Full Service Pet Care/Healing Arts

Full Service Pet Care; Professional Dog Grooming; Boarding; Day Care;
Training; Energy Balancing; Healing Arts

K9 Monk, LLC Boarding Intake Form—One form per dog please.

Please fill out and submit this online Intake Form before we meet for the first time.

Thank you for choosing K9 Monk, LLC for your pet’s care while you are away! It is important that you fill out this form and read the terms and conditions before you and your pet visit us for the first time.

Client Name*

First

Last

Your Email*

Best number to reach you:*

Alternate number to reach you:

Address*

Street Address City State Postal / Zip Code

How did you hear about us?*

Please List An Emergency Contact:*

First

Last

Emergency Phone Number:*

Veterinary Information:*

First Name

Last Name

Doctor’s Phone Number*

Doctor Address*

Doctor Street Address City State Postal / Zip Code

Pet Information

Dog’s Name*

Dog’s Breed*

Color(s)/Markings*

Dog’s age*

Sex:*

Female

Male

Spayed/neutered?*

Spayed

Neutered

Not Sure

Approximate date altered:

Microchip?*

Yes

Where did you get this dog?*

How long have you had him/her?*

If you have not had him/her from puppyhood, what do you know of the dog’s prior history?*

Are there any other animals in the household? (Species/Breed/Age, please)*

Has your dog participated in daycare or played in off leash dog parks?*

Yes

Please describe your dog’s overall temperament*

How does your dog interact with other dogs? (Generally)*

Has your dog ever bitten a person?*

Yes

Has your dog ever bitten a dog?*

Yes

If “Yes” please explain:*

Has your dog ever tried to escape (home, backyard, vet, etc.)?*

Yes

Does your dog jump fences?*

Yes

Will your dog share water with other dogs?*

Yes

Does your dog have any sensitive areas on his/her body?*

Yes

If there are sensitive areas, please explain:*

Does your dog have any allergies?*

Yes

If your dog has allergies, please explain:*

Does your dog have any disabilities/health problems?*

Yes

If there are health conditions, please explain:*

Is your dog on tick and flea preventative?*

Yes

Is your dog on a worm/parasite preventative (ie. Heartgard, Sentinel, Advantage, Ivermectin/Pyrantel, etc.)?*

Yes

The goals of dog daycare are to socialize the dog and provide exercise benefits. Safety is always number one when in a pack environment. In order to keep our guests safe during play time, we apply a few methods listed below to keep unwanted behavior to a minimum. No methods we use are meant to do any harm to the dog. It is only strictly to keep a safe, well rounded pack of animals and provided the best socially safe experience for your dog.

Unwanted behaviors include but are not limited to: rough play, bullying, excessive sprints, excessive barking, tugging on skin, humping, fighting etc.

Spray Bottle—Just filled with water and is commonly used throughout the day. We may spray the dog in face area or butt area.

Can with coins—This is a tin can filled with coins. May be shaken and used as a noise corrector.

Lead Time Out—This is a rope leash that can be quickly looped around the dog to get control. In the event of an unwanted behavior we may lead the dog for a short period in the room to calm them down.

Physical Touch Correction—We may use our body and hand to physically stop the dog. This may look like a poking motion usually near dog’s butt area or neck. We may at times hold the dog by scruff of neck to get control of the situation. This is not meant to harm the dog in any way. Applied when unwanted behaviors are exhibited which can lead to safety concerns, such as dogs snapping or fighting.

Crate Time Out—Putting the dog in the crate in a separate area. We may remove the dog from play area if unwanted behavior is persistent and other methods have not been effective.

Policies and Procedures

K9 Monk, LLC and its employees agree to provide services stated in this agreement in a reliable and trustworthy manner. In consideration of these services and as an express condition thereof, the client expressly waives any and all claims against K9 Monk, LLC or its employees, unless arising from gross negligence on the part of K9 Monk, LLC.

