NAME & ADDRESS Name*
First
Last
Partner Name Returning Guest? Credit Card Billing Address*
PHONE & EMAIL CONTACT Cell Phone 1*
Name 1*
First
Last
Cell Phone 2*
Name 2*
First
Last
Work Phone
Fax
Your Email Address*
Emergency Contact* Emergency Contact Best Phone*
Where Did You Hear About Us? Please Select Returning Customer Radio Ad Veterinarian Google Search Online Yellow Pages AT&T Yellow Pages Word of Mouth Other Trainers Twitter Facebook Dog Talk Diva Pinterest Other
If OTHER, please specify how
I'm Currently Interested in the Following Services Select as many as apply and tell us more in the box below
I'm Interested in:* Tell Us More!
PET INFORMATION People-Friendly Canines Only. Friendly Bully Breeds Welcome in Special Needs Suites.
Dog #1 Information First Dog's Name*
First
Last
Breed*
Color
Sex* Neutered/Spayed?* Approximate Birth Date*
Date Format: MM slash DD slash YYYY
Vet Hospital Name*
Hospital City/State*
Doctor's Name
First
Last
Clinic Phone*
Clinic Fax*
Dog's Weight
Is Your Dog Under 9 Years Old?* Dog #2 Information One Dog Only? Scroll to the end for "About Boarding", Cancellation Policies, Releases and Signatures
Second Dog's Name
First
Last
Breed
Color
Sex Neutered/Spayed? Approximate Birth Date
Date Format: MM slash DD slash YYYY
Dog's Weight
Is Your Dog Under 9 Years Old? Dog #3 Information Two Dogs Only? Scroll to the end for "About Boarding", Cancellation Policies, Releases and Signatures
Third Dog's Name
First
Last
Breed
Color
Sex Neutered/Spayed? Approximate Birth Date
Date Format: MM slash DD slash YYYY
Dog's Weight
Is Your Dog Under 9 Years Old?
ABOUT BOARDING: The Downside of a Good Time Please Read This Important Information About The Risks That Can Come With Boarding
Your dog will have a blast at Dairydell – meeting new friends, experiencing new things, and learning all kinds of new stuff if he’s in training. All that fun and excitement, however, can come with a few downside risks which, by signing our releases, you agree to fully assume - including any and all medical expenses during or related to your dog's stay at Dairydell. Though injury and illness are rare, they are unavoidable risks in even the best of boarding environments. Your dog may experience one or more of the following:
Tiredness: With everything so new and exciting, your dog won’t sleep as much as he does at home – especially during the day. By the time he comes home, your pooch might be pooped – sleepy and lazy for several days while he catches up on his zzzz’s. Do not be alarmed. After several days, his energy should be back to normal.
Bumps, Bruises and Boo Boo’s: It’s a play yard out there, and dog play is a contact sport! Most dogs spend their days at Dairydell running, jumping and wrestling and – like on a school play yard – stuff can happen. Even under supervision and the best of circumstances, injuries can occur. Most will be minor, but occasionally some will be more significant – even requiring veterinary attention. Running in our huge, sand arenas can also dry and crack pads. In other words, bumps, nicks and boo-boos are not uncommon in an active boarding environment, but most are proof that your dog had a really great time!
Eye Irritation: When city dogs come to stay with us, sometimes our farm air makes their eyes water! Our grasses, cows, horses, sheep and dust from dog-play on the sand – all contribute to occasional eye allergies. If you notice white-ish discharge in your dog’s eyes after coming home, just give us a call. We’ll tell you how to clear your pup up pronto!
Risk of Bloat or Torsion: The causes of life-threatening bloat (stomach filling with air) or torsion (twisted stomach) are not clearly understood, and they can happen anytime, anywhere – at home or away. Careful monitoring during playtime is the best way to intercept and address these rare but serious conditions. Your dog will be overseen by our staff between 7am and 9pm, but please note that dogs are not monitored overnight.
Viruses: COLDS HAPPEN. Like kids at a preschool, dogs share everything while boarding – including colds and assorted viruses. Luckily, there are vaccinations to help protect against the worst kinds of cold-causing bacteria, but your vaccines will NOT protect against the many viruses that also cause sniffles and coughs. For older dogs as well as the very young or those with other health conditions, risks from upper respiratory disease can be greater. At Dairydell, we require that ALL dogs staying with us be current in both bordetella and parainfluenza vaccinations, so that we can maintain the highest protection level and the lowest possible odds of a bordetella or parainfluenza incident. Most other dog colds and even some skin conditions, however, are caused by viruses with no known vaccines to prevent them. Our best preventive at Dairydell is keeping dogs clean, warm, rested and well-fed. If your dog does come down with a cold or skin condition, either while here or after coming home, odds are it’s minor and will quickly pass. If your dog is old, young or otherwise compromised, however, vet attention may be advised.
Signed:*
DEPOSIT, CANCELLATION & "AFTER HOURS" POLICIES CLICK TO READ "PEAK SEASONS" DEPOSIT POLICY
DEPOSITS
Board and Train
Board and Train reservations are secured with a 50% deposit training fee. $100/week is non-refundable (to cover administrative costs and our rebooking efforts).
Classes
All class reservations are prepaid, and a 2-week cancellation is required. $20 is non-refundable (to cover administrative costs).
