Dog's Name
*
Include nickname if dog responds to it
First Name
Last Name
Dog's Sex
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Male - neutered
Male - intact (not neutered)
Female - spayed
Female - intact (not spayed)
Dog's Estimated Birth Date
*
MM
DD
YYYY
Today's Date
*
MM
DD
YYYY
Owner's Name
*
First Name
Last Name
Additional Owner's Name
First Name
Last Name
Owner's email
*
Owner's Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Primary Owner's Phone Number
*
(###)
###
####
Additional Phone Number
(###)
###
####
Other people authorized to pick up my dog:
Include name, relationship, and phone number or email
How did you hear about us?
*
If a current Metrodog client referred you, please list their full name and dog's name - you'll both get a bonus upon approval!
Is your dog microchipped?
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If yes, please list microchip #, microchip company name, and if it is registered to you or not
Why are you considering our social programs for your dog?
*
check all that apply
Upcoming dates (if interested in boarding services) or additional information
Is your dog crate trained?
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How long have you lived with your dog?
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Has your dog been around other dogs without you?
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check all that apply
Please provide more detail for any 'yes' selection. Please be specific, including names of hired dog walkers, other daycare services, or parks visited.
Does your dog have any sensitive areas on their body?
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If yes, please describe where and how to handle your dog:
Are treats ok?
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Does your dog have any SKIN allergies?
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If yes, list causes, treatments, and physical reaction(s):
Does your dog have any FOOD allergies?
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If yes, list causes, treatments, and physical reaction(s):
Where does your dog encounter other dogs?
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check all that apply
List additional information or activities, if any:
Where did you get your dog?
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Breeder
Animal Rescue Group
Animal Shelter
Friend/Family
Found as stray
Other (explain in next question)
What do you know about your dog's history?
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Include any social history with other dogs and people.
Does your dog exhibit symptoms of separation anxiety?
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If yes, who is that professional?
What symptoms does your dog exhibit?
Does your dog take any perscribed medications specifically for separation anxiety?
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If yes, what is that medication? Include dosage and frequency:
Which of the following best describes your dog’s level socialization with other dogs
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Has your dog ever had a problem in an off-leash, social environment?
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check all that apply
Please describe any 'Yes' answers from above, including specific dog parks, social programs:
**Only complete if you answered “Yes. Dismissed from a prior day care or social playgroup program.”
Check each statement below that applies to the situation that resulted in your dog’s dismissal.
What reason(s) were you given for the dismissal from a day care, boarding, or dog walking group?
Additional information you want us to know about the situation?
Has Animal Control ever been called about your dog?
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If yes, please describe the situation:
Does your dog have any physical disabilities?
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If yes, describe, including cause(s):
Any restrictions on dog’s movements or activity?
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Check all that apply. Note: Metro Dog cannot guarantee no jumping, running, or play unless your dog is on our Private Program.
If yes or other, please describe including cause(s):
Does your dog have any medical conditions?
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If yes, explain including medication name and dosage if applicable:
Does your dog get "hot spots"?
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If yes, where and how often do they get them?
What best represents your dog’s overall level of exercise?
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Couch Potato - spends day sleeping, occasional walks and/or playtime with humans
Mild exercise - short daily walks and/or regular playtime with humans or dogs
Moderate exercise - long or multiple daily walks and/or playtime with humans or dogs
Athlete - Runs often and/or participates in a dog sport activity, such as agility
List ALL other animals that your dog lives with:
*
Include their names, age, gender and if they're altered, type of animal (another dog, cat, or bird)
Include how your dog gets along with each of these other animals
Does your dog have a prey drive?
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If yes, describe behavior and targets:
How does your dog react to unfamiliar animals (cats, squirrels) they see on walks?
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Describe the interaction when guests bring their dog(s) to your house:
How does your dog react to a stranger who comes into your home or yard?
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Does your dog bark or growl at strangers passing by your home or yard?
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Describe any type or breed of dog your dog seems to dislike. What are their interactions like?