The client understands that all pets must have a veterinarian and must be current with all vaccinations. Vaccinations must be given far enough in advance to be effective. We require about 2 weeks. Vaccinations required are Rabies, Distemper (DHPP/DA2PP/DHLPP) and Bordetella (Kennel Cough). A Fecal Test must also be done within the last 6 months and must be negative for worms and parasites. Please bring vaccination record with you before or during admission or pet(s) will not be admitted.
The client understands that all pets must be treated with a flea, tick and heartworm preventative. If fleas are found on pet, a flea bath will be given at owner’s expense.
Client understands the dog’s nails must be clipped regularly for the safety of all our dogs and employees. If the dog’s nails are found to be too long, we will cut them at owner’s expense.
K9 Monk, LLC will not be held responsible for stressful effects boarding/daycare may have upon an elderly pet. A senior dog is defined by the American Veterinary Medical Foundation as a canine, small and big as 7 years of age and above. Boarding extremely old, chronically ill or otherwise debilitated pets requires extra care, which our caring and trained staff is happy to provide. However, special-needs pets, puppies and senior pets naturally have a higher risk of injury, stress-related illness, or exacerbation of any pre-existing condition. As such, by boarding your special-needs pet, puppy or senior pet with us, the Client waives any claim for injury or illness experienced by the pet. The Client waives any claim that K9 Monk, LLC is not responsible for any accidental death of a pet with pre-existing health conditions.
K9 Monk, LLC will not board acutely ill animals or those with uncontrolled medical conditions. We suggest the pet be boarded with a vet. Certain medical conditions may also be referred to a veterinarian for boarding. Pets infected with worms, parasites, or any other contagious disease will not be admitted.
The client understands that the animals interact with other animals and employees. The client must express any known aggression problems that the animal has with other pets or people and must be free of any communicable diseases. The pet is being admitted based on client’s representation.
Client understands that dogs are unpredictable and, without warning, may bite or cause harm to others. Client further understands that there are risks involved in a boarding/day care settings such as fights, bites and the transmission of diseases and releases K9 Monk, LLC of liability.
Client acknowledges that this agreement will be valid for all pets owned by the client.
Client is solely responsible for any harm caused by their pet to any employees, other pets/owners, or property. Client agrees to reimburse K9 Monk, LLC for all costs (including, but not limited to, medical care and lost wages) associated with exposure to pet(s).
K9 Monk, LLC does not provide food, and bedding; however, if you decide to provide your own, K9 Monk, LLC is not responsible for those items. Please label all items including medications with pet's name and owner's name. It is recommended that the client provide the pet’s own food as a change in diet can cause upset stomachs.
K9 Monk, LLC does not accept aggressive animals. Client understands if a playgroup setting is requested for your pet that accidents do happen. Client understands K9 Monk, LLC will not be responsible for scrapes, scratches, playful bites, transmission of diseases, etc. as these things are common amongst play groups.
K9 Monk, LLC reserves the right to take pet(s) to vet if necessary. Client is responsible for all charges including, but not limited to, vet fees and transportation fees.
K9 Monk, LLC reserves the right to deny service or terminate service because of safety concerns, financial concerns, or inappropriate or uncomfortable situations.
There will be a $33 fee for late pick-ups. If pet is not picked up by closing time the pet will remain for another night and will be billed for boarding. Check out time is 12pm; any dogs picked up after 12pm will be charged $33 until 7:30pm.

During my absence, K9 Monk, LLC will be caring for my pet(s). In the event of an emergency, I authorize K9 Monk, LLC to seek medical treatment and will be responsible for payment to you upon my return., I authorize K9 Monk, LLC to transport my pet(s) to a veterinarian of choice and authorize treatment. If emergency care is needed after regular office hours, my pet(s) may be taken to the nearest Veterinarian Emergency Clinic/Hospital.

I give permission to K9 Monk, LLC to approve treatment up to $1000. I agree to be responsible for all charges upon my return including, but not limited to, vet fees, extra visit fees and transportation fees.

I agree that K9 Monk, LLC is released from all liability related to veterinary treatment for sickness or emergency.

Veterinarian Release

Pet(s) Name(s)*

Birth date(s)

This entire agreement is valid from the date below and grants permission of K9 Monk, LLC for future veterinary care without the need for additional authorization each time K9 Monk, LLC cares for one or more of my pets. In placing my initials on this contract, I agree I have read all the terms and conditions above and that I have the authority to make health, medical and financial decisions regarding the animals that will be scheduled to receive service. Please initial:*

Date:*

Enter the answer in space provided:

Hours: Mon–Sat 7:30am–7:30pm • Sun 8:30am–5:30pm • Located in Locust Valley, New York, 11560 • Tel: 516-382-5553 • Email: TheK9Monk@gmail.com