CANCELLATIONS AND REFUNDS
Boarding
Please cancel boarding reservations at least 24 hours before scheduled arrival. To cancel, please call the office at 707-762-6111
Board and Train
Training cancellation LESS than 2 weeks prior to start of scheduled training, forfeits entire 50% deposit UNLESS Dairydell is able to refill that training spot, LESS the $100 per week rebooking fees. Training fees do not include cost of collars, leads, whistles, etc. Those items will be billed separately. Cancellations made more than 2 weeks prior are refunded the deposit LESS the non-refundable $100/week.
Classes
Cancellation less than 2 weeks prior to start date forfeits the entire deposit. There are NO REFUNDS for cancellations less than 2 weeks prior to class beginning, and NO CREDITS for missed classes, once the class has started. Cancellations made more than 2 weeks prior are refunded the deposit LESS the non-refundable $20.
"Before or After Hours" Arrivals and Departures
We have a strict "Before or After Hours" Arrival/Departure Policy. PLEASE READ CAREFULLY: Our regular office hours are 7-Noon and 2-6 on Weekdays, 9-3 on Saturdays, and by appointment only on Sundays between 9 and Noon. ONLY if client requests and Dairydell agrees, will office open early or stay late to accommodate. While we are happy to do this, we charge $3 per minute for any related waiting and/or processing time which falls outside of our normal business hours. (Sorry, we cannot wait longer than 30 minutes, however). Note that after 15 minutes - it's actually cheaper for your dog to stay another night, if we have the room.
I have read and understand the Deposit, Cancellation and "Before and After Hours" policies stated above. I also have read and understand the various RISKS of boarding.
Signed*
Date*
Date Format: MM slash DD slash YYYY
MEDICAL AUTHORIZATION I authorize Dairydell to treat minor conditions such as eye irritations, dirty ears, cuts, bumps and bruises. I further authorize Dairydell to obtain veterinary treatment for my dog and bill my account in the event of more serious issues, or in the event of a medical emergency.
If I cannot be reached, either directly or through my emergency contact, I authorize medical expenses:
Not Exceed $
Medical Amount Signed*
Dairydell Informed Consent & General Release of Liability I, the legal owner of this dog, or its handler, understand that in consideration for participating in the training and activities authorized by this contract, that I am releasing, waiving, discharging and covenanting not to sue Dairydell, Inc., (hereafter referred to as Dairydell), its officers, owners, promoters, trainers, employees, sponsors, clients and each of them, for losses or damages and any claim of damage of any kind on account of sickness, death, loss or and/or injury to my dog or any other dog or person, as a result of negligence or otherwise, while the dog is on Dairydell's premise, or after it leaves Dairydell. Dairydell accepts NO dogs that have shown aggression toward humans - even towards vets nor can they be enrolled in group classes. (private sessions only) If I have withheld information from Dairydell regarding any aggressive behavior or tendencies in my dog, and my dog causes injury or loss to another dog or person, I will defend and indemnify Dairydell, Inc. from any resulting claims, demands, lawsuits, losses, costs or expenses, including attorney's fees. I understand and expressly agree that this release, waiver and agreement is intended to be as broad and inclusive as permitted by the laws of the State of California and that I have carefully read this release and know the content of the release, and sign this release as an act of my own free will, and that the terms of this release are contractual in nature and are not just a recital.
By agreeing to leave my dog with Dairydell I am accepting all health risks and risks of injury as well as any and all financial responsibility for veterinary treatment resulting from them.
If I am the handler of the dog in classes, I also acknowledge that I have voluntarily applied to participate in dog training activities with Dairydell, Inc. I am aware that there are inherent risks and hazards involved in activities with and around dogs, and I am voluntarily participating in these activities with knowledge of these potential dangers. I am not relying on Dairydell or its staff, volunteers, management or owners, to prevent such occurrences. In order to participate in Dairydell classes, demonstrations or other activities, I am fully informed of such risks and hazards, and agree to assume all risks of such occurrences. I agree not to bring children under 12 to any group class. I hereby waive any and all claims or action that I, or my guardians, representatives, or assigns may have against Dairydell, and agree to release Dairydell from any and all liability for personal injury to myself, my dog, children in my charge, or harm to property caused directly or indirectly by acts that might occur while at Dairydell classes, events, and activities. I further agree to indemnify, defend and hold Dairydell harmless for damage, loss liability or expenses, including legal costs and attorniey’s fees which result from any damage caused by myself, children in my charge, or dog(s) that I own or handle.
General Release Signed Legal Owner*
General Release Signed Guardian
General Release Signed Handler
Release Signature Date*
Date Format: MM slash DD slash YYYY
Dairydell Photo Release I authorize Dairydell, Inc. to photograph and/or video my dog or me and to use these images in future books, videos, promotional or educational materials, and hereby waive my claim to any compensation for such use.
Photo release Signed - Legal Owner*
Photo Release Signature Date*
Date Format: MM slash DD slash YYYY
Children Under 12 All our group training classes are designed for adult instruction (including the Owner Classes on Saturdays for board and train clients.) Due to safety restrictions, children under 12 are not permitted at any of our group classes. For those clients with small children wanting additional family training sessions, we are delighted to schedule these separately with one of our experienced trainers.
BILLING CREDIT CARD - Visa or Mastercard All training reservations are secured with a 50% deposit of the training fee. Please see our deposit and cancellation policy. Payment for Dairydell Daycare is required at Drop-Off
Dairydell’s training program involves not only professional in-house training, but owner follow-through as well. Results are wholly dependent on Owners following-through as directed and their ongoing commitment to enforcing our new rules at home after the training. Please do not click button more than once. There may be a slight processing delay. Please wait for confirmation that your registration has been sent.
If your registration will not process, call 707-762-6111 to register by phone.
Phone
This field is for validation purposes and should be left unchanged.
