Day Training / Day Care Intake Form

* = required field.
Owner Information

First Name *
Last Name *

Address

Email Address *
Primary Phone Number *

Home Phone
Work Phone

How did you hear about us? (Search Engine, Facebook, Instagram, etc) *
Please be specific.
Veterination Information
Clinic Name *

Veterinarian's Name
Vet Phone *

Street Address

Emergency Contact Information

(This cannot be yourself; it must be someone else we can contact if we are unable to get a hold of you in an emergency situation.)

Name *

Primary Phone *
Email Address *

Home Phone
Work Phone

Aside from the listed emergency contact, who else do you authorize to pick your dog up from Ryker’s Daycare?

Dog Profile

Your answers simply help us to get a better understanding of your dog's history, and which dogs they would be best suited for. You must fill out a separate profile for each dog you wish to enroll in daycare.

Dog's Name *
Breed *

Dog's Age *
Dog's Weight *

Dog's Sex *
MaleFemale
Spayed/Neutered? *
YesNo

Where did you get your dog? *
When did you acquire your dog? *

If adopted, what knowledge do you have of your dog’s history?

Interactions With Other Animals
Has your dog played with other dogs? *
YesNo
If yes, how many dog friends does your dog have?

Describe your dogs play style *

How does your dog react to puppies? *

What type of dog does your dog prefer to play with (breed, size, ect.)?

Does your dog prefer to play with Male or Female dogs?

How does your dog react to other dogs approaching the home or yard?

How does your dog react to other dogs in public ON leash? *

How does your dog react to other dogs in public OFF leash?

Does your dog fear or dislike any types of dogs? *

What happens when another dog tries to take food or toys from your dog? *

Has your dog ever bitten another dog? YesNo *

If yes, what were the circumstances?

Has your dog ever been bitten by another dog? YesNo *

If yes, what were the circumstances?

Interactions with People
How does your dog react to strangers? *

Are there any types of people that your dog automatically dislikes or fears? YesNo *

If yes, please describe?

How does your dog behave around children? *

What happens when a person tries to take a toy or food from your dog? *

Has your dog ever bitten anybody? YesNo *

If yes, what were the circumstances?


General Information
Rate your dog’s energy level – 1 being very mellow and 10 being totally uncontrollable: *

Is your dog frightened by any noises or objects? YesNo *

If yes, please describe.

Is your dog frightened by anything else? YesNo *

If yes, please describe.

Is your dog mouthy or does he nibble on you? Please Explain. *

Does your dog bark a lot? *

Does your dog growl? YesNo *

If yes, is it a play growl or a warning growl?

Where are your dog's favorite petting spots? Are there any spots they don't like? *

What is your dog’s training history? (Check all that apply) *
No TrainingPuppy KindergartenTrained YourselfGroup Classes - Basic MannersPrivate Training LessonsGroup Classes - Advanced

Does your dog have a bathroom command? YesNo *

If yes, what is it?

Is your dog crate trained? *
YesNo
Do they have a preference of crate?
Wire CratePlastic CrateDoesn't MatterN/A


Health Information
Does your dog take medication? YesNo *

If so, for what? List medication. How often?

Does your dog have any past injuries or conditions? If so, please describe *

Does your dog have any sensitive areas on the body? If so, where? *

Does your dog have any food, environmental, or drug allergies? *

Can we give your dog treats while in daycare? *

What type of food does your dog eat? Brand/Variety? *


Additional Information
Please list any other comments about your dog that you feel will be helpful.


Scheduling Policy

All scheduling for Day Care and Day Training will need to be e-mailed to daycare@fresnodogtraining.com or you may leave a message at 559-817-4333 Ext. 3

Please note that Day Care is Extension 3. If messages are left on other lines, our Day Care staff is unable to get them, so you may be charged a No Show/Late Cancellation Fee if left on the incorrect line.

We must receive your dog’s Day Care or Day Training schedule NO LATER than Monday at 12pm for the week’s schedule.

*

Early Morning Drop Off & Late Pick Up Policies

Regular scheduled morning drop off hours are from 8 a.m. – 10 a.m. & regular Pick Up hours are from 4 p.m. to 6 p.m. Earlier times are priced as follows:

7:30 a.m. Drop Off – Courtesy No Charge – must be scheduled with Day Care Staff

7:15 a.m. Drop Off or Earlier- $25.00 - must be scheduled with Day Care Staff

All dogs must be picked up by 6p.m. - Any dogs picked up after 6p.m. will be charged a $1 per minute late fee that must be paid upon arrival.

*

Cancellation & No Show Policy

Because we are a specialized Day Care, we have limited spots available based upon space and staffing, so reservations are required for Day Care & Day Training. If your dog will not be attending on a scheduled day, you must notify no later than 10 a.m. the day prior. Notice can be given by contacting our Day Care Staff via e-mail, daycare@fresnodogtraining.com, or phone, (559) 817-4333 Ext 3.

