Pet Application and Facility Agreement Please read and answer all questions carefully. The answers to these questions helps our staff ensure that your pet is safe and happy while at Sydney's. You may also print the agreement if you prefer. It may take our staff up to 72 hours to enter your application. We do not make confirmation calls after receiving applications or vaccination records.LocationsLocationsLeawoodWichitaOwner InformationOwner's Name*Address Street Address City State / ProvinceAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email Home PhoneWork PhoneCell PhoneHow did you hear about us?Would you like to receive email alerts?YesNoWould you like to receive text alerts?YesNoIf so, what number should we text?Who is your cell phone service provider for that number?Emergency Contact (When You Are Unavailable)NamePhoneVeterinarian ContactVeterinarianCity/StatePlease bring a copy of your pets vaccination records with you or have your veterinarian fax us a copy prior to your arrival to avoid any delays during check in. The minimum requirements are as follows: Dogs Rabies DHLPPC (distemper, hepatitis, leptospirosis, parainfluenza and parvo virus) Bordetella Canine Influenza Cats Rabies FVRCP (Feline Viral Rhinotracheitis, Calicivirus, Panleukopenia)Pet BehaviorIs this your pet's first time at boarding or daycare?YesNoHas your pet ever been groomed?YesNoDoes your pet exhibit and fears that we need to be aware of?Has your dog ever bitten another dog or person?YesNoIf so, explain:Authorized PersonsAt Sydney's Pet Resort the security and care of your pet is the cornerstone of our business. For your protection, only the Owner or the person listed as the authorized pick up person will be bable to pick up the pet. Please list any other persons you authorize to pick up your pet below.Name 1Phone 1Name 2Phone 2Name 3Phone 3Pet InformationSpeciesDogCatBirdOtherPet's NameNicknameBreedWeightColorSexMaleFemaleNeutered/SpayedYesNoDate of BirthMethod of Flea ControlCurrent?YesNoMethod of Heartworm ProtectionCurrent?YesNoHealth ConcernsMedications (dosage, frequency, etc.)Feeding Instructions (amount, frequency, etc.)Are there any treats we should NOT offer your pet?Does your pet have any allergic reactions to anything?Pet PersonalityHow does your dog react to strangers coming to your home?How does your dog react to other dogs coming into your home or yard?Did your dog come from a rescue shelter?YesNoHas your pet ever been abused or neglected that you are aware of?YesNoDo you feel your dog would socialize with a group of other dogs?YesNoDoes your dog come when called?YesNoWhat is your pet's favorite toy?Is there any place on your pet's body he does not like to be pet?Is there anything you would like to share about your pet?AgreementThe following represents a contract between Sydney's Pet Resort and the Owner of the pet whose name(s) appears on this Application and Facility Agreement (the "Agreement"): By submitting this Agreement and leaving his/her pet with Sydney's Pet Resort, Owner certifies to the accuracy of all information given in the Agreement. Owner agrees to pay the rate for boarding, grooming, daycare and any other requested services in effect on the date pet is checked into Sydney's Pet Resort. Owner further agrees that the pet shall not leave Sydney's Pet Resort until all charges are paid to Sydney's Pet Resort by Owner. I understand that the hours of operation of Sydney's Pet Resort are: Monday - Friday 6:30 am - 6:30 pm (Check out time is 1:00 pm) Saturday 8:00 am - 4:00 pm (Check out time is 1:00 pm) Sunday 10:30 am - 12:30 pm (Check out time is 1:00 pm) Sunday (Departure) 4:00 pm - 6:00 pm Reservations are required for overnight stay. I agree that if I pick up my pet after 1:00 pm for any reason whatsoever, I will be charged for a full day of boarding for that day. No after-hours pickups will be permitted. Additionally, there are no drop offs or pick ups on New Year's Day, Easter, Memorial Day, Fourth of July, Labor Day, Thanksgiving or Christmas Day. There may be days when we close at noon prior to a major holiday. Comfortable, clean, bedding is provided by Sydney's Pet Resort and bedding from home is highly discouraged. Sydney's Pet Resort cannot be held responsible for lost or damaged bedding material. Sydney's Pet Resort provides a variety of veterinarian prescribed diets for your pet while in our care. Should you choose to bring your own food please apportion the food for the pets stay. We are pleased to administer any medications your pet may be required to take. All dogs that will be in daycare/dayplay must be spayed or neutered. Owner will inform Sydney's Pet Resort of any medical problems and or allergies that may flare up due to the stress of grooming at the beginning of each appointment. Sydney's Pet Resort will not be responsible for clipper burn and/or minor nicks resulting from grooming of matted, neglected coats or for irritation caused by removing the coat from pets possessing mild to severe skin allergy. We reserve the right to charge additional fees for services we consider over and above the norm covered by our standard rates. Such as medicated baths, flea baths or threat to us or to other pets left in our care, whether it is an aggression problem, health problem or parasite problem. I understand the conditions for boarding my pet at Sydney's Pet Resort and by signing this release and waiver I am agreeing to hold Sydney's Pet Resort, its owners and employees harmless from any and all claims for damages or injuries suffered by, or in any way relating to my pet's stay at Sydney's Pet Resort. The Owner agrees to be solely responsible for any and all acts of behavior of the pet while it is in the care of Sydney's Pet Resort. Sydney's Pet Resort will not be held responsible of stressful effects grooming or boarding may have upon an elderly pet. All pets must be in good health. Owners will need to certify that their pet(s) are in good health and have not been ill in the past 30 days. On admission all pets must be free from any condition, which could potentially jeopardize other guests. Pets that have been ill with a communicable condition in the last 30 days will require a veterinarian certification of health to be admitted or readmitted. While we do our very best to care for your pet, Sydney's Pet Resort cannot guarantee the health of my pet during their stay. Some conditions are unavoidable in boarding facilities such as but not limited to weight loss, hair loss, upper respiratory infections, bronchitis, diarrhea and parasites. I understand that all pets admitted must be protected against communicable contagious diseases and must be free of parasites. This will help to provide for a healthier environment for all. If any problem or emergency develops and it is necessary to treat your pet, please select one of the following directives: I agree to be responsible for any and all charges incurred to care for my pet's health per my choice.Treatment Selections:Please treat my pet as required: You need not contact me.Perform only emergency and supportive care. Notify me for permission to begin any other treatment.Do not perform any diagnostics and/or treatment until I am notified and consent to treat. I understand that my pet's health may be at risk until I am notified.NameThis field is for validation purposes and should be left unchanged.