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Owner Agreement

On this date ________, 20___, I ______________________the owner of ___________________________ state that he/she/or they qualify to participate in activities at A Dog’s Day Out (ADDO) facilities based on the

statements I am confirming in this two page owner agreement.

1. Health & Pet ProfileI certify that my dog(s) is/are: in good health, up to date on Rabies, Bordetella, and Distemper vaccinations, has not been sick during the last month and is free from any communicable diseases.

2. ResponsibilityI am solely responsible for any harm my dog(s) cause to: another dog, ADDO employees, guests, equipment, or ADDO property.

3. RepresentationI recognize that ADDO & their staff have agreed to accept my dog(s) for care based upon the information I provided in the required Owner Agreement, Pet Profile, Emergency Care form, and my dog’s veterinary vaccination records or current invoice detailing required vaccinations. I am presenting my dog(s) to ADDO as not having aggressive or threatening behavior. I further certify my dog(s) has/ have not harmed them self, another dog, or any person.

4. LiabilityI agree that ADDO & its staff will not be held liable for any behavioral problems, health problems, or injuries that may occur while my dog(s) is/are in the care of ADDO, or are playing at an ADDO facility. I release ADDO from all claims of any kind.

5. Treatment & Reasonable CareI understand there are inherent risks involved with my dog playing in open play areas like ADDO, even when my dog(s) are constantly supervised. These inherent risks include but are not limited to: Scratches, broken nails, sore or cut paws, puppy warts, kennel cough, & even behavioral problems. In the event of an injury/ or sickness involving my dog, it will be treated as deemed best by the staff at ADDO within their sole discretion. I assume full financial responsibility for any & all expenses involved in my dogs medical care. ADDO will attempt to contact me & contacts listed on my emergency care form. I understand that ADDO is not a veterinarian & that if my dog takes multiple medications for any reason that I am enlisting the help of non-medical professionals to administer my dogs medicines, as best they can, following the directions left for staff.

6. Right of RefusalI understand that ADDO has the right to reject a dog that: Is/ or becomes aggressive, threatens to harm themselves, other dogs, staff, or guests. Dogs with fleas or dogs believed to be too sick, old, or heavily medicated for our care, can also be refused. ADDO can refuse service to clients who: Do not pay overdue bills, become abusive/ or become a problem for ADDO staff or management, repetitively cancel their dogs requested service, or do not show up for reservations on more than two occasions.

7. Hours of OperationWe are open every day for our clients. Monday through Friday 7am – 7pm, Saturday 8am – 5pm, Sunday 10am – 5pm.

____________ _________

Client Initials Date

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8. Photos, Videos & RecordingsI hereby give ADDO full permission to use videos, photos, recordings, or any likeness of my dog(s) for any company materials without receiving any compensation for its use & without any dispute. By entering into an ADDO facility, I understand that a photo, video, recording, or likeness of me with my dog(s) can also be used by ADDO without receiving any notice, compensation, & without any dispute. I further release to ADDO all my rights or claims that I have, for myself & my dog(s), to any photos, videos, recordings, or likeness, etc.

9. Payments & FeesPrices & discounts are subject to change. Paid reservations ensure your dog’s space at ADDO. The ADDO hours of operation & pricing listed on our website www.adogsdayout.com takes precedence over all other

company documents. ADDO offers a 33% discount on the 2nd – 4th family dogs, after the 1st (daycare & boarding only). Pre-arranged early drop offs are $10. ADDO will impose a $10 late fee for dogs picked up after regular business hours (up to 30 minutes after close). Daycare & boarding dogs not picked up within 30 minutes of close will receive overnight care & will be billed according to ADDO pricing, until such time that they are picked up, during regular business hours. All ADDO services are pre-paid or paid no later than drop off. Daycare must be paid in full each day. Any unpaid balance of more than 14-days of service will result in ADDO imposing a 2% interest charge per month until the unpaid balance is paid in full. If ADDO pursues legal proceedings to collect unpaid fees, then ADDO client will pay reasonable attorney’s fees & costs related to collection, on behalf of ADDO.

10. Reservations & RefundsReservations are required. Each dog’s spot is only guaranteed once payment is received in full. Boarding cancellations specifically for the major US Holiday’s (Thanksgiving, Christmas, New Years, Easter/Spring Break, & 4th of July) must occur five days before the boarding was to begin, or five days before the actual day of that major Holiday (whichever comes first), in order to receive a full refund. Boarding reservations, on the four major US Holiday’s which are canceled within five days of the boarding/ or Holiday will receive a 75% refund. We provide refunds on daycare passes in cases where: Client moves out of area, dog dies, or is expelled.

11. AbandonmentAny dog left fourteen days beyond planned pickup and without payment will be considered to have been abandoned.

In order to finalize my dog’s file at ADDO, I agree to complete & turn-in the ADDO: Owner Agreement, Pet Profile,

Emergency Care form, and my dog’s veterinary vaccination records or current invoice detailing required vaccinations.

By signing this Owner Agreement, I understand what is required of my dog(s). I acknowledge that I have read both

pages, and understand/ agree to the terms set forth above.

_____________________________ ___________________________ _____________

Client & Legal Dog Owner - Print Client/ Legal Dog Owner - Signature Date

_____________________________ ___________________________ _____________

ADDO Leader - Print ADDO Leader - Signature Date

ADDO Springfield, LLC * 5425-B Port Royal Road, Springfield VA 22151 * 703-321-DOGS * (Fax) 703-764-2336 * infospringfield@adogsdayout.com 12/16

http://www.adogsdayout.com/mailto:infospringfield@adogsdayout.com

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Pet Profile Date: ________ The Pet Profile is designed to help “A Dog’s Day Out” (ADDO) understand your dog’s history/ personality/ and temperament. This

completed form must be turned-in on/ or before your dog’s first day of daycare or boarding.

