Dog Daycare Application

391 Harvard Street
Leominster, MA 01453
Phone: 978-537-2584
Fax: 978-537-3859

DOGGIE DAYCARE APPLICATION

GENERAL INFORMATION AND POLICIES

The purpose of Manilow's Canine Playground is to provide a safe, fun, social environment for your dog to play in while you are busy at work or at home. To ensure the safety and health of your pet and our other guests, we require all guests to comply with the following rules and regulations. Our daily routines will include that your dog will spend as much time outside in play groups that are determined by their size, personalities, energy levels to ensure safety at all times. If the weather is really bad we will have play groups inside instead. Your dog will probably be very tired the first few times he/she attends daycare until they get use to their increased activities.

1. All dogs age six months or older must be spayed or neutered.

2. All dogs must have up-to-date vaccinations and submit written proof of Rabies, Distemper, and Bordetella.

3. All dogs must be in good health and free from any condition that could potentially jeopardize the rest of the dogs' well being. If your dog shows any signs that may be contagious such as coughing, vomiting, diarrhea, internal parasites or fleas please do not bring them to daycare.

4. All dogs must be friendly and non-aggressive toward any person or any other dog(s). Please remember your pet will be spending time with other pets and the safety and health of all animals are our biggest concern.

5. Hours are Monday - Friday 6:45 a.m. to 6:30 p.m.

6. Reservations are required and if you must cancel a reservation, please give us 24 hours notice or it will be necessary to charge you for a full days rate.

7. A late fee will be charged for dogs left after 6:30 p.m. If you are more than 15 minutes late picking up your dog you will be charged a late fee of $10.00 for every 15 minutes you are late.

8. Please make sure that your dog(s) are on a leash always when coming and going to our daycare.

9. Please label any dog food that you bring in for us to feed your dogs during the day.

10. To help us maintain an environment free from fleas and ticks we ask that you use some kind of flea & tick product to prevent them from being on your pets.

Daycare Fees
Daily rate is $25.00 per day.
You may also purchase package plans
that are valid for one month from date
of purchase.
five Day pass $120/$24 per day
ten Day pass $230/$23 per day

EMERGENCY CONTACT INFORMATION

Please provide with someone other than you or your spouse

DOG INFORMATION

VETERINARIAN INFORMATION

GENERAL INFORMATION

OWNER INFORMATION

Name

Address

Town or City:

State:

Zip:

Home Phone:

Work Phone:

Ext

Cell Phone:

Email:

Occupation:

City you work in:

Spouse Name:

Spouse Phone:

Name:

Relationship of contact:

Home Phone:

Cell Phone:

Name:

Breed:

Is your dog spayed or neutered? Please check if yes

Male

Female

Color:

Birthdate:

Age:

Rabies expiration date:

Rabies Tag #:

Date of Kennel Cough vaccine:

Date of Distemper:

Tattoo Number:

Microchip Number:

List any medication your dog is taking:

Vet Name

Phone

At what age did you obtain your dog?

Where did you get your dog?

Is this your first dog?

Do you have children?

Is your dog crate trained?

is your dog house trained?

What brand of food do you feed your dog?

Any special dietary requirements?

Is your dog allergic to anything?

List your dog's fears such as thunder, people, other dogs, etc.

Does your dog have any problems in any of these areas:

chewing, barking, jumping, digging, stealing food/objects, pulling on leash?

Has your dog ever growled at someone?

Has your dog ever bitten someone?

Does your dog play well with other dogs?

Has your dog ever taken any dog training?

If so, where and when?

What level of dog training have your completed?

Has your dog ever attended another doggie daycare?

If so, where and when?

Describe any physical problems your dog might have.

Describe any illness or other condition that your dog has had

in the last year that required medical attention.

Is there anything else we should know?

How did you hear about us?

Please check this box to signify you have read and agree to our ‘Daycare Contract Agreement’.