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Daycare Applicationceciliabennett2019-10-30T10:14:45-05:00

Daycare Application

Daycare Application

Daycare Application Form

Step 1 of 6

16%

Paw Parent's Name*
First Last
Cell/Primary Phone*
Secondary Phone
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
CAPTCHA

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ALTERNATE ALLOWED PICK-UP PERSON:
Name*
First Last
Primary Phone*
PAWS INFORMATION:
Name*
First
Breed*
Color*
Weight*
Age*
Gender*
- Female
- Male
Birthdate
Date Format: MM slash DD slash YYYY
Spayed/Neutered?*
- Yes
- No
Toileting*
- House Broken
- Pads
Microchip #
Company
Phone #
Veterinarian Clinic*
Veterinarian Name*
Primary Phone*
Fax Number
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Upload Vaccination Files

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How long have you owned your paws?*
Where did you get your paws?*
If adopted/rescued, please provide all of the back history you may have?
Has your paws ever been in daycare? (Where and When)*
Has your paws ever growled, snapped, bitten a person or another dog ? Explain if yes.
Do your paws growl or become aggressive around food and or toys?*
- Yes
- No
Do your paws share well with others ? (Food, toys, beds, etc)*
- Yes
- No
Does your dog visit an off leash park?*
- Yes
- No
Can your dog climb or jump a fence over 5 feet?*
- Yes
- No
Do your paws exhibit signs of aggression?*
- Yes
- No
Are your paws Possessive?*
- Yes
- No
Have your paws caused damage to walls, structures, etc.?*
- Yes
- No
Can we entice to eat?*
- Yes
- No
Can we administer anti-diarrhea medications (Pepto/Immodium)?*
- Yes
- No
Please detail anything else we need to know?

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HEALTH AND TEMPERAMENT AGREEMENT
Consent*
I agree to the Health and Temperament Agreement.*
I agree and understand that in admitting my dog to Max & Alayna’s Paws Play that my dog is in good health, is current on all vaccinations and flea control and has not harmed or shown aggression or threatening behavior towards another dog and/or human.
I understand that in any cage-free dog environment that there is an inherent risk of injury or
illness from rough play and/or fights. Understanding this, I accept full responsibility and hold Max & Alayna’s Paws Play harmless for any pet injury, death or damage. I agree that I am solely responsible for any harm caused by my dog while my dog is in the care of Max & Alayna’s Paws
Play.
I agree not to hold Max & Alayna’s Paws Play and their associates liable for any injuries to my dog while in the care of Max & Alayna’s Paws Play.
I understand if my dog shows repeated aggressive or menacing behavior that he/she will be moved to seclusion. If the behavior continues your dog may be asked to leave Max & Alayna’s Paws Play. This is not a personal attack on the dog, rather our attempt to ensure all of the paws in
our care are comfortable and kept safe.
By signing this form, you acknowledge that you understand and accept the terms and conditions set forth by this agreement.

Save and Continue Later

EMERGENCY MEDICAL TREATMENT AUTHORIZATION
Consent*
I agree to the Emergency Medical Treatment Authorization.*
Max & Alayna’s Paws Play will make every effort to contact you in any emergency situation with your dog before we transfer to a licensed veterinarian. This authorization gives the associates of Max & Alayna’s Paws Play to act on my behalf in the event my dog needs medical
attention.

I, the owner, authorize a licensed veterinarian and their assistants to administer treatment and perform procedures as are considered therapeutically and diagnostically necessary for the care of my dog, including administration of anesthesia. In the event that emergency treatment is required, I authorize the veterinary staff and their assistants to perform medical and surgical treatments necessary to preserve the life of my dog until I can be contacted for further approval.

I accept full responsibility for any and all financial costs associated with the treatment that my dog receives from the licensed veterinarian and their staff.

I hereby release and hold harmless Max & Alayna’s Paws Play and any of their employees andassociates from any and all claims from any emergency situation involving my dog.

Save and Continue Later

GUIDELINES and POLICIES
Consent*
I agree to the Guidelines and Policies.
RESERVATIONS: Reservations are required with availability based on a first come, first serve basis. You may make several reservations at one time to guarantee space is available. Boarding paws will automatically have daycare enrollment.

CANCELLATIONS: We accept cancellations up to 24 hours in advance. If we are not informed of a cancellation before noon the day before, it will be considered a no show and you will be charged. The charge will be applied as a credit to your account for future use good for use one year from the date it is applied.

LATE POLICY: We close at 6:30PM Monday through Friday and 4:00PM Saturday for Daycare. If you are late picking up your dog, a fee of $1 per minute will be charged. Dogs who
are boarding with us must be picked up by the close of business check-out day. If you know in advance that you will be past 6:30PM, please call us so we may make the appropriate arrangements. Last pick up is 9:00PM, no later. After 9:00PM you dog will be boarded and appropriate charges will apply.

FOOD/MEDICATION GUIDELINES: All dogs are required to come with his or her own food to prevent upset stomachs by rapidly changing their food. We will feed your dog and/or administer simple medication for you. Please label your food or medicine with your dog’s name and directions and ensure directions are verbally communicated.

SICK DOG POLICY: We reserve the right to refuse a dog if he or she is flea infested or sick. If your dog becomes ill while in our care, we will isolate him/her, and take care of them until we can contact you to pick him up. If your dog is left and we find they have fleas, we will bathe and treat for fleas. Your account will be charged.

COLLAR GUIDELINES: All dogs do not wear their personal collars. A collar with their name will be provided and all walks will be on a quick release collar.

LEASH GUIDELINES: We follow the leash laws of Cleveland. Every dog arriving or leaving our facility must be leashed.

Save and Continue Later

Daycare Application Form

Step 1 of 6

16%

Paw Parent's Name*
First Last
Cell/Primary Phone*
Secondary Phone
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
CAPTCHA

Save and Continue Later

ALTERNATE ALLOWED PICK-UP PERSON:
Name*
First Last
Primary Phone*
PAWS INFORMATION:
Name*
First
Breed*
Color*
Weight*
Age*
Gender*
- Female
- Male
Birthdate
Date Format: MM slash DD slash YYYY
Spayed/Neutered?*
- Yes
- No
Toileting*
- House Broken
- Pads
Microchip #
Company
Phone #
Veterinarian Clinic*
Veterinarian Name*
Primary Phone*
Fax Number
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Upload Vaccination Files

Save and Continue Later

How long have you owned your paws?*
Where did you get your paws?*
If adopted/rescued, please provide all of the back history you may have?
Has your paws ever been in daycare? (Where and When)*
Has your paws ever growled, snapped, bitten a person or another dog ? Explain if yes.
Do your paws growl or become aggressive around food and or toys?*
- Yes
- No
Do your paws share well with others ? (Food, toys, beds, etc)*
- Yes
- No
Does your dog visit an off leash park?*
- Yes
- No
Can your dog climb or jump a fence over 5 feet?*
- Yes
- No
Do your paws exhibit signs of aggression?*
- Yes
- No
Are your paws Possessive?*
- Yes
- No
Have your paws caused damage to walls, structures, etc.?*
- Yes
- No
Can we entice to eat?*
- Yes
- No
Can we administer anti-diarrhea medications (Pepto/Immodium)?*
- Yes
- No
Please detail anything else we need to know?

Save and Continue Later

HEALTH AND TEMPERAMENT AGREEMENT
Consent*
I agree to the Health and Temperament Agreement.*
I agree and understand that in admitting my dog to Max & Alayna’s Paws Play that my dog is in good health, is current on all vaccinations and flea control and has not harmed or shown aggression or threatening behavior towards another dog and/or human.
I understand that in any cage-free dog environment that there is an inherent risk of injury or
illness from rough play and/or fights. Understanding this, I accept full responsibility and hold Max & Alayna’s Paws Play harmless for any pet injury, death or damage. I agree that I am solely responsible for any harm caused by my dog while my dog is in the care of Max & Alayna’s Paws
Play.
I agree not to hold Max & Alayna’s Paws Play and their associates liable for any injuries to my dog while in the care of Max & Alayna’s Paws Play.
I understand if my dog shows repeated aggressive or menacing behavior that he/she will be moved to seclusion. If the behavior continues your dog may be asked to leave Max & Alayna’s Paws Play. This is not a personal attack on the dog, rather our attempt to ensure all of the paws in
our care are comfortable and kept safe.
By signing this form, you acknowledge that you understand and accept the terms and conditions set forth by this agreement.

Save and Continue Later

EMERGENCY MEDICAL TREATMENT AUTHORIZATION
Consent*
I agree to the Emergency Medical Treatment Authorization.*
Max & Alayna’s Paws Play will make every effort to contact you in any emergency situation with your dog before we transfer to a licensed veterinarian. This authorization gives the associates of Max & Alayna’s Paws Play to act on my behalf in the event my dog needs medical
attention.

I, the owner, authorize a licensed veterinarian and their assistants to administer treatment and perform procedures as are considered therapeutically and diagnostically necessary for the care of my dog, including administration of anesthesia. In the event that emergency treatment is required, I authorize the veterinary staff and their assistants to perform medical and surgical treatments necessary to preserve the life of my dog until I can be contacted for further approval.

I accept full responsibility for any and all financial costs associated with the treatment that my dog receives from the licensed veterinarian and their staff.

I hereby release and hold harmless Max & Alayna’s Paws Play and any of their employees andassociates from any and all claims from any emergency situation involving my dog.

Save and Continue Later

GUIDELINES and POLICIES
Consent*
I agree to the Guidelines and Policies.
RESERVATIONS: Reservations are required with availability based on a first come, first serve basis. You may make several reservations at one time to guarantee space is available. Boarding paws will automatically have daycare enrollment.

CANCELLATIONS: We accept cancellations up to 24 hours in advance. If we are not informed of a cancellation before noon the day before, it will be considered a no show and you will be charged. The charge will be applied as a credit to your account for future use good for use one year from the date it is applied.

LATE POLICY: We close at 6:30PM Monday through Friday and 4:00PM Saturday for Daycare. If you are late picking up your dog, a fee of $1 per minute will be charged. Dogs who
are boarding with us must be picked up by the close of business check-out day. If you know in advance that you will be past 6:30PM, please call us so we may make the appropriate arrangements. Last pick up is 9:00PM, no later. After 9:00PM you dog will be boarded and appropriate charges will apply.

FOOD/MEDICATION GUIDELINES: All dogs are required to come with his or her own food to prevent upset stomachs by rapidly changing their food. We will feed your dog and/or administer simple medication for you. Please label your food or medicine with your dog’s name and directions and ensure directions are verbally communicated.

SICK DOG POLICY: We reserve the right to refuse a dog if he or she is flea infested or sick. If your dog becomes ill while in our care, we will isolate him/her, and take care of them until we can contact you to pick him up. If your dog is left and we find they have fleas, we will bathe and treat for fleas. Your account will be charged.

COLLAR GUIDELINES: All dogs do not wear their personal collars. A collar with their name will be provided and all walks will be on a quick release collar.

LEASH GUIDELINES: We follow the leash laws of Cleveland. Every dog arriving or leaving our facility must be leashed.

Save and Continue Later

SERVICES

Daycare
Overnight Boarding
On-Site Veterinarian
Grooming
Birthday Paw-Ties

Contact Us

1277 East 12th Street
Cleveland, OH 44114

Email: info@pawsplaycle.com
Call: (216) 777-3177

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Email Address*
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