Application and Facility Agreement

Owner Information

Owner's Name

Address

City

State

Zip

Email Address

Home Phone

Work Phone

Cell Phone

How did you hear about us?

Emergency Contact

Name

Phone

Veterinarian Contact

Veterinarian

City/State

Please bring a copy of your pets vaccination records with you or have your veterinarian fax us a copy prior to your arrival to avoid any delays during check in. The minimum requirements are as follows:

Dogs

• Rabies
• DHLPPC
  (distemper, hepatitis, leptospirosis, parainfluenza and parvo virus)
• Bordetella

Cats

• Rabies
• FVRCP
  (Feline Viral Rhinotracheitis, Calicivirus, Panleukopenia)

Pet Behavior

Is this your pet's first time at boarding or daycare?
Yes     No

Has your pet ever been groomed?
Yes     No

Does your pet exhibit and fears that we need to be aware of?

Has your dog ever bitten another dog or person?
Yes     No

If so, explain:

Authorized Persons

At Sydney’s Pet Spa the security and care of your pet is the cornerstone of our business. For your protection, only the Owner or the person listed as the authorized pick up person will be bable to pick up the pet. Please list any other persons you authorize to pick up your pet below.

Name 1

Phone 1

Name 2

Phone 2

Name 3

Phone 3

Pet Information

Species Choose one Dog Cat Bird Other

Pet's Name

Nickname

Breed

Weight

Color

Sex
Male     Female

Neutered/Spayed
Yes     No

Date of Birth

Method of Flea Control

Current?
Yes     No

Method of Heartworm Protection

Current?
Yes     No

Health Concerns

Medications (dosage, frequency, etc.)

Feeding Instructions (amount, frequency, etc.)

Are there any treats we should NOT offer your pet?

Does your pet have any allergic reations to anything?

Pet Personality

How does your dog react to strangers coming to your home?

How does your dog react to other dogs coming into your home or yard?

Did your dog come from a rescue shelter?
Yes     No

Has your pet ever been abused or neglected that you are aware of?
Yes     No

Do you feel your dog would socialize with a group of other dogs?
Yes     No

Does your dog come when called?
Yes     No

What is your pet's favorite toy?

Is there any place on your pet's body he does not like to be pet?

Is there anything you would like to share about your pet?

The following represents a contract between Sydney’s Pet Spa and the Owner of the pet whose name(s) appears on this Application and Facility Agreement (the “Agreement”):

By submitting this Agreement and leaving his/her pet with Sydney’s Pet Spa, Owner certifies to the accuracy of all information given in the Agreement. Owner agrees to pay the rate for boarding, grooming, daycare and any other requested services in effect on the date pet is checked into Sydney’s Pet Spa. Owner further agrees that the pet shall not leave Sydney’s Pet Spa until all charges are paid to Sydney’s Pet Spa by Owner.

I understand that the hours of operation of Sydney’s Pet Spa are:
Monday – Friday 7:00 am – 6:00 pm (Check out time is 1:00 pm)
Saturday 8:00 am – 4:00 pm (Check out time is 1:00 pm)
Sunday 10:30 am – 12:30 pm (Check out time is 1:00 pm)
Sunday (Departure) 4:00 pm – 6:00 pm

Reservations are required for overnight stay.

I agree that if I pick up my pet after 1:00 pm for any reason whatsoever, I will be charged for a full day of boarding for that day. No after-hours pickups will be permitted. Additionally, there are no drop offs or pick ups on New Year’s Day, Easter, Memorial Day, Fourth of July, Labor Day, Thanksgiving or Christmas Day. There may be days when we close at noon prior to a major holiday.

Comfortable, clean, bedding is provided by Sydney’s Pet Spa and bedding from home is highly discouraged. Sydney’s Pet Spa cannot be held responsible for lost or damaged bedding material.

Sydney’s Pet Spa provides a variety of veterinarian prescribed diets for your pet while in our care. Should you choose to bring your own food please apportion the food for the pets stay.

We are pleased to administer any medications your pet may be required to take.

All dogs that will be in daycare/dayplay must be spayed or neutered.

Owner will inform Sydney’s Pet Spa of any medical problems and or allergies that may flare up due to the stress of grooming at the beginning of each appointment. Sydney’s Pet Spa will not be responsible for clipper burn and/or minor nicks resulting from grooming of matted, neglected coats or for irritation caused by removing the coat from pets possessing mild to severe skin allergy. We reserve the right to charge additional fees for services we consider over and above the norm covered by our standard rates. Such as medicated baths, flea baths or threat to us or to other pets left in our care, whether it is an aggression problem, health problem or parasite problem.

I understand the conditions for boarding my pet at Sydney’s Pet Spa and by signing this release and waiver I am agreeing to hold Sydney’s Pet Spa, its owners and employees harmless from any and all claims for damages or injuries suffered by, or in any way relating to my pet’s stay at Sydney’s Pet Spa. The Owner agrees to be solely responsible for any and all acts of behavior of the pet while it is in the care of Sydney’s Pet Spa. Sydney’s Pet Spa will not be held responsible of stressful effects grooming or boarding may have upon an elderly pet.

All pets must be in good health. Owners will need to certify that their pet(s) are in good health and have not been ill in the past 30 days. On admission all pets must be free from any condition, which could potentially jeopardize other guests. Pets that have been ill with a communicable condition in the last 30 days will require a veterinarian certification of health to be admitted or readmitted.

While we do our very best to care for your pet, Sydney’s Pet Spa cannot guarantee the health of my pet during their stay. Some conditions are unavoidable in boarding facilities such as but not limited to weight loss, hair loss, upper respiratory infections, bronchitis, diarrhea and parasites. I understand that all pets admitted must be protected against communicable contagious diseases and must be free of parasites. This will help to provide for a healthier environment for all.

If any problem or emergency develops and it is necessary to treat your pet, please select one of the following directives: I agree to be responsible for any and all charges incurred to care for my pet’s health per my choice.

*What is 2+2? (Anti-spam)