If you do not notify the Day Care Staff of your cancellation before 10am the day prior, a No Show/Late Cancellation Fee will be charged. You will have an invoice e-mailed to you that must be paid for your dog to return to Day Care or Day Training. The No Show/Late Cancellation fees will be as follows:

Day Care No Show/Late Cancellation Fee: $15.00

Day Training No Show/Late Cancellation Fee: $30.00

*

Package Expiration Policy

Day Care and Day Training Packages must be used within the time frames below:

20 Day Packages must be used within 3 months of purchase date

30 Day Packages must be used within 4 months of purchase date

If a dog misses 3 consecutive weeks of Day Training or Day Care with no communication from owners, the package will expire 2 months from purchase date.

Any remaining credit will be forfeited if not used by the expiration date.

*

Disinfecting Fee Policy

If your puppy does not have their full set of Parvo shots, you will be charged a $25/day disinfecting fee. We disinfect specific areas for your puppy with a parvocide. We also carry your puppy to and from those areas. If you bring your dog to us without disclosing that they are sick, you will be subject to a disinfecting fee of $300 and may be subject to forfeiting your remaining package credit.

*

Transportation Policy

Transportation to the groomers is a $10 fee.

Transportation home or to vet appointments within 10 miles of our facility are $25.

Anything over 10 miles is an added charge of $0.60 per mile.

*

By typing your first and last name below, you thereby have read, understand and accept all of the above Ryker Dog Training (formerly Instinct Professional Dog Training) Policies and Fees.

Your type-written name is considered an e-signature. *

Date: *

LEGAL

The undersigned person has registered to participate in Ryker Dog Training’s (formerly Instinct Professional Dog Training) Day Care/Day Training program in Fresno, California.

1. I hereby certify that I am the owner of , the dog that will participate in Day Care and/or Day Training.

2. I understand that other dogs will attend Day Care/Day Training and that during the course of participation, my dog may come into direct contact with all other participating dogs.

3. I hereby certify that the above named dog has been fully vaccinated for canine distemper, canine parvo virus, canine hepatitis, canine parainfluenza and canine corona virus (DHPPC), as well as bordetella (kennel cough), and rabies in accordance with local laws. I am aware that my dog may be exposed to those infection diseases described above. However, since Ryker Dog Training (formerly Instinct Professional Dog Training) has advised me that my dog should be fully vaccinated against those diseases before attending Day Care/Day Training, I alone assume responsibility for any such exposure.

4. I understand if my dog has any of the following symptoms, I need to notify Day Care Staff prior to bringing your dog to daycare: diarrhea, vomiting, coughing and/or hacking, lethargy. These can be signs of a serious illness. If you bring your dog to us without disclosing that they are sick, you will be subject to a disinfecting fee of $300 and may be subject to forfeiting your remaining package credit.

5. If you, the owner of the dog participating in Day Care/Day Training opt not to have your pet spayed or neutered, Ryker Dog Training (formerly Instinct Professional Dog Training) will not be held responsible for any unplanned interaction/breeding. Intact pets tend to be territorial (marking) and/or aggressive. Ryker Dog Training (formerly Instinct Professional Dog Training) will not tolerate any marking of territory and/or aggressive behavior.

6. I am aware that given the sometimes unpredictable nature of dogs, an interaction could take place between animals at Day Care/Day Training, which may result in injury to my dog, or other dogs, or to other people. I alone resume responsibility for any such injury and I am aware that if my pet becomes aggressive or destructive to another animal or property he or she will be placed in a timeout and/or our trainers will deal with the behavior accordingly.

7. As to Ryker Dog Training (formerly Instinct Professional Dog Training) and its assistants, I hereby waive and release any actions, causes of actions, damages, rights, claims, or lawsuits which I may have for: (a) any and all personal injury or property damage which may be sustained arising out of any interaction between dogs participating in Day Care/Day Training; and (b) any and all injury, illness or disease sustained by my dog arising our of or stemming from its participation in Day Care/Day Training.

8. I hereby assign and grant Ryker Dog Training (formerly Instinct Professional Dog Training) the right and permission to use, reproduce, distribute, and publish the photograph(s), film(s), videotape(s), audio and video recording(s), electronic representation(s) and/or sound recording(s) made of me and/or my dog (s) at any time during the Day Training and/or Day Care of my dog(s) by Ryker Dog Training (formerly Instinct Professional Dog Training), and I hereby release Ryker Dog Training (formerly Instinct Professional Dog Training) including Brittany Sawyer-Guthrie, and her assistants from any and all liability resulting from such use, reproduction, distribution, and publication.I hereby authorize the reproduction, sale, distribution, copyright, exhibit, broadcast, and/or electronic storage of any and all such photograph(s), film(s), videotape(s), audio and video recording(s), electronic representation(s) and/or sound recording(s) without limitation at the discretion of Brittany Sawyer-Guthrie and I specifically waive any right to any compensation I may have for any of the foregoing.

9. I give my pet permission to co-mingle/socialize with other Day Care/Day Training participants.

By typing your first and last name below, you thereby have read and understand this release form and I will honor and abide by the terms and conditions set forth above.

Your type-written name is considered an e-signature. *

Date: *