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Rules and Regulations Cheat Sheet
2150 Delavan Drive, Suite 1, West Des Moines, Iowa 50265P: (515) 221-0300 | F: (515) 954-7729 | [email protected] Club-wdm.com | www.CANINECOUNTRYCLUBwdm.comMonday - Friday: 7am - 6pm - Saturday & Sunday: 8-10am & 4-6pm
Luxury Suites | Premium Boarding | Professional Dog Grooming | Dog Daycare | Day BoardingTraining | Private Training | Board and Train
Rules and Regulations Cheat Sheet - PLEASE READ THOROUGHLY!Please also read the entire contract to know The Club’s Rules, Regulations and Liability Agreements
Sign Here: Initial Here:
Sign Here: Initial Here:
Emergency Contact Name: (this must be someone in town who can pick up your dog if they become sick, injured, aggressive, etc. and we MUST HAVE an emergency contact on file)
Emergency Contact Phone Number:
How did you find out about Canine Country Club?
IMPORTANT: Please make sure we have your ENROLLMENT FORMS, PERSONALITY PROFILE and VACCINATION RECORDS prior to your dog’s first visit at The Club. These forms and records can be emailed to [email protected] Club-wdm.com or faxed to 515-954-7729 or dropped off in person prior to your dog’s stay. PLEASE NOTE: Any dog without current vaccinations on record with us will not be permitted in the building per State law. It is the PARENT'S responsibility to make sure we have UP TO DATE VACCINATION RECORDS in hand prior to their dog visiting The Club. We will no longer be calling for vaccination records as the vets will now not give them to us per a new law in the State of Iowa.
Dog’s Birthday or Approximate Age: (puppies over 6 months are required by the State of Iowa to be spayed/neutered to participate in daycare)
Vet Clinic Name: (we MUST have this)
Vet Clinic Phone Number:
Name Listed on Account at Vet’s Office: (we MUST have this)
Is your dog allowed to be given treats by the staff for good behavior?
Please Provide Us with as Much Information as Possible
Does your dog have any of the following behavioral issues? (please be honest and give us as much information as possible, this is very important for us to keep your dog as safe as possible.)
How long have you been your pet’s guardian?
Where did you get your pet from?
If adopted, from where?
If adopted, any knowledge of past history? Any past history of aggression in general?
Has your dog been to another dog daycare facility before?
If so, where? How long did they attend this other daycare facility?
Why did you decide to leave?
Was your dog dismissed from its previous daycare?
If so, why?
Does your dog have any diseases or disabilities? Current or past?
Is your dog currently on any medications? For what? How often?
If so, how do you give the medication? Pill pocket, cheese, by itself, etc?
What flea/tick preventative is your dog on? (The Club requires ALL dogs to be on a flea/tick preventative ALL YEAR ROUND!)
Does your dog have hip dysplasia?
Are there any restricted movements to be placed on your dog’s activities? (½ day of daycare? No outside time? etc.)
Does your dog have any food allergies?
Does your dog have any skin or inhaled allergies?
Is it okay if our staff adds our provided wet food to coax your dog to eat if he/she is not eating while boarding in our facility? ($3/meal)
Is it okay to give your dog pumpkin or Firm Up! if they get a loose stool?
Does your dog require a slow feeder?
Does your dog normally “free feed” while at home? (unfortunately, for safety reasons we cannot free feed. We will pick up your dog’s bowl after each meal and give it back to them at the next meal time)
How does your dog react to having their nails trimmed?
How does your dog react to being given a bath? (Your dog may be given a bath while in our care if they get dirty even if you have not requested one)
Does your dog require any special shampoo? Hypoallergenic?
Does your dog have any skin issues?
Is your dog crate trained? (All dogs are required to stay in a crate while drying after a bath. Just because you didn’t request a bath doesn’t mean they may not get one. If they get dirty, they will receive a bath before going home)
Does your dog have any sensitive areas on their body, please explain:
How does your dog behave around children? (Your dog will NEVER be exposed to children while in our facility, this is just for our knowledge)
Are there any other animals in your household?
If yes, list species, breed, sex, age and size. Please describe how your dog gets along with the other animals in your household:
Has your dog ever climbed a fence?
Has your dog ever had any formal obedience training?
