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New Dog Enrollment Form

Lucky Dog Pet Lodge

1067 American Blvd East Bloomington, MN 55420
Phone: (952) 767-2040 Fax: (952) 767-2041 Site: www.luckydogpetlodge.com

Enrollment Application

Please complete the following questions to the best of your knowledge. This information will help us maintain a safe and fun environment for all guests. We are concerned not only about your dog’s safety and health, but also that of our other guests and our team of caretakers. Please take a few moments to tell us about yourself and your best friend. Thank you.

Client Information
Pet Parent(s):

Last name (1)
First Name


Last name (2)
First Name


Street Address

City
State
Zip


Home Phone
Work Phone
Ext


Cell Phone (1)
(2)


Email Address

Emergency Contact: (Other than the parents, local if possible)

Emergency contact last name
First name(s)


Emergency contact phone numbers: Home
Work


Cell Phone(s)

Vaccinations - Proof from vet showing that Rabies, Distemper, and Bordetella vaccinations are up to date is required. (Proof must be mailed, faxed or emailed to Lucky Dog Pet Lodge prior to visit)

Pet Profile

Dog’s preferred name
Nickname(s)


Breed
Birth date
or Age
Weight


Please circle: Is your dog spayed or neutered?

Color
Distinguishing marks


How long has your dog been a member of your family?

Has your dog had any socialization with other dogs?

Has your dog ever been to the dog park?

How was the experience?

Has your dog ever attended daycare before?

How was the experience?

Has your dog ever been boarded before?

How was the experience?

How does your dog respond to being handled by his/her collar?

Has your dog ever growled at, snapped at or bitten another PERSON or DOG?

If yes, please describe the situation:

Is your dog fearful or reactive around certain types of people or dogs?

How does your dog react to new people and/or dogs coming into your house/yard?

How does your dog respond to other dogs approaching when you’re out on a walk?

Please check any of the following behaviors that apply to your dog:

Other concerns or behaviors we should be aware of (please describe):

Grooming

How does your dog react to being bathed?

How does your dog react to having his/her nails trimmed?

Dog’s Veterinarian Information

Clinic Name:

Address

Clinic phone number

Is your dog on flea/tick prevention?

Brand used and last date administered

Does your dog have any hip/joint problems or physical restrictions?

If yes, what restrictions need to be observed with regards to your dog’s activities or movements?

Does your dog have any known allergies?

What is he/she allergic to and what are the symptoms?

Please describe dog’s general health including any current medical conditions we should be aware of.

Please list any current medications your dog is taking and the frequency and time administered.

What type/brand of food do you feed your dog?

Amount per meal Feeding times:

Special feed instructions

Does your dog have any food restrictions?

If yes, what are they?

Is your dog allowed to have dog biscuits and training treats provided by Lucky Dog?

Emergency Medical Release
In case of any emergency situation or injury, we will attempt to contact you or your emergency contact immediately for instructions. If we cannot reach you or your emergency contact and we determine that immediate medical attention is required, we will contact the closest animal hospital/clinic and transport your dog. There is no cost to you for transporting your dog. However, you will be responsible for any and all costs incurred for treatment. If the situation does not require immediate attention, you or your emergency contact will be contacted and advised of the situation. We will then await your instructions.

I/We, the owner(s) and pet parent(s) of understand that there are inherent risks to bringing my/our dog to a doggie daycare and hotel. In the event of serious injury and/or illness, I/we hereby give consent to Lucky Dog Pet Lodge and its employees to act on my/our behalf, in the event that we cannot be contacted, to authorize and/or refuse any necessary medical treatment while under the care of the aforementioned. I/we understand that I/we will be responsible for any and all costs incurred for such treatment.

Pet Parent Signature:
Date:


Pet Parent Signature:
Date:


Client Agreement
All statements must be checked and the agreement signed for your dog(s) to have membership with Lucky Dog Pet Lodge.

Please read the following and check after each number.

I certify that I have read and checked each statement listed above and accept the terms and conditions of this agreement.