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How does your dog react to puppies?
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Does your dog play with other dogs?
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Describe typical size, breed, and temperament of the other dogs your dog plays with:
Describe how your dog plays with other dogs:
Such as chase or wrestle
Does your dog initiate play? What percentage of their social time is spent playing?
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Can your dog share their food or toys with other animals? Describe that interaction:
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What commands/tricks does your dog know?
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check all that apply
Does your dog come when called in an off-leash setting?
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Does your dog recall out of play when you call them?
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How did your dog get their obedience training?
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Please explain your answer(s) above. Include trainer name(s) and where the classes were taken if applicable:
Which of the following best describes the use of obedience cues at home?
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Describe main commands you use:
What kind of collar do you use to walk your dog?
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Is it effective in keeping them under control?
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Has your dog ever gotten away from their walker when out on a walk?
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Describe the situation in as much detail as possible:
Is your dog reactive to PEOPLE while on-leash? If yes, describe:
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Is your dog reactive to other DOGS while on-leash? If yes, describe:
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Where does your dog sleep?
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Is your dog allowed on any furniture at home?
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Where does your dog stay/go when you are not at home?
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Do they have any problems being left alone?
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If yes, describe their behavior and solutions you’ve tried:
To the best of your knowledge, what does your dog do when you’re not at home?
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What does your dog do to show they are happy? Upset?
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Does your dog have any problems in any of these areas?
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check all that apply
Please describe behavior in any selections made above:
Are there any types of people your dog seems to automatically fear or dislike?
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Has your dog ever growled at a person?
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If yes, describe the situation and how you responded:
Has your dog ever bitten a person?
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If yes, describe the situation and how you responded. Please include any injuries:
Has your dog ever bitten another animal?
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If yes, describe the situation and how you responded. Please include any injuries:
Does your dog display obsessive behaviors such as spinning or chasing shadows?
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If yes, describe any behavior(s) and how you manage them:
Has your dog ever climbed or jumped a fence?
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If yes, describe the situation, including fence height:
Has your dog ever escaped from your house or yard?
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If yes, describe the situation:
How would you describe the energy level of your dog?
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Describe the toys your dog likes to play with:
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Does your dog ever stop and stare at other animals?
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If yes, describe the situation:
Is your dog frightened by loud noises?
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If no, is there anything they are frightened by, or nervous around?
Has your dog ever growled or snapped at a PERSON who has taken food/toys away from them?
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If yes, explain the situation and how you responded:
Has your dog ever growled or snapped at a DOG who has taken food/toys away from them?
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If yes, explain that situation and how you responded:
Please share any comments, information, or important facts about your dog that was not covered in the application that you want us to know:
The more information we have the better we know your dog!
Full Disclosure
*
By submitting this Agreement and leaving Dog(s) with Metro Dog, Client certifies to the accuracy of all information provided about Dog(s), in writing or orally, including but not limited to the following: (1) that Dog(s) is healthy and current on all vaccines required by Metro Dog; (2) that Dog(s) has not been exposed to Rabies, Distemper, Leptospirosis, Parvo virus, Parainfluenza, Canine Cough (CIRDS) or any other parasite or communicable virus/disease within a 30 day period immediately prior to bringing Dog to Metro Dog; and, that (3) Dog(s) has not experienced behavior or medical change since evaluation by Metro Dog for services, that (4) Client is the legal owner of said Dog(s), and assumes financial liability for all payments called for in this Agreement, (5) Client agrees to disclose all known behavior problems or medical conditions, and that (6) Client agrees to inform Metro Dog of any changes in Dog(s) prior to subsequent visits.
