Register Online

Owner Information

Owner(s) Name(s)*

Address*

City, State, ZIP*

Home Phone

Work Phone

Cell Phone

Email*

Person(s) authorized for pick-up*

Emergency Contact*

Emergency Contact Phone*

Facility you wish to use*

Your Dog's Information

If you have more than 1 dog, there will be an option to complete a form for each after submitting your first dog's information.

Dogs name*

Breed*

Date of birth*

How much does your dog weigh?*

Sex*

Male
Female

Spayed or Neutered?*

Yes
No

All dogs must be spayed or neutered by 6 months old. They can start prior to that.

Color & markings*

Allergies and/or medical issues

Done daycare before?*

Yes
No

Is your dog comfortable with having his/her feet touched?*

Yes
No

Is your dog comfortable with having his/her collar used to lead?*

Yes
No

Has your dog ever climbed or jumped a fence?*

Yes
No

Has your dog ever growled or snapped at anyone touching his or her bones/food/ toys?*

Yes
No

Does your dog play with other dogs on a regular basis?*

Yes
No

How does your dog react to puppies?*

Happy to see them
Go away I don’t like you
Indifferent to them

How does your dog react to strangers?*

Happy to see them
Go away I don’t like you
Indifferent to them

Describe any behavioral problems/ sensitivities we should be aware of*

Is there anything your dog does not tolerate well? (Being lifted, nails clipped, ears cleaned, rough play, taking treat or bone away)?*

Does your dog have any physical limitations? (Please be specific)*

Has your dog had prior interactive daycare, group play or obedience training? (Please provide details)*

When was the last time your dog played in a group setting with 5 or more dogs?*

Does your dog ever growl or snap at other dogs (although he/she may still get along with other dogs)?*

Yes
No

Has your dog ever been bitten by another dog?*

Yes
No

If yes, how severe? Please indicate (no wound, small wound, punctures, stitches, surgery)? *What was the situation in general?

Has your dog ever bit another dog?*

Yes
No

If yes, how severe? Please indicate (no wound, small wound, punctures, stitches, surgery)? *What was the situation in general?

Is there any specific dog(s) or breed(s) that your dog tends to dislike?

How does your dog act around other dogs?

Please check all that apply

Veterinarian*

Veterinarian Phone*

Please upload your dogs vaccines

Accepted file types: jpg, png, pdf, Max. file size: 32 MB.

Medical Treatment Consent

I grant PAD full power of decisions concerning the care and well being of our dog(s). Should any medical emergency arise, it is agreed that PAD can and will make any needed decision concerning medical treatment and choice of care given up to the maximum specified here. Furthermore PAD will ensure that contact is made with owner(s) before an further treatment is needed outside of the facility. With my signature below, I accept exclusive and sole responsibility for these and all other risks; and release PAD of all liability, no matter the cause.

Maximum ($)*

I hereby release PLAY ALL DAY, LLC (PAD), its agents, officers, subcontractors, employees, animal parents, customers and potential customers of PAD from any and all liabilities for injuries to myself, my dog(s) or any other property of mine which arise in any way out of services and/or products provided by or as a consequence of my association with PAD. I acknowledge and understand that every dog reacts differently and that animals, by nature are unpredictable. Dogs and animals may, without warning, bite or cause injury to humans and other dogs. I acknowledge and understand that there are certain risks involved in participating in daycare, including but not limited to dog fights, dog bites to humans and to other dogs, and the transmission of disease. Please read and sign below that you understand and agree:

Dogs not familiar with PAD may experience separation anxiety when apart from their human companions.
Dogs not regularly exposed to the level of activity at PAD may experience sore muscles, joints, and fatigue.
Dogs not regularly exposed to outside activity or play on hard surfaces may experience sore paws, blisters, bruises or abrasions on the feet (Raw Paw).
Dogs attending daycare may get dirty. Dogs with longer hair can get matted from the level of activity at daycare. Bath, brush-outs, and grooms may be requested and scheduled during regular business hours.
Dogs not regularly socialized do not necessarily know how to behave politely with other dogs. These dogs are at higher risk of incidents (bites, fights, fear aggression, object guarding, and/or behavioral problems).
Excessively long toenails may cause injury. You will be notified if your dogs’ nails are too long. If at your next visit, the nails have not been trimmed, PAD will have them trimmed at your expense. Nail trims can also be scheduled during regular business hours.
I understand the extra risks my dog(s) has/have of contracting disease/illness at daycare with or without being fully vaccinated.
Water is available at all times; however your dog may still be thirsty after daycare. Be aware of their water intake as excessive amounts may cause upset stomach or other problems.
Any behavior deemed dangerous or inappropriate by PAD may result in dismissal from the program.
Dramatic changes in food and/or food quality may cause upset stomach, diarrhea, and/or Colitis.
I agree to pay for all services due at the time they are rendered. I understand any unpaid fees by me will be sent to collections and I will be responsible for all collections and legal fees incurred by such actions taken.
I certify that my dog(s) is/are in good health and has/have not been ill with any communicable disease within the last 30 days.
I understand and agree that in admitting my dog(s) into PAD, PAD has relied on my representation that my dog(s) have not harmed or shown aggressive or threatening behavior towards any person or dog.
I understand PAD staff gives all pets involved in any type of incident a thorough examination; however PAD is not liable for the location, treatment, or diagnosis of any injuries incurred on our premises. It is recommended you check your dog further or seek treatment from your licensed veterinarian at your discretion and cost.

Your signature*

I have read and understand the PAD “Rules & Regulations”.

Please type your name*

First Last

Owner Information

Your Dog's Information

Medical Treatment Consent

We respect your privacy!