Pet Parent Signature:
Date:



Rules and Regulations
To ensure the safety and health of all animals and staff at Lucky Dog Pet Lodge, all clients are required to comply with the following Rules and Regulations (please read thoroughly):

Health: All dogs must be in good health. All clients will need to certify that their dog(s) are in good health and have been free from any condition that could potentially jeopardize other canine guests. Dogs that have been ill with a communicable condition in the last 30 days will require written veterinary certification of health to be admitted or readmitted. If, at any time during our care, it becomes evident that your dog is ill, you’ll be notified and expected to pick up your dog immediately. If, at any time during our care, it becomes evident your dog has fleas or ticks, treatment will be applied and charged to the pet parent at a minimum rate of $50.00. Dogs requiring special attention due to medical restrictions will be assessed and charged an additional per day fee for any and all hotel stays (this includes medicines that need to be administered).

Leashes and Collars: All dogs MUST enter and exit the facility on a leash. We ask you use a fixed length leash no longer than 6 feet, and DO NOT use a retractable leash as they can present unsafe situations in the lobby. Collars should be of the "quick release" variety, and not of the buckle type.

Food: Guests are required to bring their own food into Lucky Dog Pet Lodge. We appreciate when food is measured and packaged in individual servings. If food is not supplied, we can offer Lucky Dog’s house brand for an additional fee.

Bedding: Lucky Dog Pet Lodge will supply raised Kurunda beds and fleece blankets for all of our guests. Clients are allowed to bring in their own bedding as well if so desired.

Behavior: All dogs must pass the Lucky Dog Pet Lodge Behavior Assessment for enrollment in our program. Parents will need to certify that their dog(s) have not harmed or shown any aggressive or threatening behavior towards any person. In the event that the guest will participate in group play, parents will also need to certify that their dog(s) have not harmed or shown any aggressive or threatening behavior towards any other dog(s). The dogs’ safety and health is our main priority. Keep in mind that although your dog is supervised when playing with other dogs, he/she still might receive an occasional nip or scratch. We do not accept fence climbers. Dogs must be social and get along with all other dogs if they are to be a guest at Lucky Dog Pet Lodge.

Age: All dogs must be at least 8 weeks of age and have all required vaccinations.

Fees: All daycare and boarding fees are due at check out. A $30.00 fee will be applied for any returned check. Discounted packages are provided only if they are paid in advance. Pre-paid packages are non-refundable.

Daycare: Lucky Dog Pet Lodge closes promptly at 7:00 p.m. Late charges of $15.00 per 15 minutes will be applied.

Hours of Operation:
Daycare: Monday-Friday: 6:30 a.m. - 7:00 p.m.
Saturday 8:00 a.m. – 7:00 p.m.
Sunday 10:00 a.m. – 7:00 p.m.

Hotel check-in and check-out: Monday-Friday: 6:30 a.m. – 7:00pm
Saturday: 8:00 a.m. - 7:00 p.m.
Sunday: 10:00 a.m. - 7:00 p.m.

Check out time is 1pm. Dogs can be picked up after 1pm, but will be subject to a $16 ½ day daycare fee.

Reservations & Cancellations: A $50 deposit is required for all hotel reservations. Notification of a cancellation must be provided at least 48 hours prior to check-in or deposit will be forfeited. Lucky Dog Pet Lodge may choose to be closed for daycare, drop-offs and pickups during certain Holiday days. Holidays and peak periods may include New Year’s, Easter, Memorial Day weekend, Fourth of July week, Labor Day weekend, Thanksgiving, and Christmas. Please feel free to speak with a front desk team member at any time for additional clarification.

I certify that I have read the Rules and Regulations and understand, and agree and intend on my own behalf, and on behalf of my agents, representatives, relatives, successors, and assigns, to be bound by all the terms and conditions contained in the Rules and Regulations.

Pet Parent Signature:
Date:


Pet Parent Signature:
Date:


You can also download the form here, New Dog Enrollment Form,  to your desktop to print and either bring it into us or send it to us by mail at:

Lucky Dog Pet Lodge
1067 American Blvd East
Bloomington, MN 55420

Logo Dog Logo

Thank you for your considering Lucky Dog Pet Lodge for your family pet.