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Cloud Nine Canines Boarding and Day Care Agreement

Contact Information
Your Name:
Address:
City:  State:  Zip:
Email:
Home Phone:
Work Phone:
Cell Phone:
Emergency Phone: (this would be a parent, sibling, friend - someone who is not going on the trip with you)
Pet Information
Pet’s Name:
Breed:
Age:  Birthday:
Sex:
Please check all of the following boxes that apply to your pet:

    Spayed or neutered

    Boarded or attended day care before

    Housetrained

    Can jump a 5 foot or 6 foot fence

    Has bitten another dog or person - Please describe:

    Flea & Tick control - Type:  Frequency:  Time of month:

    Heartworm control - Type:  Frequency:  Time of month:

Where does your dog sleep?

List brand of food fed and what time(s) they are accustomed to eating; also any medical, physical, or other problems we should be aware of.

Describe your dogs personality.....when meeting new dogs and people; anything that upsets your dog (thunderstorms, a particular color of another dog, etc.)

Let us know anything else about your dog that would assist us in providing the best
possible care and most fun while here at Cloud Nine Canines. For example, does your dog look for any weakness in a fence to take a little romp and visit the neighbors? Does your dog love being outside in the yard so much that they refuse to come in when called? :)

Veterinarian Information
Veterinarian Name:
Phone:
City:
Date of last visit:
Policy and Authorization Information

The dogs here are accustomed to playing with other dogs; the nature of this kind of environment can present some issues you should be aware of. Just like children, the dogs can play hard and sometimes will get bruised, muscle strains, nicks and scrapes or worse. Every effort is made to keep the “play” from escalating into extreme “rough housing” or worse. Future visits...please check website for any price or policy changes.

I, , hereby certify that my dog(s): :

Is in good health and has not been ill with any communicable condition in the last 30 days.
Has not harmed or shown aggression or threatening behavior towards any person or any other dog.
I have read and understand all items on the policies page and agree to the following:
I certify that I am the sole owner of the dog or acting on the owners behalf and am authorized to sign this form.
I am solely responsible for any harm caused by my dog(s) while my dog(s) is attending Cloud Nine Canines. I release Cloud Nine Canines, its owner, employees and volunteers of any liability arising from my dog(s) attendance and participation.
I understand that there is a possibility for injuries, communicable diseases and parasites when dogs play together.
I authorize Cloud Nine Canines, at their discretion, to engage the services of a veterinarian if my dog requires care. I agree to be solely responsible for the payment of all medical bills and release Cloud Nine Canines, its owner, employees and volunteers of any responsibility related to such medical care.
I authorize Cloud Nine Canines to contact my veterinarian to confirm health, temperament and vaccination records.
I agree that prior to my dog leaving Cloud Nine Canines, all charges will be paid in full.

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SignatureDate

*To be signed and dated before boarding.

 
 

Cloud Nine Canines is located in Lawrenceville, GA
Contact us at (770) 544-9291

we treat your baby like one of our own