2022 Form

FOR A PRINTABLE LIST OF OUR 2022 POLICIES & CLOSING DATES - PLEASE CLICK THE LINK BELOW:

2022_policies.pdf
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state law requires all CURRENT daycare clients to DO a yearly form.
Please only fill out this form if your dog has already been accepted into our daycare program.
This allows us to provide emergency care to your pet if necessary. thank you for your compliance!

* Indicates required field

2022 SERVICE AGREEMENT: (Human) Client's Name *

First

Last

Phone Number (Primary) *

Phone Number (Secondary) *

Email Address: *

Home Address: *

Emergency Contact Name: *

Emergency Contact Phone Number: *

Names of persons authorized to pick up your dog from daycare: *

Dog's Name *

Dog's Breed or Mix *

Dog's Birthdate (estimated is fine) *

Is your dog on any medication other than flea / tick / heartworm prevention? If so, please list name of medication and dosage: *

Dog's Veterinarian *

Please check your dog's current daycare schedule for 2022 *

Would you like to be on the wait list for any schedule openings? If so, please list the day & service you'd like to be on the wait list for: *

Please check the following add-on services you'd like to sign up for: *

15-minute solo walk during daycare for $15.00 15-minute group walk during daycare for $10.00 Monthly Easy Keeper Program (twice monthly your dog will receive 5-minutes of brushing, nail trimming, ear cleaning, teeth brushing, and cologne spray) $40.00 charged monthly at the beginning of each month Once monthly nail trim - $20.00 Nail Care Package (twice monthly nail trimming / grinding) $30.00 monthly, charged at the beginning of each month Grooming Package - allow us to schedule your dog's grooming (includes bath, nail trimming, ear cleaning, teeth brushing, and haircut if applicable) while they are at daycare every 4 - 6 weeks to receive $10.00 off your normal grooming price.

By checking this box and submitting this form, I agree all the information I have shared is accurate. I also give Go Play! permission to contact my veterinarian to verify my dog is current on the required vaccinations and fecal flotation needed to participate in daycare. Go Play! (hereafter referred to as Company) is entrusted to use best judgement in caring for Client's animals. In the event of an emergency, inclement weather, natural disaster, or other circumstances beyond all control prohibit Company from caring for animals, Company will be held harmless for related consequences. Company has all rights to refuse services due to inclement weather or other dangerous circumstances. Client is responsible for injury to persons, animals, property, death, or injury to animals named in this contract. Client agrees to pay any veterinary costs to animals during time they are being cared for by Company. If animals become ill, the Company may engage the services of a veterinarian to administer medicine or provide medical care to animals. Company or representative is bitten, injured, or exposed to any disease or ailment received from Client's animals it is the Client's responsibility to pay all costs and damages incurred. Company has the right to refuse services to any animals for any reason. Company agrees to use Client's equipment for animals and is not responsible for faulty, damaged, or damages to equipment. Client understands pet grooming includes the use of sharp tools and clippers and the difficulty of using those tools on live animals. Client understands there is a risk of clipper / brush irritation, eye, ear, and skin irritations due to a matted, dirty, or unkept coat and grooming. Company is released of all faults when providing grooming services. If any circumstances arise, leading to additional charges upon an agreed price, Client is responsible for additional charges. Company will have printed copy of this contract available to Client. This is a valid and binding contract for all services provided by Company. *

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state law requires all CURRENT daycare clients to DO a yearly form.Please only fill out this form if your dog has already been accepted into our daycare program.​This allows us to provide emergency care to your pet if necessary. thank you for your compliance!

state law requires all CURRENT daycare clients to DO a yearly form.
Please only fill out this form if your dog has already been accepted into our daycare program.
This allows us to provide emergency care to your pet if necessary. thank you for your compliance!