Reservations
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Advance reservations for social day care are required, but drop-ins are available, space permitting. Advance reservations for all specialty day care and all boarding programs are required. Metro Dog counts on accurate reservations to determine occupancy and build the social groups. No-shows cause considerable disruption to the business and the behavior programs of the dogs in center. As such, cancelations are required by 5 pm the night before for day care, and 48 hours for boarding. The no-show fee is 50% of the day care program or boarding reservation. Extra services are not included in the no-show fee. A reservation is considered confirmed when a Client makes a request for specific dates in person, by phone, email or online reservation form and is given an affirmative response. All deposit and cancelation policies outlined in this Agreement apply to confirmed reservations. Client understands that arriving without confirmed reservations may result in being turned away. Client will select the type of room and program that they desire for their Dog(s) with the agreed understanding that Metro Dog will make every effort to accommodate the request, however, Metro Dog reserves the right to change Dog(s) play and rooming reservation for any reason Metro Dog deems necessary during Dog(s) day care and/or boarding stay. In the event the actual room differs from the reservation, Client will be responsible for paying the room rate for the room occupied by Dog(s) while staying at Metro Dog. If Dog(s) is/are booked in the social program and are transferred to the private program by Metro Dog, Client understands and agrees to pay the private program rate. In all cases of reassignment, Client agrees to pay any additional fees that may apply.
Payment
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Client agrees to maintain a valid credit card on file at all times. Client agrees to pay all boarding fees at the time of check-in. Day care fees are paid at drop-off on the day of service or by prepaid package of visits. Client understands that any balance owed after check-in will be charged to the credit card on file. Client agrees to pay for any and all additional charges for products and/or services either requested from the a-la-carte menu or deemed necessary by Metro Dog to provide quality and safe care to Dog(s), which includes but is not limited to room re-assignment, a-la- carte services, private play group assignment and veterinary services. Metro Dog’s a-la-carte service options and fee schedule are listed on www.metrodog.com. Client is responsible for paying the most current rates for the services rendered. Client agrees to pay for service if Metro Dog has spent a reasonable amount of time attempting to deliver the service. Client understands that all Metro Dog service packages are non-refundable. Prior to July 1, 2023 all day care packages expired 365 days from date of purchase. Beginning July 1, 2023, all day care packages expire 180 days from date of purchase. Client may request reinstatement of expired days within 30 days of expiration ONE time with the purchase of a new package. The reinstated days will receive the same expiration date as the new package.
Credit Card Storage
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Client understands and agrees to furnish and maintain a valid credit card with Metro Dog in order to use services. Credit cards will be maintained in compliance with Federal Compliance Standards. All payments are due at the time of check-in for day care and/or boarding services. Client credit card will be charged for any services rendered that have been unpaid after Client Dog(s) checks in, changes or additions to Client service requests as deemed necessary by Metro Dog for the well being of Dog(s), repair costs if Client Dog(s) causes damage to physical property, veterinary bills for Client Dog(s) or another dog if injured by Client Dog(s), and/or medical costs for any person injured by Dog(s). Credit cards will be charged for holiday prepayment deposits and all cancellation fees outlined in this Agreement. Metro Dog will charge a reasonable fee based on the amount of time spent pursuing payment in the event the credit card on file does not work.
Prepayment & Cancellation Policy
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Holiday/Peak season day care and boarding reservations require full prepayment two weeks prior to the first day of the reservation. Holiday/peak season dates are listed on www.metrodog.com.
For Holiday and Peak reservations, cancelations made two weeks from the first day of stay will not incur a charge.
Holiday and Peak season cancelations made with less than two weeks’ notice, Client will forfeit the full prepaid amount.
Non-peak and non-holiday boarding reservations canceled more than 48 hours of the first day of the reserved stay will not incur a charge.
Client authorizes their credit card to be charged 1/2 the fee for any day care or boarding service not canceled in the following time frame: by 5 PM the night before a day care day, and 48 hours before a boarding reservation. Client understands and accepts the terms and conditions of Metro Dog’s cancellation policy.
Client understands and accepts that Metro Dog may update its terms and policies and that signing this agreement binds Client to updated terms. Updated terms will always be available on the website and Client is responsible for knowing the terms before engaging services.