What commands/cues does your dog know? Verbal, hand signals, etc.
Does your dog stay in a crate while home alone or at night?
Has your dog ever snapped at or bitten another dog?
If yes, please explain:
If yes, did it break the skin?
Has your dog ever growled at another dog?
Has your dog ever snapped at or bitten a person?
If yes, did it break the skin?
Has your dog ever growled at a person?
Has your dog ever growled, snapped at or bitten someone taking food away from them?
Are there any type of people your dog automatically dislikes? Men? Women? Skin Color? Sunglasses? Hats?
Are there any type of dogs your dog automatically fears or dislikes? Big dogs, small dogs, puppies?
Is your dog frightened by loud noises?
If so, what types?
Do you take your dog to the dog park?
If so, how often?
Has your dog ever had to leave the dog park due to their behavior?
How much exercise does your dog receive on a daily basis?
How does your dog behave when meeting a new dog? On leash? Off Leash?
Why are you bringing your dog to doggy daycare?
Any other comments or information we need to know about your dog?
Section 1: GENERAL FEE AGREEMENT
Section 2: General Agreement and Release Form
By signing I agree to all the terms and conditions of Canine Country Club’s Rules and Regulation and Owner Agreement and Release Form:
In the case of an emergency, Canine Country Club will do their best to notify the owner. Please indicate the best emergency contact information for the owner, and an alternate contact and their phone number. Your emergency contact must be able to reach you and be in town and available to pick up your dog in the case of an emergency:
2. Boarding extremely old, chronically ill or otherwise debilitated pets requires extra care; which Canine Country Club is happy to provide! However, special-needs pets, puppies and senior pets naturally have a higher risk of injury, stress-related illness, or exacerbation of any pre-existing condition. As such, by boarding your special-needs pet, puppy or senior pet with us you are waiving any claim for injury or illness experienced by your pet while in our care. 3. I understand and agree that during normal dog play, that my dog(s) may sustain injuries. All dog play is monitored by the staff of Canine Country Club to avoid injury, but scratches, punctures, torn ligaments, and other injuries may occur despite the best supervision. 4. All dogs at Canine Country Club are required to be vaccinated for bordetella (Canine Cough) but there is a chance that a dog can still contract Canine Cough. I agree that I will NOT hold Canine Country Club responsible if my dog(s) contract Canine Cough or any other parasites/disease. Further, if any sort of communicable illness is present at Canine Country Club, we will do our best to promptly notify clients of any issue via blast email. Please make certain you have a valid email on file with us. Should a dog be observed to have fleas or ticks while attending daycare, a treatment will be applied at market value plus a $15 application fee. 6. Please remember flea/tick preventative is required YEAR ROUND for dogs attending The Club. I understand that the cost of veterinary treatment will be my responsibility no matter how the injury or illness occurred 7. If a dog dies at the facility, The Club has the right to require a necropsy (dog autopsy) at The Club’s expense. 8. I agree and understand that any problems that develop with my dog(s) will be treated as deemed necessary by The Club, in their sole discretion, and that I assume full responsibility for any and all expenses involved. I authorize The Club to contact the veterinarian indicated on the Enrollment Form, The Club’s veterinarian, or an after-hours emergency veterinarian in the event of an emergency to provide appropriate medical treatment to my dog(s) if I am unable to be contacted. 9. In the case that Canine Country Club must make a life-saving decision involving a dog, an owner may not always be able to be notified in advance. In such a scenario, Canine Country Club will do whatever it deems necessary to save the dog’s life. 10. If you do not authorize life sustaining procedure to be used for your dog, please advance such in writing. A copy of this will be retained in your file. 11. If I cannot be reached, I authorize an amount of (you can write in unlimited in lieu of a dollar amount) in veterinary care to be provided for my dog. If care exceeds this limit, The Club will not have the vet proceed further with treatment. I understand this means my dog may not receive life saving procedures if they exceed the dollar amount listed. I understand that I am fully responsible for payment of vet services or reimbursement of payment to The Club for vet services before my dog will be released back to me.
