup, LLC