Wellness
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Metro Dog serves healthy, well adjusted dogs. Client understands that Metro Dog does not accept animals that are sick or have parasites. Upon arrival at Metro Dog, Dog(s) will be visually checked for parasites and general well being. At any time during Dog(s) stay if fleas, and/or ticks, or other parasites are found, Dog(s) will be bathed and treated using products deemed best by Metro Dog. Client agrees to pay a bathing and product fee for this service and will not hold Metro Dog responsible for any adverse reaction Dog(s) might have as a result of any products used. Dog(s) will be refused service if they present signs of illness or distress, including but not limited to weeping or goopy eyes, coughing, lethargy, open wounds or severe stress. Client further understands that Metro Dog, its employees and agents are not veterinarians and do not have backgrounds in animal medicine and are not expected to diagnose or detect illness in the dogs at Metro Dog.
Medical Authorization
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Client authorizes veterinary care as deemed necessary by Metro Dog, and agrees to pay all veterinary fees incurred during Dog(s) stay at Metro Dog. Client authorizes Metro Dog to contract services on Client’s behalf with any area veterinary hospital Metro Dog chooses, and agrees to charge Client’s credit card for said services. Client understands that Metro Dog will authorize course of treatment for the Dog that the veterinarian recommends. Client authorizes named Emergency Contact(s) to make medical decisions on their behalf should Client be unreachable by Metro Dog.
First Emergency Contact Phone Number
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(###)
###
####
Second Emergency Contact Phone Number
(###)
###
####
Acts or Behavior
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Client agrees to assume full liability and sole responsibility for Dog(s)’s behavior during the Dog(s)’s stay at Metro Dog, including payment of costs of injury to staff or other dogs or damage to facilities caused by Dog(s). Client further agrees to indemnify and hold Metro Dog, its employees and its agents harmless against any claim of any kind made against Metro Dog, its employees, and its agents for losses or damages of any kind suffered by Metro Dog as a result of Dog(s) behavior or Client’s failure to inform Metro Dog of any pre-existing condition (medical or behavioral) Dog(s) may have or which were otherwise caused in any manner by Dog(s)
Assumption of Risk
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Client acknowledges that dogs are social animals and will have direct and indirect contact with each other while at Metro Dog, that Dog(s) reside in a common building, walk through and share common spaces, water bowls, air, put their mouths on each other, lick lips, sniff rears, eat fecal matter, lick themselves and each other, and that no amount of vaccination requirement, sanitation, and/or personalized care can prevent Dog(s) from contracting an airborne virus or contagious disease transmission. Client further understands and acknowledges that dogs are social animals that communicate with their teeth and paws/claws, are unpredictable in nature, and that no amount of behavioral screening and/or supervision can be 100% certain to prevent dogs from being injured. Client understands that Metro Dog is a leash-free environment and allows dogs the opportunity to play in close physical contact (including nose-to-nose) with each other. Client understands these risks of illness, disease and harm and hereby releases Metro Dog, its members, employees and agents from any and all losses, damages, costs, and expenses arising out of or in connection with any communicable disease, airborne virus, or any other medical condition or injury contracted by Client’s Dog(s) at Metro Dog. Client assumes full financial responsibility and liability for injury to other dogs, property, or people caused by their Dog(s). Furthermore, if Dog(s) is transported by Metro Dog, Client will hold Metro Dog, its employees and agents harmless in the event of injury or accident during transportation.
Assumption of Risk - Additional Services
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Metro Dog offers additional services that Client may select to enrich their Dog(s) stay. These include, but are not limited to bathing, nail trimming, administering medications, leashed walks on local streets and trails, off-leash park excursions, enrichmnet activities, special food treats, daily training sessions, and more. Clients that request these services understand there are inherent and increased risks associated with providing said services. Specifically, Clients who elect to have Metro Dog administer medications to their Dog(s) understand that this service includes a per dosage administration charge and requires Client must complete and sign the medication administration form for any stay the Dog(s) requires medications. Form includes dosage to be administered, frequency (day and time) the medication should be administered, and for prescription medications, the name of the vet who wrote the prescription. Metro Dog offers “off campus” walks, both on and off-leash, and training sessions for which there are increased risks. These include, but are not limited to escape, exposure to disease, injury, contact with unknown animals, people and traffic, and acts of weather. With all services, Client solely assumes all risks, financial responsibility and liability for any reaction to medications and for the actions, behaviors and conduct of their dog, and is solely responsible for payments of all costs, including but not limited to, any personal costs Client may incur, rescue operation costs, costs of any injury or damages to people, animals or property. Client agrees to pay for their own Dog(s)’s veterinary fees and the veterinary, medical or damage expenses to of any other dog, animal, person or property injured or harmed in any manner by Client’s Dog(s) during these services.