To ensure the health and safety of all dogs, dog parents, visitors and employees at our facility, Canine Country Club Management asks that everyone comply with, and be aware of, the following facility rules:
I have read, understand and agree to comply with Canine Country Club’s Rules and Regulations:
Canine Cough is a common and highly contagious respiratory virus, usually called Tracheobronchitis. Unfortunately, it is impossible to entirely safeguard against Canine Cough. Even after being vaccinated with Bordetella, dogs may still contract canine cough (although usually a less severe form than they would have otherwise and the recover more quickly). The virus can incubate for up to two weeks, meaning that dogs who appear perfectly healthy during their stay may be carrying one of the viruses that cause a problem and spreading it to other dogs without our knowledge. Dog’s are most contagious 5-10 days before showing any symptoms, making the virus very hard to contain. The vaccination cannot protect your dog from all of the illnesses that contribute to canine cough, but we require all dogs to be vaccinated against the most common strains.
Runny nose, watery eyes, and a classic “hacking cough” are all the hallmarks of kennel cough. The cough can sometimes cause the dog to retch up a foamy phlegm. It has also been described as “something stuck in my dog’s throat,” or “like a cat trying to hack up a hairball.” It is comparable to a chest cold in a human. A dog with canine cough will usually clear the infection on its own in one to three weeks…similar to the symptoms of a human cold. Canine cough is common and can spread all year round.
Canine cough is highly contagious. It can travel through the air or by direct contact. This is why we, at Canine Country Club, are highly vigilant against the virus. We require all dogs to be vaccinated against it and we use kennel disinfectants that kill the viruses on surfaces. We also have a state-of-the-art HVAC system that recirculates all of the air in the entire facility every 10-20 minutes, decreasing the number of airborne pathogens.
I am aware that my dog may come into contact with a strain of Tracheobronchitis (Caninel Cough) virus while in close proximity with other dogs, while visiting Canine Country Club. I am also aware that, even though my dog has been vaccinated against the virus, that is no guarantee they will not contract a strain of the disease. As such, I release Canine
Board & Train
Board & Train is different from regular boarding. Board & Train is boarding and training ONLY. Dogs here for Board & Train do not participate in daycare as a requirement of their training program. Your dog will receive individual potty and play time with a staff member and receive at least 6 potty breaks per day in addition to the time they spend training.
Please call or email our Training Partner Tonja Osborn with any questions about Board & Train or any other training. 515-321-3634 or [email protected]
I understand that dogs are inherently dangerous animals that can fight and bite. Should my dog bite another dog while attending Canine Country Club, and Canine Country Club determines my dog to be the sole aggressor, I will be responsible for paying all vet bills associated with the injury sustained to the other dog.
Should my dog get in a fight where there are injuries to both dogs and my dog is not the sole aggressor, I agree to pay for my dog’s vet bills in full and will not hold Canine Country Club responsible for any part of my dog’s medical care. If my dog is not the aggressor and the aggressor dogs parents refuse to pay vet bills, I agree to be fully financially responsible for my dogs vet care.
I also understand and agree that if my dog bites a Canine Country Club employee, volunteer, customer, independent contractor or any other human in the building that ALL medical bills associated with the bite will be my responsibility to pay. I understand that my dog will not be released back into my custody until all veterinary or medical bills have been paid in full. Should Canine Country Club not know the amount of the veterinary or medical bills at the time I pick my dog up, I agree to leave a valid credit card number on file with Canine Country Club and understand that my credit card will be billed for the amount in full. The signature on this form will be proof that I have read and understand this agreement. I agree that my signature on this form will act as a credit card signature should my credit card have to be billed after the fact. I understand that follow up medical treatment may be needed in the event of a severe bite and will I agree to pay all current and future bills associated with the injury.
Once again, I agree to pay for all veterinary or medical bills in full should my dog bite another dog or a human being while attending Canine Country Club. Canine Country Club agrees to provide the owner with documentation of all veterinary or medical bills to submit for an insurance claim, should the owner choose to do so under their personal homeowner’s insurance.
Owner Name: Dog Name: Date:
I, , (print name here) authorize Canine Country Club to have full access to my dog’s medical and vaccination records from my vet’s office. My Vet’s Office is: My Vet’s Office Phone Number is:
Leave this empty:
Your legal name
Your email address
If you have questions about the contents of this document, you can email the document owner.
Document Name: Rules and Regulations Cheat Sheet
Agree & Sign