Daycare Consent and Waiver

Owners Information
Owners Name*
First Last
Email*
Cellular Phone*
Work Phone*
Emergency Phone*
Your Address*
Street Address Address Line 2 City Province Postal Code
Location Interested in attending daycare at*
Probationary Period*
- After a dog completes a successful intro day, they enter a one month probationary period. This probationary period is designed to monitor behavior as the dog settles in and becomes more comfortable. Please read the list of behaviours we are watching out for -Dog and human aggression -Excessive barking -Trouble with handling (ex can we grab their collar) - Rising Anxiety - Dog and human selectivity/stranger danger - Resource guarding If any of these behaviours becomes prevalent in your dog, we may deem your dog unsuitable for daycare. Please sign to acknowledge you have read and understood the probationary period.
Dogs Information
Dogs Name*
Breed*
Date of Birth*
Month
Day
Year

*All dogs over 8 months of age must be neutered/spayed
Sex*
- Male
- Female
Spade / Neutered ?*
- Yes
- No
Consent*
- 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.
- Refund Policy: In the event a refund is granted, a $10 admin fee will be charged
Veterinary Information
Vets Name*
Vets Address*
Vets Phone*
Medical Conditions*
- None
- Epilepsy
- Hip Dysplasia
- Arthritis
- Heart Disease
- Other
if other, please describe
Medications
Behavioural Issues?
Behaviour*
Does your dog have any separation anxiety from you?
Dog's Play Style*
How would you describe your dogs play style? (gentle, rough, loves chase, wrestling, toys etc)
Dog's Play Style*
What breeds or ages of dogs does your dog like to play with?
Kibble*
Food Allergies*
Digital Signature
I 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*
MM slash DD slash YYYY
Comments
This field is for validation purposes and should be left unchanged.

Good Hound Village

Good Hound Country

604-946-8724

Email Us

Owners Information

Dogs Information

Veterinary Information

Digital Signature