No need to do this form until we’ve decided that your Dog(s) is coming for a Stay. Contact me first Anna firstname.lastname@example.org
some browsers will let you right click and print this.
or the Get the Form Here link is another way.
if neither works for you, just tell me and I’ll send as an attachment in an email. Thanks
WAGADILLY COTTAGE DOG CARE AGREEMENT FORM
In-Home Dog-Sitting at the residence of Anna James with Three Fenced Acres of Fun
email@example.com 304-496-7313 Home landline Web Site: wagadillycottage.com
Not a Kennel, or “boarding facility” – Dogs are Family Members while here at my home, just like at your home.
DOG CARE AGREEMENT
Name of Dog(s) ______________________________
Owners: all owners of dog(s) ____________________
Home Address: _____________________________
Phone Numbers _________________________________________________________
Occupations of all Owners of the Dog(s) _________________________________
Contact information for where you will be:
Who else could I contact if I can’t get you and if there’s an emergency?
Medications, if any, for each dog.
Special Needs, if any, for each dog.
What can I give as a Treat?
What, if anything, make your dog(s) sick?
Any special fears or concerns? (like storms,etc)
May I let your dog on my furniture? Or do you prefer I maintain established boundaries?
Where do you think your dog will want to sleep at night?
At your home, in normal life, do you ever have your dog(s) in a crate or cage? If so, when? ____________________________________________________
My Fence is 6 foot tall Stockade Privacy fencing around half of the three acres and is 5 ½ foot tall woven wire horse-type fencing around the rest. You agree to trust this fencing and to hold me harmless should your dog(s) escape. There is always the remote possibility of “acts of nature”…. a tree “could” fall on the fence, for example Note: this fencing has successfully contained many dogs of all sizes including very small and very tall.
I agree to trust this fencing and hold Anna James harmless in the event my dog(s) get out. _________
Has your dog ever escaped from a fence? _______________
In the event that your dog does get out, Anna commits to immediately go into “Emergency Mode”, lock-down all other dogs, and do what she can to retrieve your dog.
Does Your Dog Come on Command? _________
If so, what word do you use? _________________________
If your dog will not Come on Command, and if he/she happened to get out (no guests ever have so far, but still) then the likelihood that I can get him/her back is not good. If the dog will not Come, will not Come to me, and would not Come to any well-meaning neighbor who might try to help…. then, the likelihood of success is not good.
Come Command Training: If your dog does not Come on command, I can probably accomplish this while he/she is staying with me! If you want me to do this training, the charge is $75.00 I will use every opportunity to train your dog to reliably Come – and I have good success with this. The charge also includes me instructing you about how to keep it up in your own environments.
Pond: There is a small Gold Fish pond in front of the house… 3 feet deep 10 feet by 6 feet. Anna agrees to orient the dog(s) to the pond right away.
I agree to trust my dog not to drown in the 3 foot deep gold fish pond. And, if this were to happen, I would hold Anna harmless. ________
I understand that my dog(s) will be able to play and exercise on the three, fenced acres of Wagadilly Cottage and that there is a Dog Door that gives access to this yard most of the time, to make pottying and play easy for dogs. Anna agrees to be outside with the dogs and play with them and supervise during dedicated play times and hikes in this fenced yard a few times per day. I, the Owner, understand that sometimes the dog(s) might go out the Dog Door for pottying or play and Anna might be in the house. If too much times goes by, I (Anna) go out and check on things. To have the freedom and pleasure of the three acres, I can not be right with all dogs every minute they are outside. You understand this system and accept the remote, but possible, risks. You understand that injuries, disease, conditions or death could occur, and agree to hold Anna harmless if it does. ___________
I understand that with the fun & freedom, comes the possibilities of injury to the dog(s). I know that the play can get intense and it’s not uncommon for a dog to possibly get nipped (it’s not too unusual for the edge of an ear to get nipped, for example). I also understand that there are other potential hazards, such as: spider bites, bee stings, stepping on a brier, scrapes, bumps, being bitten by wild animals (this would be very unusual. wild animals do not choose to come into my fence much, because there are always dogs here – but I suppose the dogs “could” find an opossum or mole, or a neighborhood cat could be here.. things like that). I understand these possibilities, and that no money would be refunded for these occurrences and any vet fees incurred are the responsibility of the guest dogs’ owners, not Anna, and I agree to hold Anna harmless should any of them happen to my dog(s) ___________
First Aid: I also agree that for non-life-threatening injuries, it is alright with me for Anna to tend to these herself, and not take the dog to a vet. For example; scrapes, cuts, thorn in a paw, edge of ear nipped, bites that are not life-threatening, etc. I keep an extensive Dog first Aid Kit. I also used to be a people Registered Nurse with a BS Degree in Nursing. I have the supplies and the experience to irrigate, disinfect, medicate and bandage most wounds.
