Day Care Starter form
Email address *
Dog's Name:
Your answer
Owner's Name:
Your answer
Contact Numbers:
Your answer
Your answer
Emergency Contact details:
Your answer
Dog Description (breed/looks/temperament)
Your answer
Vet Name:
Your answer
Vet Number :
Your answer
Vaccinations :
DHPPI: (date)
Your answer
LEPTO (date)
Your answer
Kennel Cough (date)
Your answer
Any Medication?
Your answer
Any Allergies?
Your answer
Any Special Requirements?
Your answer
Term and Conditions.
The following questions are a list of the terms and conditions that apply to daycare.
I understand that my dog will be mixing with other dogs and that playing with other dogs may result in marks, bruises, nicks etc.
I also understand that my dog may become dirty as a results of playing with other dogs.
In the event of my dog becoming ill, I authorise all necessary veterinary treatment and that I shall bear the cost.
I accept to pay all fees by cash or card on collection of my dog.
I confirm that I am aware of the late collection fee (€15 per 15mins late. After 30 mins the dog will be sleeping over and I agree to pay the fee for that too)
I agree to give prior notice if someone else is collecting my dog.
I agree to let The Canine Centre know of any health or behavioural issues that may arise with my dog(s).
I agree to call/text/e-mail The Canine Centre to book in/ cancel my dog for day care before 6.30pm on the day prior to the appointment.
I agree to keep my dog on the lead whilst entering or leaving The Canine Centre.
I agree that I understand that all dogs are not suitable for day care and that The Canine Centre operate a traffic light policy with all it's clients. Green= Your dog is happy and loving day care with no issues. Amber= We are monitoring your dog as he/she may not be enjoying day care. Red= Unfortunately your dog is no longer comfortable in day care and can no longer come.
I confirm that I have made The Canine Centre aware of any behavioural issues and any special requirements.
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