Client Information Client Name: Street Address:

Apt#: City: State: Zip Code:

Cell Phone: Work Phone: E-mail:

Alternate Contact & Phone Number:

* Emergency Contact details are covered on ADDO Emergency Care form.

Your Dog’s Bio – Part 1 Dog Name: DOB: Sex: Weight: Breed or Mix:

Spayed/ or Neutered? If yes, what date? What city & state?

How did your dog come into your life (shelter/ breeder/ friend/ etc.) & how old?

Vet Info (Company & Dr’s Name) Veterinarian Phone:

Veterinarian Office Address:

Vaccination Records Date Received Next Due Date 1. Rabies ____________ ____________

2. Bordetella ____________ ____________

3. Distemper ____________ ____________

Anything else we should know regarding your dog’s vaccinations?

* Please bring the most recent invoice from your Vet that details the vaccinations above. We can make a copy for our ADDO records.

Medicine Is your dog taking any medicine? ________

If yes, what medicine & how often is the dosage?

Does your dog have allergies to any food or medicine? ________

If so, what allergies does your dog have?

Feeding How many cups for AM & PM feeding? ________ Any water mix? ________ Anything else? ______________

What pet food brand & flavor does your dog eat?

Anything else you would like to mention about your dog’s feeding?

HealthWhat is your dog’s biggest health concern? __________________________________________________________________________

Are there any restrictions for your dog(s)? ___________________________________________________________________________

Please circle all that your dog has experienced in recent months & then detail below critical info you want to pass along to us.

Seizures Surgery Sensitive Spots Infections of any kind (ear/eye/intestinal) Illness Kennel Cough Spayed/Neutered Hip Dysplasia

Please use the space below to detail these recent experiences in your dog’s life. (There is additional space for notes on the 2nd page).

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Your Dog’s Bio – Part 2

BehaviorPlease circle below the statements that describe your dog’s habits & then detail below any further information to pass along to ADDO.

Digs Jumps Eats feces. Fears/dislikes certain people. Has formal training. Separation Anxiety Fears/dislikes certain dogs.

Enjoys puppies. Does not enjoy puppies. Does not like ears &/or head touched. Goes to dog park. Exhibits fence aggression.

Fearful/nervous about certain noises/or objects Dominant Has a high prey drive. Likes to be pet/ brushed. Bit another dog.

Has attended dog daycare. Escape artist. Has leash aggression Food aggressive Was bit/ attacked by another dog. Submissive

Using the space below, please provide ADDO with any specific information you deem important, relating the behaviors described above.

Playtime

How many days a week does your dog play with other non-family dogs (circle one)? 0 1-2 2-3 3-4 4-5 5-7

How many times each day does your dog(s) go for a walk on-leash with you? 0 1 2 3 4+

Training

If your dog has received formal training, was it local? Who was the trainer/ or company?

Would you recommend them to a friend?

ADDO Feedback

How did you hear about A Dog’s Day Out (ADDO)?

If you are a referral from an existing ADDO client, please tell us who (dog & owner if possible) recommended ADDO to you?

Which offering was most important in your decision to come to ADDO (our staff, low price, three separate daily play groups, open every

day, 33% discount on multi-dog families, location of facility, our Grooming, something else)?

If you needed more space to complete your thoughts on any questions listed above, or you would like to add something not listed above,

please use the space below.

We sincerely appreciate you choosing A Dog’s Day Out. 12/16

ADDO Springfield, LLC * 5425-B Port Royal Road, Springfield VA 22151 * 703-321-DOGS (3647) * (Fax) 703-764-2336 * infospringfield@adogsdayout.com

mailto:infospringfield@adogsdayout.com

Emergency Care Form

With this form, I hereby give permission to A Dog’s Day Out (ADDO) to bring my dog(s) to your veterinary facility,

should there be an emergency situation or should my dog need medical attention of any nature.

Dog Name (List all the apply)

Sex M or F

Birth Date Breed or Mix On Medication? If no, please say no.

If yes, what medication?

I have initialed the options for Veterinary care directly below, which I approve in my absence.

Client Initials Monetary Benchmarks Approved for Care As Needed

$500 Limit

$1,000 Limit

“Heroic Measures” ($1,000+)

Heroic Measures is a veterinary term that can be used to include the need for surgery.

Emergency Care - Credit Card Information

Name on Credit Card Visa

or MC

Credit Card # Exp. Date Sec

Code

* I understand my credit card will not be used, unless my dog specifically needs medical attention in my absence.

Client & Alternate Emergency Contacts Should you have any questions in my absence & I cannot be reached immediately, please reach out to my emergency

contacts provided below. This list is provided to ensure immediate medical attention is given to my dog.

Name of Contact Relation to Client Phone Alt. Phone (optional) Email

ADDO Client Self

____By initialing this line, I am identifying that I will not be able to be reached from / / to / / , in a

timely manner.

ADDO and this Emergency Care Form are assisting me in preventing any delay in my dog(s) gaining medical

attention, while in the care of ADDO. To any Veterinarian caring for my dog in my absence, please accept my

signature below to provide immediate care as needed for my dogs, at the monetary benchmarks listed above, with my

listed payment details.

_________________________ ____________________________ _____________

Client - Print Name Client - Signature Date

ADDO Springfield, LLC * 5425-B Port Royal Road, Springfield VA 22151 * 703-321-DOGS * (Fax) 703-764-2336 * infospringfield@adogsdayout.com 12/16

ADDO-SPF-Owner-Agreement-12-16ADDO-SPF-Pet-Profile-12-16SPF-Emergency-Care-Form-12-16