I agree to this and to hold Anna harmless for any resulting problems ______________
Should anything life-threatening occur to your dog(s), I will call you and discuss it with you. Obviously, if it’s a life-threatening emergency, I will get the dog in my car (note: I live alone. some dogs are too heavy for me to lift them into my car, if they were so ill that they could not jump) and on the way to a vet and try to call you on the way. These policies are fine with you _______
In the event that she can not reach you, life threatening illness or injury will be treated as deemed best by Anna James within her sole discretion. All veterinarian bills will be the responsibility of the owner, regardless of cause. ________ Owner agrees.
Veterinary Care: You agree to pay for any and all veterinary bills your dog may incur, regardless of how the condition/injury/disease/death came to pass. You also agree to the fact that Anna would take your dog(s) to the Veterinarian that is closest and/or the best suited for the dog and the situation. I agree to these policies and to hold Anna harmless for any such occurrences or consequences thereof. ___________
If in Anna’s judgment, your dog requires medical attention, you, the Dog Owner accepts sole responsibility for payment of all medical bills incurred on your dog’s behalf. You release Anna James from any and all responsibility for, or claims, debts, or damages related to such medical care. ______
Attendance: It is ok with me for Anna to go out for errands while my dog is boarded with her and I understand that this is how that would be handled. I (Anna) live alone and stay home almost all the time, but might have to run out for errands, especially if I am having your dog for a long time – obviously, I have to go out for groceries, etc. at some point.
If you tell me to isolate your dog if/when this happens, I will, wherever and however you and I agree. Example, the kitchen, the bathroom, the Foyer, or there are other possibilities too.
I try very hard to never leave until a few days have passed and I am familiar with your dogs’ behavior and interaction with whatever other dogs may be here. If everything is going smoothly, I would let your dog(s) have the Great Room and Bed Room, just like they always do, and I like to let them have the Dog Door to go out – but I definitely do not still let them have the three acres… that is way too much space for unsupervised dogs. The Dog Door goes out to a smaller fenced yard and this is all they get when I’m gone. This small yard has a gate that opens to the three acres when I’m there, but is closed when I’m not… and sometimes at night too (depends on the dog situation – if your dog is sleeping in my bedroom, that door will be closed and they can’t go out then anyway) I agree that this arrangement is fine with me __________
or, My dog(s) should be isolated if Anna has to go out and this is where and how we decided to do that _______________________________________________________________________
Your Dog(s) and Other Dogs:
About _________________ (Dog’s name)
___ My dog has been in situations where he/she was with other dog, so I know how he/she behaves.
___ My dog doesn’t really have to interact with other dogs, so I really don’t know how he/she would behave.
___ I have never known my dog to be aggressive to other dogs at all
___ I have seen my dog growl and give a warning snap of the mouth to other dogs (maybe over food, toys or the other dog being to close, etc) but never any injury that broke the skin.
___ I do know of my dog having injured another dog(s), but it was an unusual situation (explain briefly) and since then, it has been ________ (amount of time) since it happened and it hasn’t happened again.
____ My dog does bite other dogs and it’s a known problem. Here’s the situation (explain)
Your Dog(s) and Other People: note: I live alone and I have no children. There is not much coming and going of other people here. Sometimes I do have a Worker Guy doing yard work, etc. It is not a problem if I need to not schedule him while your dog is here. If anyone else needs to come here, I can isolate your dog, if you tell me I have to. So just tell me the situation, honestly, I can work with it.
____ My dog has never shown any aggression to any person
____ My dog can not be completely trusted with ____________________ (kids? Men? Anyone?)
____ My dog has a history of biting people. Give details:
____ I want Anna to work on this behavior and will pay her for At-Wagadilly-Training Time $25 per hour
Your Dog(s) and my House:
____ you can trust my dog to not destroy your house/furniture
____ you can not trust my dog to not destroy your house/furniture if you go out for errands, so you should
____ My dog will rip your house to shreds no matter what you do (:
Although I provide reasonable supervision and require guests to show proof of vaccinations and flea prevention, dogs may escape, injuries may occur and fleas or disease may be transmitted.
Dog Owner(s) agrees that he or she, as well as all other owners of the dog(s), all family members and any and all representatives thereof will hold Anna James harmless in all regards for any and all loss, harm, injury, expense, medical bills related his/her dog(s) as well as humans (you, members of your family, anyone who enters Anna’s property on your behalf) resulting from their dog(s) being at anna’s property.
Your signature below indicates:
_____You have made full disclosure
_____You have read, understand, and acceptance of the terms of this agreement
_____Your acknowledgment of the risks of communal daycare and boarding.
This Agreement is effective and binding upon the Parties. Each time you have your dog(s) to Anna James’ residence, Wagadilly Cottage, whether for training, boarding, or daycare, you affirm the terms of the Agreement.
Owner Signature: _____________________________________________ Date:
Anna James _________________________________________________ Date