Vaccination Requirement
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Metro Dog requires written proof of Rabies, DHLPP, CIV (H3N2 & H3N8), and Bordetella for Dog(s) prior to services being provided by Metro Dog. Metro Dog accepts veterinarian written vaccination waivers and titers. Vaccinations should be administered at least 7 days prior to service at Metro Dog for full efficacy. Client understands that vaccinations do not guarantee that Dog(s) will not contract the illness they are vaccinated against.
Compliance
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Owner agrees to comply with all published policies and House Rules. Metro Dog requires a signed
Agreement and completed application packet prior to any services being provided. Periodically, Metro Dog will update its House Rules and Policies, with or without notice. In the event there is a discrepancy, this Agreement shall supersede the contents of the House Rules and policies. The provisions of this Agreement may be modified by written notification of a change of terms by Metro Dog, or by mutual written agreement of the parties. Client may not "opt out" of any provision without signed written agreement between Metro Dog and Client. Any oral or verbal agreement hereafter made shall be ineffective to modify this Agreement in any respect unless the verbal agreement is put in writing and signed by both parties to this agreement. Failure to provide a valid credit card constitutes non-compliance with Agreement.
Spay/Neuter Policy
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Metro Dog requires all dogs be spayed and neutered by 6 months of age. It takes the dog's body 1-month to decrease the production of hormones to acceptable levels. As such, Metro Dog does not provide care in its Center for unneutered male dogs over the age of 7 months. On a case-by-case basis, Metro Dog may choose to provide private day care and/or boarding services for unspayed females over the age of 7 months who are not in estrus. Client understands that female Dog(s) in estrus present a safety issue and agrees to immediately remove Dog from Metro Dog, and understands that in the absence of this Metro Dog will move the Dog to a veterinary care facility. Male Dog(s) neutered through chemical injection continue to produce higher levels of testosterone. They will be evaluated on a case-by-case basis, and may not be eligible for services at Metro Dog.
Photo & Video Release
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Client agrees to allow Metro Dog to photograph and video Dog(s) and/or Client while under contracted services. Client waives all rights to compensation for any images. Metro Dog retains all proprietary and licensing rights to any image of Dog(s) and/or Client taken while in the care of Metro Dog and such images may be used in any manner chosen by Metro Dog.
Arbitration
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This Agreement constitutes the entire agreement between the parties. All terms and conditions of this Agreement shall be binding on the heirs, administrators, personal representatives and assignees of Client and Metro Dog. There are no representations, agreements, arrangements, or understandings, oral or written, between or among the parties relating to subject matter of this Agreement that are not fully expressed herein. Any dispute or claim arising out of, or relating to this agreement, or the breach thereof, shall be settled through binding arbitration in accordance with the rules of the Judicial Arbitration and Mediation Service (JAMS) and judgment upon the award rendered by an arbitrator may be entered in the Superior Court of the State of California in and for Contra Costa County. The arbitrator shall, as part of the binding arbitration award, determine and award reasonable attorney’s fees and legal costs to the prevailing party at the binding arbitration. If any provision of this Agreement is held by an arbitrator or Contra Costa County Superior Court to be invalid or unenforceable, the remaining portions of the agreement shall continue in full force and effect and shall in no way be impaired or nullified by the invalid provisions.
If you have a concern with any of the above, please explain why:
