Daycare Consent and WaiverPlease fill out the below form in its entirety.Owners InformationOwners Name* First Last Email* Cellular Phone*Work Phone*Emergency Phone*Your Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Dogs InformationDogs Name*Breed*Date of Birth* MM DD YYYY*All dogs over 8 months of age must be neutered/spayedSex*MaleFemaleSpade / Neutered ?*YesNoConsent* Select All I certify my dog is not aggressive and is dog and human friendly I hereby represent that I am the legal owner of the dog described above (the “Dog”) to be enrolled in Good Hound Pet Services LTD,(“ the Playground”) I hereby waive and release the Playground, its employees, owners, representatives and agents from any and all liability which I or my dog may suffer, including specifically, but not without limitation, any injury or damage arising from the Dog’s attendance and participation at the Playground I hereby represent that my Dog is of good health and has not been ill with any known contagious disease in the last thirty days. I recognize that the health of the Dog is the owner’s responsibility. I hereby represent that all require vaccinations or titers for the Dog are up to date and will continue to remain so for as long as the Dog attends the Playground. Vaccines are not guaranteed and there is a small risk that my dog may still contract a contagious disease or illness. I further understand and agree that the Playground and their caregivers will not be liable for any problems that might develop with the Dog, including, but not limited to, sickness, disease, injury, running away, and death, provided that reasonable care and precautions are followed. I further understand and agree that dogs can sometimes receive minor cuts and scratches at daycare and any problem that develops with the Dog will be treated as deemed best by the First Aid trained caregivers of the Playground at their sole discretion. If emergency medical treatment is needed, I authorize the Playground to secure veterinary care and that I assume full financial responsibility for any and all expenses involved. I agree that the Dog may be videotaped, photographed and/or shared on social media and I will be given copies on my request The Playground reserves the right to permanently remove a Dog from daycare at any time as this environment may not be suitable for all dogs. We reserve the right to remove a dog based on temperament, energy level and sociability.Veterinary InformationVets Name*Vets Address*Vets Phone*Medical Conditions* None Epilepsy Hip Dysplasia Arthritis Heart Disease OtherMedicationsBehavioural Issues?Kibble*Food Allergies*Digital SignatureI Certify: that I am eighteen years of age or older and have the legal capacity to enter into a binding contract. Further, I certify that I have read and understood the rules and regulations as set forth in this agreement. I agree to abide by the rules and regulations and accept all terms, conditions and statements of this agreement.Signature*Date Signed* Date Format: MM slash DD slash YYYY EmailThis field is for validation purposes and should be left unchanged.