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Online Registration for Daycare and Boarding
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What is your dog's Name?
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If you have more than one dog you will have a chance to add in a second or third dog after this initial registration.
Owner Information
Owner Name
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First
Last
Additional Owner Name
First
Last
Email (this will be your username)
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Secondary Email
Address
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Address Line 1
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Primary Contact Phone#
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This will be the main number, and the one used for any SMS communications
Additional Owner Phone#
Home Phone#
Work Phone#
Emergency Contact - Someone Other than Owner(s)
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First
Last
Emergency Contact Phone
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How did you hear about Woof Central?
Please choose from dropdown
Google
Facebook
Advertisement
Word of Mouth
Website
Event
Vet Clinic
Other
Who is your excellent friend/relative?
Which Vet Clinic?
Which event did you attend?
Senior Dog/Medical Directive Information
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My dog is over 10 years old, I will sign the medical senior release form
My dog is under 10, but I will sign the medical directive for my dog
My dog is under 10 and I will wait to sign the directive
What are your reasons for bringing your dog to Woof Central? (Check all that apply)
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Daycare
Boarding
Grooming
Information about your dog
If you have a second dog, you will have the chance to give this information after you complete information for your first dog.
Dog Breed
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Give a physical description of your dog- any outstanding markings etc
Dog's Sex
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Choose from dropdown
Male
Female
Spayed/Neutered? (Note: all dogs over 7 months must be spay/neutered)
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Choose from dropdown
No
Yes
How much does your dog weigh?
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Who is authorized to pick up your dog?
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What is Your Dog's Birth Date
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Is your dog allowed to have treats at Woof Central?
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Yes
No
While we don't use treats in the playrooms, sometimes in the grooming salon or at the front desk we might give the dogs a treat as we interact with them.
Any Allergies?
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Please choose from dropdown
Yes
No
What is your dog allergic to?
When did you get your dog? (Dogs are required to live with their owners for at least a month before we can have them in our facility)
Where did you get your dog?
Please choose one option
Breeder
Shelter/Rescue
Pet Store
Other
Breeder Name
Rescue Name
How old was your dog when you got them?
Behavioral History
The following behavioral questions will help us to understand your dog better and ensure we can take the best care possible when he or she is here at Woof! Thanks in advance for your honesty!
Check all that apply for your dog:
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My dog is potty trained
My dog is crate trained
My dog has had obedience training
My dog has been to daycare before
My dog has played off leash with other dogs
Behaviors we can watch for. Check all that apply:
My dog sometimes eats poop
My dog has trouble sharing toys
My dog is territorial with food
My dog can be leash aggressive
My dog has separation anxiety
My dog has climbed or jumped a fence
My dog is frightened by certain noises
My dog has a fear or dislike of certain people/dogs
My dog has sensitive areas on his/her body
My dog has bitten a person/dog
Please describe the incident(s):
Please list:
Please describe:
Please describe:
Is there anything else you would like us to know about your dog that would help us bring him/her into the Woof Central play environment?
Medical Information
Veterinary Clinic Name and City
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If we are unable to contact you or your emergency contact, how do you wish for us to proceed with your pet's care?
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Take every measure to save life
Make no heroic measures
Treatment with restrictions/maximum dollar amount
My dog is under 10 years old and I am waving my right for a health care directive and will accept any decisions made in the best interest of my dog's health.
Your dog is important to us. Because we care, we want to assure you that every effort will be made to make your senior pet’s visit as pleasant as possible. When older pets are boarded, their bodies are subjected to stress because of removal from their normal home environment. This stress has the potential to cause latent physical conditions (i.e. heart, liver and kidney disorders) to become active, and potentially life-threatening. In the best interest of your pet, we request your permission to obtain immediate veterinary treatment, should it become necessary. In this event, we will attempt contact with you at home and at the emergency contact number.
What are the restrictions/maximum dollar amount you are willing to pay to treat your dog?
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By checking this box, I agree that I have read and understand the Senior Dog/Medical Directive, and as the owner or agent for the pet described herein agrees not to hold Woof Central, LLC and staff responsible for the illness or death of their pet or for any expenses incurred because of the illness or death of the pet described herein.
Any Health Concerns Our Staff Should Be Aware Of?
Check all that apply for your dog:
My dog is on flea/tick control
My dog is on heartwork preventative
My dog is chipped
My dog has had a negative stool check within the last year
I understand that my dog needs updated Bordetella, Distemper (DHPP, DAPP, DHPPV) and Rabies vaccines. You must present proper paperwork before we can accept your dog.
