<p>What is Doggie Daycare? It is a supervised, social environment for healthy, well-behaved dogs to interact and exercise. Bring Rover Over provides a fun alternative to leaving your dog home alone. It helps with behavior problems brought on by boredom and lack of exercise. Owners can drop their dog off in the morning and then pick them up at the end of the workday.</p><p>Daycare Hours of Operation: Monday thru Friday 6:00 AM to 6:00 PM Any dogs picked up after 6:00 PM are subject to a Late Pick-Up Fee of $1.00 per minute</p><p>Requirements: 1. Dog must be 4 months of age or older 2. Dogs must be spayed/neutered (unless they are under 6 months old) 3. Vaccinations must be current (proof required) 4. Pre-admission dog temperament interview must be completed 5. Space is limited so reservations will be required 6. Payment is required upon drop-off</p><p>Rates: Pre-Admission Interview $20.00 (By appointment, non-refundable)</p><p>Daily Rate $30.00</p><p>Discount Packages: 10-Day $280.00 20-Day $540.00</p><p>We are located at 974 Howe Road in Martinez</p><p>For more information please call (925)957-0745 Or visit us at www.BringRoverOver.com</p><p>Page 1 of 9 4/9/2018 Doggie Daycare Policies</p><p>1. 24-hour advanced reservation is required. 2. Payment is due at the time of drop-off. 3. If you fail to cancel your reservation 24 hours in advance, you will be charged for a day of daycare. 4. You must pick-up your dog by 6:00pm or you will be charged $1 for each minute you are late. 5. Please do not bring any personal items for your dog other than a leash. 6. Dogs are not to potty anywhere outside in the parking lot. If your dog does have an accident in the parking lot, please notify a Bring Rover Over employee immediately. 7. Doggie daycare is an open concept environment where dogs come into full contact with other dogs, we ask that you do not bring your dog if he/she has any of the following symptoms: a. Green or yellow discharge from the eyes or nose b. Diarrhea c. Retching d. Coughing e. Ear infections – if the ears are very sore/sensitive f. Fleas g. Scabs on the skin of unknown origin h. Open wounds i. Stitches from surgery or wounds j. Spayed/neutered in the last 10 days k. Any sign of ill health 8. Please keep your dog’s nails trimmed to prevent injury to your dog and to others. 9. Wait at the front counter for a Bring Rover Over employee to come and take your dog back into the daycare area. If an employee does not hear you come in, please ring the bell on the front counter. 10. Dogs must be on leash going to and from your car. 11. Dogs must have a flat collar to wear during Daycare. No limited slip or chain types for use during play. Collars may occasionally be removed by staff during play periods for safety. 12. Any person picking up or dropping off your dog should be made aware of these policies. 13.Failure to adhere to these policies may cause a permanent dismissal from daycare.</p><p>Page 2 of 9 4/9/2018 Bring Rover Over Doggie Daycare 974 Howe Road Martinez, CA 94553 (925)957-0745</p><p>Interview Date and Time: ______Referred by: ______</p><p>Enrollment Form A separate enrollment must be filled out for each dog you wish to enroll in daycare.</p><p>Owner Information</p><p>Name(s): </p><p>Address: </p><p>City: State: Zip Code: </p><p>Home Phone: Work Phone: </p><p>Cell Phone: ______Cell Phone: ______</p><p>E-mail: </p><p>Emergency Contact (In case we are unable to contact YOU) *Please inform this person that they are your emergency contact*</p><p>Name: </p><p>Home Phone: Work Phone: </p><p>Cell Phone: </p><p>Veterinarian Information</p><p>Hospital: </p><p>Doctor: Phone Number: </p><p>Dog Information</p><p>Page 3 of 9 4/9/2018 Name: Breed: Color: </p><p>Sex: Male Female Spayed/Neutered: No Yes</p><p>Age: D.O.B. License # ______</p><p>Microchip: ______Tattoo: ______Weight: ______</p><p>Where did your dog come from? </p><p>Name of Breeder, Shelter or Rescue Group: ______</p><p>Are you the dog’s first owner? ______Owned more than 6 months? ______</p><p>Any circumstances of your dog’s history we should be aware of? </p><p>What commands does your dog know? (circle) Sit Down Stay Wait</p><p>Come Heel Leave it Go Potty! Quiet Off</p><p>Others? ______Release Word: ______</p><p>Is your dog housetrained? Yes No</p><p>Do you use a crate at home? Yes No</p><p>Are there children in your household? Yes No</p><p>What interactions has your dog had around other dogs? ______</p><p>______</p><p>______</p><p>How does your dog behave around unfamiliar dogs?