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Beegan K9 Daycare/Boarding Intake Form

This form is for new clients interested in daycare or boarding services.

Upon completion, you will be redirected to a calendar to schedule an evaluation day for your dog.

Let's start with some information about you!

Your name (first and last)
Email address
Phone number
Your home address

Now we want to know about your dog!

Dog's name
Dog's breed(s)
Dog's age (approx.)
Dog's weight (approx.)
Male or Female?
Untitled multiple choice field
A
B
Multiple dogs? For now, unfortunately, you will have to fill out this form once for each dog. This is because we only evaluate one dog at a time. The good thing is the second (or third) time should go a lot smoother since you've gotten some practice. Sorry for the inconvenience!

Emergency Contact Information (different household than owner)

Name (first and last)
Phone number

Veterinary Information

Primary Clinic
Preferred doctor
Phone number
Spayed or neutered?
Untitled multiple choice field
A
B
C
Is your dog on regular Heartworm medication and Flea & Tick preventatives? (yes/no)
Untitled multiple choice field
A
B
Are there any medications your dog takes on a regular basis? If so, what are they? What are they for? And what dosages do they require?
Untitled multiple choice field
A
B
Does your dog have any allergies? Please explain if so.
Are there any area(s) on your dog that have been injured in the recent past or that they do not like to have touched?
Untitled multiple choice field
A
B

Behavioral Issues (be honest)

To your knowledge, does your dog struggle with any behavioral issues that you believe may make them a danger to other dogs or humans? Does your dog have a bite history? This will not impact your dog's chances of making use of our services. Simply answer YES or NO and elaborate if necessary. We will find out regardless but prefer knowing beforehand! Anyhow, it is rare that we turn a dog away, we like a good challenge!
Behavioral Issues (be honest)
A
B

I acknowledge that all above information is correct:

Signature

Upload Vaccination Documents

Before submitting this survey, you are required to upload a copy your dog's vaccination records below. This is so that we can keep all of our dogs safe! The required vaccinations include up-to-date Rabies and DHPP (Distemper, Hepatitis, Parvovirus) shots. 

Please carefully read and review items 1-10 listed in the Client Consent Agreement for Daycare and Boarding shown below. If you have any questions at all, reach out to us at [email protected]

Client Consent Agreement for Daycare and Boarding Beegan K9 Solutions LLC 11776 Berea Rd | Cleveland, OH 44111 (216) 310-9629 1. I (The Owner) understand that if my dog has a history of aggression, biting, or is deemed too dangerous for daycare or boarding services, Beegan K9 Solutions LLC reserves the right to refuse service. 2. I expressly waive and relinquish any claims against Beegan K9 Solutions LLC, its employees, and representatives, except those arising from negligence on the part of Beegan K9 Solutions LLC. 3. I understand that I am liable for any medical care expenses and damages that result from injuries caused by my dog, except those arising from negligence on the part of Beegan K9 Solutions LLC. 4. If any medical problems develop while my dog is in the care of Beegan K9 Solutions LLC, I authorize Beegan K9 Solutions LLC to do whatever they deem necessary for the safety, health, and well-being of my dog. Further, I agree to assume full financial responsibility for all expenses incurred. 5. I agree that in the event of a medical emergency or if asked for medical procedures, Beegan K9 Solutions LLC may have my dog treated by my (The Owner’s) veterinarian of choice, or if not provided, by a veterinarian of Beegan K9 Solution LLC’s choosing, and I will be responsible for the cost of any medical treatment. 6. My dog is on Heartworm medication and Flea & Tick preventatives. If a dog that is dropped off at Beegan K9 Solutions LLC’s facility for daycare or boarding and is found to have fleas and/or ticks, it will be quarantined, bathed, and given proper medications at the owner’s expense, or otherwise be sent home. 7. My dog has up-to-date vaccinations. The documents I am providing to Beegan K9 Solutions LLC show proof of current DHLPP (Distemper, Hepatitis, and Parvovirus) and Rabies vaccinations. 8. I consent to Beegan K9 Solutions LLC's use of my dog in social media content and promotional posts. 9. Updated pickup times for boarding and daycare services are provided at https://beegank9.com/. Unless other arrangements have been agreed upon by Beegan K9 Solutions LLC, I hereby agree to incur a $15 fee if I am late for pickup. 10. I hereby declare to Beegan K9 Solutions LLC that I am the legal owner of my dog; that my dog has not been exposed to Distemper, Rabies, Parvo, or Canine Influenza within the past (30) thirty days; that my dog has been inoculated as indicated by records presented; that my dog is currently and properly licensed; and that I (The Owner) have read this agreement in its entirety. By signing below, I certify that I have read and understand items 1-10 pertaining to rules and regulations of Beegan K9 Solutions LLC and accept all the Terms, Conditions, and Statements of the above Agreement titled "Client Consent Agreement for Daycare and Boarding".

Signature

Print full name

Today's date

Congratulations! Upon submitting this form, you will be redirected to a page to schedule your dog's evaluation. MAKE SURE YOU DON'T EXIT OUT OF THE NEXT PAGE WITHOUT FIRST SCHEDULING AN EVALUATION DAY! Either schedule your evaluation right away or save the link of the next page for later. That page is the only place to schedule an evaluation. If you for some reason lose the link, email us at [email protected] or join one of our weekly Teams Q&A calls so we can get things sorted out for you. Lastly, following your evaluation, future scheduling for Daycare can be found on our website on the SCHEDULE HERE page. For boarding inquiries, following your evaluation, simply send a text to 216-399-9245 with your name, your dog's name, and your preferred boarding dates. This information can also be found on our website!