OWNER INFORMATION * First Name Last Name Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Mobile Phone * (###) ### #### DOG INFORMATION * Name Breed Sex Age Birthday Spayed/Neutured VET INFORMATION Vet Practice Phone Number Address DOG MEDICAL INFORMATION Flea/Worms Treatment Any Medical Condition Recent / Current Injuries Taking any medication? Allergies / Food Sensitivity DOG BEHAVIOUR Where does your dog spend most of its days? Is you dog allowed on the furniture / bed at home? Number of walks per day? Average length of walk On lead How many times is your dog fed per day? Are you happy with treats at daycare? Has your dog ever ... Reacted Negatively around food Escaped from your property Growled at someone Bitten someone If yes to any of the above, please specify. SOCIALISATION How often does your dog socialise? Does your dog enjoy playing with other dogs? How does your dog react to other dogs on lead? How does your dog react to other dogs off lead? Does your dog share toys with other dogs? PET SERVICES / PRODUCTS USED Have you used a a daycare centre before? Have you used a groomer before? What type of food do you feed your dog? Dry / Kibble Wet / Tinned Raw Other Brand Will your dog be due a meal at daycare? TINY'S SOCIAL CLUB To have a better understanding of your dogs needs, please indicate the type of services that you are interested in. These details are used as part of our meet and greet sessions, where you can discuss our services in more detail. This application form does not commit you to any ongoing Tiny’s Social Club services. TERMS AND CONDITIONS Liability * I (the owner) confirm to Tiny’s Social Club that I am legal owner of my dog; that my dog has not been ill with any contagious disease or condition within the past (30) thirty days and that my dog has received all necessary vaccinations. I understand that Tiny’s Social Club is a day care service, I agree that my dog will socialise with other dogs and I accept the risks involved and agree that Tiny’s Social Club are not liable for any injuries or illnesses resulting during my dog’s attendance. I understand that if my dog has a history of aggression or biting, Tiny’s Social Club reserve the right to refuse entry to my dog and I have disclosed to Tiny’s Social Club any known dangers associated with my dog. Any behaviour deemed dangerous or inappropriate by Tiny’s Social Club may result in the instant dismissal of my dog(s). I understand that under no circumstances will Tiny’s Social Club be liable for consequential damages or damages beyond the replacement value of my dog. If any medical problems develop while my dog is in the care of Tiny’s Social Club and I cannot be contacted, I authorise them to do whatever they deem necessary for the safety, health and wellbeing of my dog and I agree to assume full financial responsibility for all expenses incurred. Payment / Requirements * I understand that I must pay for day care costs at the end of each month or for boarding in advance using either cash or bank transfer. I understand that I must give at least 24 hours’ notice of cancellation or else full payment will be taken. I understand that the hours of operation are 8:30am - 5:30 pm, additional fees will be charged if drop off or pick up is required earlier/later than the hours stated. Thank you so much! We will get back to you as soon as possibleKind RegardsTiny’s Social Club Team JOIN OUR CLUB! LET YOUR DOG HAVE THE BEST ADVENTURES! JOIN OUR CLUB! LET YOUR DOG HAVE THE BEST ADVENTURES! JOIN OUR CLUB! LET YOUR DOG HAVE THE BEST ADVENTURES!
