Day Camp Form

Save time and complete your day camp application form online. If we have any additional questions, we’ll be sure to reach out!

Pet Owner's Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Primary Telephone *

Secondary Telephone *

Do you accept text messages?

E-mail *

Pet's Name *

Species *

Sex *

Male
Female
Neutered Male
Spayed Female

Color & Markings

Veterinary Clinic & Phone

Age and/or DOB

Microchip/Tattoo Number

Does your pet have any known food allergies? If so, please list.

I hereby agree to the foregoing as the owner of the aforementioned pet.

My pet has dug holes in the past (dogs only): *

Yes
No
N/A (cats)

My pet has climbed or jumped fences ever in the past (dogs only): *

Yes
No
N/A (cats)

My pet chews up bedding or toys (dogs and cats): *

What type of veterinary purchased flea and tick preventative do you use for your dog? *

Is your dog afraid of other animals (if so, tell us more)? *

Has your dog ever growled at or bitten a person? *

Have you left the state in the last 14 days? *

Has your pet been in contact with anyone testing positive or suspicious for COVID-19 in the past 2 weeks? *

**If during day camp time, your pet is discovered to have diarrhea, fever, nasal discharge, cough, fleas, high anxiety, signs of infectious disease, or injures a staff member or other pet you will be contacted to come bring them home. If you cannot pick them up within one hour of that call, they will be moved to the medical side of the facility, and you will be charged accordingly for a day of medical hospitalization. ** *

Yes, I understand

Day Camp Check-In / Check-Out Times:

7:30 AM - 8:30 AM & 5:00 PM - 6:00 PM.

Behavioral Assessment:

To be eligible for day camp at Healing Pas Veterinary Care, Inc. (“Healing Paws”), your dog must first pass a day long behavioral assessment. This professionally developed assessment is completed by senior level team members and determines if your pet enjoys and benefits from group play and structured rest time. If your pet shows signs of anxiety that cannot be overcome or does not interact well with appropriate play groups or staff members, they may not pass the day camp assessment. This behavioral assessment is focused on group play. Some dogs who do not pass the assessment may still be accepted as boarding vacationers as they have the availability for single dog play. Daycare is only available to dogs who do well in group play environments.

Personal Items:

We make every effort possible to make your pet feel at ease while they are staying with us. Healing Paws does not recommend bringing personal items from home as they may get lost in the laundry or soiled. We also do not accept fabric or plush items to avoid pest contamination. Healing Paws is not responsible for lost or damaged personal items.

Vaccinations and Preventative Care:

Vaccinations are for the protection of your pet and the pets of others. We cannot make exceptions to vaccination requirements. Proof of vaccination must be given to our front desk within 7 days of having vaccination given to continue eligibility in the day camp program. No vaccine provides 100% protection for disease. Vaccinations required to be current are Rabies, Distemper/Parvo, Kennel Cough, Bivalent Influenza. Proof of negative fecal parasite tests every 6 months is required and veterinary provided monthly flea and tick preventative is highly recommended.

Abandonment:

If the pet is not called for within 10 days after the designated checkout time, the pet will be considered abandoned and will be handled in accordance with state law. All adoption fees and other incurred expenses will be the responsibility of the owner.

Geriatric Pets:

Older pets may experience additional stress in the lodging, day camp, grooming, or training environment. Healing Paws is devoted to providing exceptional care for guests, including geriatric pets. Your signature acknowledges that you are aware of and accept all age-related risks to your pet.

Playgroup Risk:

Playgroups are monitored by Pet Care Specialist team members and are paired based on behavioral assessment, size, age and play style. While Pet Care Specialists keep a close eye on playgroups and are equipped to break up pets as needed, there is still a risk of injury to those pets participating in playgroups. If injury occurs, your Healing Paws medical team will examine your pet and provide treatment necessary to make your pet comfortable. The owner gives permission to Healing Paws and its doctors and medical staff, in its discretion, to give first aid, medication, or other attention when deemed necessary for the health, and safety of your pet. Healing Paws is authorized by the owner to provide veterinary care, including emergency care, at the owner's expense. If we believe that your pet is in need of care, time permitting we will attempt to contact you before providing that care, but this document serves as our authorization to provide veterinary care for your pet in the event we are unable to reach the owner before treatment must be started. By signing below, you certify the accuracy of all information given about your pet and that you have disclosed and discussed any previous signs of aggression or threatening behavior toward any person or animal.

Treatment Authorization:

You, as the pet owner, hereby agree that Healing Paws Veterinary Care, Inc. (“Healing Paws”), may, in its sole discretion, give first aid, medication, or other attention it deems necessary for the health and safety of your pet, or other pets under its care or in its facilities. You authorize Healing Paws to provide veterinary care, including, but not limited to, emergency care, at your expense. If Healing Paws’ personnel believe that your pet is in need of care, time permitting, we will attempt to contact you before providing that care, but this document serves as our authorization to provide veterinary care for your pet in the event we are unable to reach you. If fleas or evidence of fleas are found on your pet, you agree to allow Healing Paws’ personnel to treat for fleas at your expense. You are responsible for all expenses of veterinary care, including, but not limited to, services, medications, and supplies, whether or not you have been reached in advance. Your signature on this authorization permits Healing Paws to make reasonable care decisions regarding your pet; and the owner agrees to pay for all costs incurred for such treatment.

General Terms:

Healing Paws will exercise responsible care for the safety of your pet, and to keep the boarding premises safe and properly enclosed. Pets will be fed and watered regularly, and housed in clean, safe quarters. Healing Paws cannot guarantee against accidents, and we cannot be liable for loss or damage caused by or to our pet guests at this facility. You agree to be solely responsible for any and all damage to equipment, property, or other pets caused by your pet while it is at this resort. In the unlikely event that a pet passes away while a guest of Healing Paws we will contact you and discuss your options of body care with you. You hereby and forever waive any and all claims arising in any way out of your pet’s stay at Healing Paws, and further agree to indemnify forever Healing Paws, its officers, directors, employees, shareholders, agents, successors, and assigns from and against any and all loss, damage, claim, or cause of action, whatsoever.

Payment:

Payment balance for day camp services is due upon discharge of your pet. We accept cash, checks drawn from a local bank, debit cards, VISA, and MasterCard. We charge a $50 fee for returned checks. Furthermore, in the event you refuse or otherwise fail to make payment owed for services rendered by us in caring for your pet, you are responsible for any and all costs of collection incurred by us, including attorney’s fees and court costs, to collect payment(s) from you.

Acknowledgment of Agreement: I represent that any information I provided above is accurate and that I have read, fully understand, and agree to the terms set forth herein. I have been informed that estimates for recommended services/procedures are available upon request. I further understand that all services performed on my pet will be invoiced according to Healing Paws’ procedures. *

I have read and understand.

Digital Signature *

Today's Date *

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