Registration and Release:
Date: _______________
Parents Information:
Name:____________________ Home Phone:__________________
Address:__________________________ Cell:__________________
________________________________ Work:__________________
Email:__________________________________________________
Emergency Contact:
Name:_______________________ Phone:____________________
Dog’s Information:
Name:_____________________ Breed:_______________________
Birthday:___________________ Color(s):______________________
Weight:____________________ Sex:_______________________
Spayed/Neutered? (Y/N)______ Micro-chipped? (Y/N)___________
Dog’s Behavior:
With People:
Fearful_____ Agressive_____ Dominant_____ Submissive______
Other:___________________________________________________
With Other Dogs:
Fearful_____ Agressive_____ Dominant_____ Submissive______
Other:___________________________________________________
Veterinarian Information:
Veterinarian Name:___________________ Clinic:_______________
Address:___________________________ Phone:_______________
_______________________________________________________
Vaccines: (For Office Use Only)
DHPP: (Distemper)_______ Expires:_________________________
Rabies:________________ Expires:__________________________
Bordetella: (Kennel Cough)_______ Expires:___________________
Flea and Tick:____________________________________________
Rules and Regulations:
Daycare:
Name of Owner:__________________ Date:______________
Signature:_______________________
Indoor Dog Park:
Gus’ Indoor Dog Park and Daycare Code of Conduct
I agree to remove my dog from the park if any aggressive or threatening behaviour is displayed.
I agree to clean and pick-up after my dog if an accident is to happen.
I agree to monitor my dog at all times, demonstrate good dog ownership and never leave him/her unattended.
I agree to the rules and regulations above, and that all my dogs medical information is true and accurate.
Gus’ reserves the right to refuse admittance to any dog who lacks proof of vaccinations, displays signs of contagious health conditions, demonstrates inappropriate play behaviour or whose owner does not demonstrate Indoor Dog Park etiquette.
Name of Owner:__________________ Date:___________________
Signature:_______________________
Daycare Agreement and Waiver Form
I understand that I am solely responsible for any harm caused by my dog(s) while my dog(s) is/are attending daycare at Gus’ Indoor Dog Park and Daycare.
I also understand and agree that in admitting my dog(s), Gus’ Indoor Dog Park and Daycare has relied upon my representation that my dog(s) is/are in good health and have not harmed or shown aggressive or threatening behaviour towards any person or any other dog.
I further understand that due to the way that dogs interact with one another, minor cuts and scratches can occur even though the dogs are carefully supervised at all times.
While my dog(s) is/are in the care and custody of Gus’ Indoor Dog Park and Daycare if I am unreachable in the event of an emergency, I hereby authorize Gus’ Indoor Dog Park and Daycare and it’s agents, and/or representatives to seek immediate veterinary care for my dog.
I understand that all costs in connection with, veterinary, medical or other treatment, shall be my responsibility and I am herewith providing Gus’ Indoor Dog Park and Daycare with a credit card imprint which I authorize to be used for such purposes.
I hereby release and agree to save and hold harmless, Gus’ Indoor Dog Park and Daycare & its directors, officers, shareholders, employees, assistants, members and agents from any and all liability, claims, suits, actions, loss, injury or damage of any nature or kind, or for any liability, claims, suits, actions, loss, injury, or damage which I or my dog(s) may sustain or which may be caused in any way by my dog(s). I specifically, without limitation, agree to fully indemnify Gus’ Indoor Dog Park and Daycare for any and all such liability, claims, suits, actions, losses. injury or damage.
I certify that I have read and understand the rules and regulations set forth herein and that I have read and understand this agreement. I agree to abide by the rules and regulations and accept all the terms, conditions and statements of this agreement and confirm the truthfulness of the contents of the Application form completed by me. I am of the full age of eighteen years of age.
Although we carefully screen all applicants, occasionally we discover that this is not an appropriate environment for every dog. Gus’ Indoor Dog Park and Daycare reserves the right to permanently remove a dog from daycare at any time. In the event your dog is unable to return due to behaviour issues, daycare packages are not refundable, only transferrable.
Name of Owner:___________________ Date:__________________
Signature:________________________