</p><p>Is your dog vocal when he/she plays? Yes No Page 4 of 9 4/9/2018 Does your dog have any fears/problems with any specific breed or size dog? </p><p>Is your dog destructive while you are away from home? Yes No</p><p>If “Yes,” what does he/she do? </p><p>List your dog’s fears, if any (examples: thunder, certain types of people, children, noises, other dogs, etc): </p><p>Please circle any of the problems your dog may have:</p><p>Chewing Mouthing Jumping up Pulling on leash Bolting</p><p>Barking Digging Growling Guarding of toys, food, or people </p><p>Snapping Biting Mounting Marking</p><p>Other (explain below)</p><p>Has your dog ever jumped or scaled a fence? Yes No</p><p>If “Yes,” how high was the fence? </p><p>How much regular, structured exercise does your dog get? </p><p>Has your dog ever bitten another dog or human? Yes No</p><p>Page 5 of 9 4/9/2018 How long ago? ______</p><p>Please describe the circumstances: _____</p><p>How does your dog behave on a leash? </p><p>What is your dog’s reaction to having his collar grabbed? ______</p><p>______</p><p>Please list the following (if applicable to your dog):</p><p>Pre-existing or current medical conditions: </p><p>Areas sensitive to touch: </p><p>Allergies (food or environmental): </p><p>Medications: </p><p>Is it okay for your dog to receive treats, occasionally? Yes No</p><p>Page 6 of 9 4/9/2018 If your dog’s picture is taken, may it be published? (Initial) Yes ___ No___</p><p>What other information do you feel we should know about your dog?</p><p>People authorized to pick up your dog from daycare:</p><p>Name Phone Number</p><p>Bring Rover Over reserves the right to discontinue daycare provisions for any dog at any time.</p><p>______Signature of Owner Date</p><p>Copy received: ______Initial</p><p>Page 7 of 9 4/9/2018 BRING ROVER OVER DOGGIE DAYCARE</p><p>ASSUMPTION OF RISK</p><p>I am aware that leaving my dog with Bring Rover Over will result in my dog associating, socializing, playing, rough play and/or fighting with other dogs. I understand and acknowledge that this presents certain risks including but not limited to, illness, including kennel cough, death and/or injury to my dog, loss or damage to personal property, and other safety-related dangers. </p><p>Bring Rover Over has provided me with information pertaining to the risks involved in leaving my dog with them. I understand these risks, recognize that these dangers cannot be eliminated and acknowledge other dangers not mentioned may also exist. </p><p>I certify that I am voluntarily leaving my dog with Bring Rover Over and assume all risks, consequences, and potential liability leaving my dog with Bring Rover Over. </p><p>______</p><p>Date Signature of Owner</p><p>Copy received (initial) ______</p><p>Page 8 of 9 4/9/2018 BRING ROVER OVER DOGGIE DAYCARE</p><p>WAIVER OF LIABILITY AND INDEMNITY AGREEMENT</p><p>I am aware that leaving my dog with Bring Rover Over will result in my dog associating, socializing, playing and/or fighting with other dogs. I understand, warrant and agree that I am solely responsible for any and all harm caused by my dog while my dog is on the Bring Rover Over premises. </p><p>I understand, acknowledge and agree that, in admitting my dog to Bring Rover Over, the facility had relied upon my representation that my dog is in good health and has not harmed any person or other animal and has not shown or exhibited any aggressive or threatening behavior towards any person or other animal.</p><p>I understand, acknowledge and agree that Bring Rover Over shall not be liable to me for any injury, including death, or illness, including kennel cough, to my dog that arises, in any way, including the sole active and/or passive negligence of Bring Rover Over and its owners, agents and employees, from my dog’s attendance and participation in daycare at Bring Rover Over.</p><p>I agree to defend and indemnify Bring Rover Over from and against any and all costs of suit, including attorneys fees, and settlements, judgments and/or awards that arise in any way out of any and all claims, demands, and/or suits, legal or equitable, that arise in any way out of my dog’s attendance and participation in daycare at Bring Rover Over including, but not limited to claims, demands, and/or suits, legal or equitable for the active or passive negligence of Bring Rover Over and/or its owners, agents or employees, and for personal injury or death to any person or animal, property damage. I agree that I shall bear sole responsibility for my dog’s from my dog’s attendance and participation in daycare at Bring Rover Over.</p><p>I understand and agree that any problems, illness or injury that develops with my dog shall be treated as deemed best by Bring Rover Over in its sole discretion. I shall reimburse Bring Rover Over for any expenses, veterinary or otherwise, that are incurred by Bring Rover Over as a result of any problem or illness that develops with my dog. I understand that, without prior arrangements being made, if my dog is left with Bring Rover Over for a period of three days or more without contact from me, my dog will be considered abandoned and that all necessary steps shall be taken to turn my dog over to the appropriate authorities.</p><p>______Date Signature of Owner</p><p>Copy received (initial): ______</p><p>Page 9 of 9 4/9/2018</p>