2024 CURRENT DAYCARE CLIENT FORM

A PRINTABLE LIST OF OUR 2024 POLICIES & CLOSING DATES:

gp_2024_policies.pdf
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state law requires this form to be completed yearly.
THis form is for current daycare clients (dogs already accepted into our daycare program).

* Indicates required field

2024 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 (outside your immediate family) 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 permanent daycare schedule for 2024: *

Please check off if you require any permanent early-drop off days (7:45am for an additional $10 fee). *

Would you like to be on the wait list for any schedule openings? If so, please list the day 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 group walk or 10-minute solo 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 (unscented wipes available) - $40.00 charged monthly at the beginning of each month. Unlimited Easy Keeper Program: everything included above, but done weekly - $70.00 charged monthly at the beginning of each month. Once monthly nail trim / nail grind - $20.00, charged at the beginning of each month Twice monthly nail trimming / grinding $35.00 monthly, charged at the beginning of each month. Weekly Brushing - a complete brush-out weekly to ensure your dog doesn't become matted. Brushing is $2/minute Bi-Weekly Brushing - a complete brush-out every other week. Brushing is $2/minute AutoGroom - allow us to schedule your dog's grooming (includes bath, nail trimming/grinding, ear cleaning, teeth brushing, and haircut if applicable) while they are at daycare every 4 - 10 weeks. You will have a consult with one of groomers to determine the best schedule based on your dog's coat type, your maintenance at home, and desired style.

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 this form to be completed yearly.THis form is for current daycare clients (dogs already accepted into our daycare program).

state law requires this form to be completed yearly.
THis form is for current daycare clients (dogs already accepted into our daycare program).