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Yes, Understand!
You can upload your vaccine forms below You (or your vet) can fax your forms to: 612-869-0691 You (or your vet) can email your forms to: info@woofcentraldogs.com
File Upload
Click or drag files to this area to upload.
You can upload up to 2 files.
Upload your vaccine records (We need the page with next due dates for all three vaccines)
Woof Central Contract
Please check each provision to mark that you agree with the terms of service.
Please check each provision to mark that you agree.
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I release Woof Central, LLC of any liability arising from my dog’s attendance and participation in activities.
I fully accept all reasonable risks of illness or injury that may be incurred during normal daycare activity. Such risks include, but are not limited to: cuts, scrapes, and other minor injuries resulting from rough play and possible contagious illnesses such as upper respiratory infections (of which only one, “bordetella,” currently has a vaccination available).
Woof Central agrees to exercise due and reasonable care in the handling of dogs, and in keeping the facility properly enclosed and sanitary. All dogs are cared for by Woof Central staff without liability on Woof Central’s part for loss or damage from disease, theft, fire, death, escape, injury, or harm to persons, other dogs, property, or for other unavoidable causes, due care and diligence having been exercised.
I understand that I am solely responsible to pay for any harm or injuries to other dogs, or damages to property caused by my dog, while my dog is attending Woof Central, provided reasonable care and precautions are followed by Woof Central’s staff.
I shall indemnify Woof Central against any claims made against the company, or any losses or damage of any kind suffered by Woof Central as a result of my failure to inform Woof Central of any pre-existing condition my dog may have (including, but not limited to an illness or known aggression problem).
I agree to keep my dog(s) on monthly flea treatment (at least May - October) and to take precautions against contagious illness and parasite exposure by consulting with my veterinarian prior to my dog attending Woof Central.
I understand that in the event of injury, Woof Central staff may or may not notify me immediately, at their discretion. If the injury is not serious, staff may allow my dog to continue to play, and then notify me when I come to pick up my dog. If the injury is serious, or requires that my dog be removed from group activities, I will be notified immediately.
I understand and agree that should my dog become ill or in need of medical attention, Woof Central will first try to contact me. If unable to reach me in an emergency situation, Woof Central staff reserves the right and sole discretion to administer aid, and/or to use my designated veterinarian or any available veterinarian without liability, and I agree to promptly pay for all medical treatments received.
I understand that my dog will only be released to the owner(s) and individuals on file, unless prior arrangements have been made with a Woof Central staff member.
I understand that if my dog is left at Woof Central for a period of 3 days past a scheduled pick-up date without contact from me or my authorized representative, my dog will be considered abandoned and all necessary steps will be taken to turn the dog over to the proper authorities and/or animal rescue agency.
Boarding Drop-off: Our check- in times are Monday-Friday 7am-5pm, Saturday 8am-10am and 6pm-7pm, Sunday 8am-9am and 6pm-7pm. Checking in later than these time could result in a $20 late check in fee.
Late Charges Boarding: Check-out time at Woof Central is from 7am to 10am Monday through Friday, 8am to 10am Saturday and Sunday. Dogs picked up later than 10am will be charged an additional fee. Hours of operation(subject to change): M-F 7am to 7pm, Sat 8am to 12noon & 6pm to 7:30pm, Sunday 8am to 10am & 6pm to 7:30pm.
Late Charges Daycare: $5.00 for every 15 minutes or fraction thereof past 7:00pm. Late charges must be paid at the time of late pick up. If your dog has still not been picked up by 7:05pm he/she will be bedded down for the night and full overnight charges will be assessed and must be paid before your dog is released to you. Your dog may be picked up the following morning after 7:00am but before 10:00am to avoid additional charges. Hours of operation are subject to change.
I give Woof Central permission to use pictures of my dog(s) on their website or other advertising materials.
By checking this box, I hereby agree to the provisions of this contract. I have read and checked each provision above to acknowledge my understanding and acceptance.
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Yes, I agree to the terms of service
Signature
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Clear Signature
Print Name
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First
Last
Today's Date
Do you have a second dog?
Please choose from dropdown
No
Yes
Register a second dog
using this link
NOTE: A new tab will open for your second dog's registration information. Be sure to come back and hit submit here after the new window opens!
Submit