New Client Application

Daycare and Boarding

Want to be a step ahead? In addition to the following form, RiverDog requires proof of the following current vaccinations from applicants: Bordetella, Distemper, and Rabies (if the dog is over 4 months old). We also require proof of a clean annual fecal test. Records can be emailed to us at: riverdog@riverdogdaycare.com.

Please select which service(s) you are interested in. (required) Daycare

Boarding

Which location do you plan on using for your dog’s evaluation?(required) Somerville

Malden

Peabody

Melrose

If you are interested in daycare, which location do you plan on using? (select all that apply) Somerville

Malden

Peabody

Melrose

Dog Name(required)

Breed(required)

Sex Male

Female

Color(required)

Dog’s Birth Date (estimated is OK if you aren’t sure)(required)

Spayed/Neutered? (we require dogs over 6 months old to be spayed/neutered) Yes

No–under 6 months old

Weight(required)

Owner 1 Name(required)

Address (street, city, state, zip code)(required)

Email(required)

Phone Number(required)

Owner 2 Name (if applicable)

Owner 2 Address (street, city, state, zip code)

Owner 2 Email

Owner 2 Phone Number

Vet Name(required)

Vet Address (street, city, state, zip code)(required)

Vet Phone Number(required)

Emergency Contact Name and Phone Number (someone you trust to make decisions on your behalf in case you cannot be reached) (required)

Names and Phone Numbers of everyone allowed to pick up your dog(required)

Is your dog currently undergoing any medical treatment? If yes, please explain. (required)

Does your dog have any behavioral tendencies we should know about? If yes, please explain. (ex. separation anxiety, chewing, digging, thunder phobia, fear of men, etc.)(required)

Has your dog ever climbed or jumped a fence or gate?(required)

Where did you get your dog? If a rescue or shelter, please list which one. (required)

Has your dog attended daycare or boarded before? If so, where?(required)

How does your dog react to cats?(required)

Has your dog ever exhibited aggressiveness toward a human or another dog? If yes, please explain.(required)

Does your dog have any allergies or food sensitivities? If yes, please explain. (required)

What are your dog’s favorite things? (ex. fetch, certain types of toys, being brushed, etc)(required)

Does your dog have any medical conditions we should be aware of? (ex. old injury to back right paw causes slight stiffness when getting up, sensitive areas on the body, etc)(required)

What kind of food do you feed your dog? Please include type (kibble, wet, etc) and brand.(required)

*The following 3 questions apply to clients interested in boarding* Please include your dog’s feeding schedule (times of day your dog eats) and how much they eat at each feeding. Please also note any specific feeding instructions (ex. kibble with warm water, in slow feeder, etc).

Does your dog take any medications? If yes, please list the names of the medications and their functions here (ex. prozac for anxiety, glucosamine tablet for joint support, etc).

Please list administration instruction for all medications below (ex. give prozac in pill pocket, glucosamine tablet on top of kibble, etc).Please note: owners are responsible for providing all elements necessary for medication administration (peanut butter, pill pockets, etc).

How did you hear about us?

Terms and Conditions

I warrant that my dog is current with the vaccinations required by law, as well as all others as may be required by RiverDog Daycare (1) , and that my dog is healthy to the best of my knowledge. I understand that leaving my dog with RiverDog Daycare carries some risks as dogs are not always predictable and the unexpected may occur.

We at RiverDog Daycare care for your dog as if it were our own and if your dog is hurt or becomes ill, RiverDog Daycare or its Agents has your permission to: (i) call or take your dog to a veterinarian of our choice if your pet’s vet is unavailable; (ii) to administer medication; and (iii) exercise our discretion and judgment to provide such care or treatment as we deem necessary. I agree to promptly pay for or reimburse RiverDog Daycare or its Agents for any and all expenses incurred as part of such care or treatment of my pet(s).

RiverDog Daycare and its Agents are not responsible for any accidental death or injury due to preexisting health conditions or natural disasters (fire, storm, flood, etc.). I will not hold RiverDog Daycare or its Agents liable for not seeking veterinary care or for decisions made under this contract. I agree to be responsible for any property damages or injuries caused by my pet(s) while in the care of RiverDog Daycare or its Agents.

I agree that I have read and understand the rules and conditions for RiverDog Daycare. I understand that my dog, my guests, or I may be videotaped or photographed and that these images become the property of RiverDog Daycare. I agree to release, hold harmless, acquit, will indemnify and forever discharge RiverDog, Inc. along with its respective employees, contractors, officers, directors, shareholders, affiliates, subsidiaries, and other agents from all, and in all manner of action and actions, suits, damages, judgments, expenses, executions, claims, and demands whatsoever, in law or in equity, derived from, based upon, or arising out of the care of my dog(s) by RiverDog Daycare, its agents and contractors.

(1) Riverdog Daycare includes RiverDog, Inc., its employees, contractors, and any other related party.

I agree to the Terms and Conditions outlined above.(required)

*Remember!* Email your dog’s vaccination records showing proof of current Rabies, Distemper and Bordetella vaccines along with a clean fecal test from within the past year to: riverdog@riverdogdaycare.com. We need these before we can schedule an evaluation!

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