Daycare Agreement FormEmergency Contact Name: First Last Emergency Contact Phone:Pet's Name:Sex:FemaleMaleSpayed?YesNoNeutered?YesNoPet's Name:Sex:FemaleMaleSpayed?YesNoNeutered?YesNoVaccinesIn order to protect the health of your pet, this facility requires documentation showing that all daycare dogs have current rabies, DA2PP, and Bordetella vaccines, and cats have current rabies and FVRCP vaccines. If any of your pets’ vaccinations are past due, they must be inoculated before check in. Vaccines that must be administered at this facility or by a licensed veterinarian working with this facility will be added to your bill. Pets that are so young that they have not completed their entire series of vaccinations may not yet be protected and, thus, owners accept any risks of infection. Pets that are using vaccine titers in lieu of vaccinations must have current titers on file and owners accept any risk of infection.I certify that my pet(s) have received the following vaccines with the stated administration and expiration dates:Pet:Rabies:DA2PP/FVRCP:Bordetella:Pet:Rabies:DA2PP/FVRCP:Bordetella:MedicationsMid Day Medication/Supplement AdministrationIf your pet will be receiving medication during his or her stay, it must be in the original veterinary-labeled container with instructions for administration and your veterinarian’s phone number. Fees for medications that need to be filled or refilled during the time your pet is boarded will be added to your bill.Facebook and InstagramWe like to post pictures of our boarders and daycare friends periodically to our Instagram and Facebook pages.I would prefer NOT to have my animals picture posted.It is OK to post picture of my animals during their stay.Statement of Boarding Policy1. Daycare hours are 6:30am- 9:45pm, Monday through Friday; 7:30- 9:45pm, Saturday and Sunday. Time is not prorated. 2. Personal items may be left at your own risk. We are not responsible for loss or damage, although we will do our best to maintain what you have left for your pet. 3. This facility cannot guarantee the health of any animal, but pledges to provide appropriate care to all daycare participants. I understand that here at Mountain View, the environment my dog is in has all size breeds in one playgroup at a time. As, always, with the dog to dog interaction, there is a chance of injury. Mountain View and all of its employees will supervise all dogs in daycare to their best ability, but I understand that at times, due to the nature of interactions between dogs there is always a risk of injury. I agree to hold this facility harmless for conditions that often are unavoidable in daycare environments, including, but not limited to, weight loss or gain, rough/dirty hair coat, kennel cough, upper respiratory infection, diarrhea, and possible bites or lacerations.4. If my pet(s) identified on this record become ill, I request that Mountainview Animal Hospital provide all medical/surgical treatment it deems necessary, with fees not to exceed:$200$400No LimitI acknowledge that in the event of my pet’s illness, the staff at the above named veterinary facility may not be able to contact me immediately. Nonetheless, they are authorized to initiate appropriate treatment until my agent or I can be reached. I agree to pay all related expenses associated with the treatment of my pet until I am available to discuss further care and related fees with the attending veterinarian. 5. I understand that this signed agreement will be valid for 6 months starting the date of signature and will be renewed once date of expiration has been reached.I agree to make full payment at the time of discharge. I certify that my pet(s) appears to be free of contagious disease and has not bitten anyone in the past ten days. I accept that if I fail to pick up my pet(s) within ten days of notification at the above address, it will be considered abandoned and will be handled in accordance with state law, and that doing so does not relieve me of my financial obligations.I understand that this is not a 24 hour facility and that my pet will be left unattended while the facility is unstaffed from 10pm- 6:30am. We do ensure all safety precautions and will do everything in our power to keep your pet safe.I have read the above and I am in full agreement.Signature of Owner or Authorized AgentPlease provide your full name as signature.Date
