Registration

Register your pet by scrolling down the page and filling in the information directly into the open fields of the form below. Please note, if your session times out, your information will be lost! Please be sure to check the form for accuracy and completeness to ensure admittance. Once we receive your complete registration, we will schedule a temperament evaluation day for your pup. Please let us know if you require paper forms. The form below includes the:

1. Pet Registration Form

This form will ask for your basic contact information, your vet information, and for general information about your dog’s social, behavior, and health history.

2. Pet Care Agreement

This form acknowledges that there are inherent risks to an off-leash group play environment (playground injuries, bite wounds, infectious illnesses, etc.), and that you accept these risks.

3. Medical Release Waiver

This form allows us to treat your pup in the event of an illness or injury while in our care, and you agree that you are responsible for any charges associated with that treatment.

Step 1 of 4

Your Information
Name
First Last
Email
Home Phone
Cell Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
How did you hear about Love My Doggy Day Care?
Who else is allowed to pick up your dog?
Emergency Contact
If we can't get in touch with you who can we call?
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Cell Phone
Phone
Medical Records
Veterinary Practice Name
Practice Name
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Pet Care Agreement
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone
Dog's Name
First
Age
Breed
1. I further understand that LOVE MY DOGGY DAY CARE has relied upon my representation that my dog is in good health and has not injured or shown aggression or threatening behavior to any person or dog in admitting my dog for services at their facility.
2. I further understand that LOVE MY DOGGY DAY CARE their owners, staff, partners and volunteers, will not be liable, financially or otherwise, for injuries to my dog, myself or any property of mine while my dog is participating in services provided by LOVE MY DOGGY DAY CARE I hereby release LOVE MY DOGGY DAY CARE of any liability of any kind arising from my dogs participation in any and all services provided by LOVE MY DOGGY DAY CARE.
3. I further understand and agree that any problems with my dog, behavioral, medical or otherwise will be treated as deemed best by staff of LOVE MY DOGGY DAY CARE in their sole discretion, and in what they view as the best interest of the animal. I understand that I assume full financial responsibility and all liability for any and all expenses involved in regards to the behavior and health of my dog.
4. I further understand that there are risks and benefits associated with group socialization of dogs. I agree that the benefits outweigh the risks and that I accept the risk. I desire a socialized environment for my dog while attending services provided by LOVE MY DOGGY DAY CARE and while in their care. I understand that while the socialization and play is closely and carefully monitored by LOVE MY DOGGY DAY CARE staff to prevent injury, it is still possible that during the course of normal play my dog may receive minor nicks and scratches from roughhousing with other dogs. Any injuries to my dog will be pointed out by staff upon pick-up.
5. I understand by allowing my dog to participate in services offered by LOVE MY DOGGY DAY CARE I hereby agree to allow LOVE MY DOGGY DAY CARE to take photographs or use images of my pet in print form or otherwise for publication and/or promotion.
6. I further understand that I am solely responsible, financially or otherwise, for any harm or damage caused by my dog while my dog is attending any services provided by LOVE MY DOGGY DAY CARE.
7. I understand that if my dog is not picked up on time or by a date specified in a separate agreement. I hereby authorized LOVE MY DOGGY DAY CARE to take whatever action is deemed necessary for the continuing care of my dog. I will pay LOVE MY DOGGY DAY CARE the cost of any such continuing care upon demand by LOVE MY DOGGY DAY CARE I understand that if I do not pick up my animal, LOVE MY DOGGY DAY CARE will proceed according to the guidelines provided by Pennsylvania Statute on abandonment of animals by owner; procedure for handling. I also acknowledge that I will be fully responsible for all attorneys’ fees and associated costs if I abandon my dog.
8. Signature / Name*
9. Date*
  MM slash DD slash YYYY
10. Medical Release Form
11. This is a required form for all LOVE MY DOGGY DAY CARE participants receiving services. First and foremost the safety and well-being of your pet(s) is of the highest importance. Insuring that your pet remains safe and well cared for is our first responsibility and as such we take it very seriously. We do our best to have our pet parents screen for pre-existing health conditions but some factors may be beyond our control. In the event that a medical emergency arises while a pet is at our facility or participating in a service that we provide, it is imperative that we are immediately able to get them medical treatment at the closest available facility. We will call ahead to the veterinary offices in closest proximity geographically to us to insure they can handle the emergency present. Your pet will be rushed to the closest available facility for treatment and you will be notified. We notify the owner after we have secured medical treatment for the animal to avoid delays that may be caused by emotion on the part of the owner. Our goal is to get your pet medical attention as quickly as humanly possible, and any distractions may interfere with that process. For that reason, we require our pet parents sign this form. I understand that in the event of a medical emergency, LOVE MY DOGGY DAY CARE at its sole discretion can act to secure the immediate attention of a licensed veterinarian. I authorize LOVE MY DOGGY DAY CARE to seek medical attention at the closest available veterinary facility. I further agree that I am financially responsible for any medical treatment my pet(s) receives as a result of a medical emergency while attending services provided by LOVE MY DOGGY DAY CARE.
12. Signature / Name*
13. Date*
  MM slash DD slash YYYY
14. Phone
  This field is for validation purposes and should be left unchanged.

Registration

Step 1 of 4

Your Information

Emergency Contact

Medical Records

Pet Information

Pet Care Agreement

Medical Release Form