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I, ___________________________, Hereby certify that my dog(s): ______________________________, is/are in good health and has not been ill with any communicable diseases in the last 30 days. I further certify that my dog(s) has not harmed or shown aggressive behavior towards any person or any other dog. I have read and understand the following:

1. I understand that I am solely responsible for any harm caused by my dog(s) while my dog(s) are attending Fluffy Puppies daycare and that he/she is in good health and has/have not harmed or shown aggressive behavior towards any person or any other dog and that I will be responsible for any medical costs that are needed due to my dog.
2. I further understand and agree that in admitting my dog(s) is/are on and up to date on flea and tick preventative and that I will be responsible if my dog arrives at Fluffy Puppies with fleas.
3. I further understand and agree that Fluffy Puppies of Pinellas Daycare and their staff will not be liable for any problems that develop, provided reasonable care and precautions are followed. I also hereby release them of any liability of any kind whatsoever arising from my dog(s) attendance and participation during daycare. 
4. I further understand and agree that dogs can sometimes receive minor cuts and scratches while at daycare during play. My dog(s) will be treated as deemed best by staff, at their sole discretion, and that I will assume full financial responsibility for all expenses involved.
5. We live to take photos and/or videos to put on our Facebook and Instagram page. Please let us know if you do not want your dog photographed or videoed. 

I certify that I have read and understand the policies of the daycare as set forth on the preceding pages. I have read and understand the conditions and statements of this agreement, including the following: 

Fees:  $25.00 per full day (over 4 hours) 

           $15.00 per 1/2 day (4 hours or less) 

           $10.00 late fee (every 15 minutes past the closing time of daycare) 

Days and Hours:     Monday- Friday           7:30am - 6:00pm 

                                 Saturday                      9:00am - 4:00pm

Reservations: Since space is limited, reservations are required at least a day in advanced 

Dated: _____________________

Signature of Owner: ______________________________________

 

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Pet/Contact Information

Owner Information 

Name: _________________________________

Adress:___________________________________________________________________________________________________________________________________________

Email: _______________________________________

Primary Phone Number: ____________________________

Second Phone Number: ____________________________

_________________________________________________________________________

Emergency Contact: 

Name: _________________________________

Primary Phone Number: _______________________________

Second Phone Number: _______________________________

Relation to owner: ______________________

_________________________________________________________________________

Pet Information 

Name: __________________________             Breed:__________________________  

Sex: Male  or    Female           Age: ___________        Weight: ____________

Spayed/Neutered?: ____________ (Please note that this is required for daycare)

_________________________________________________________________________

Veterinarian: 

Name: ________________________________________

Address: ________________________________________________________________

________________________________________________________________________

Phone Number: __________________________________________________