First Name *

Last Name *

Cell/Primary Phone *

Email *

Address *

City *

State Abbreviation (ex: OH) *

Postal code *

Country *

How did you find us? *

That's awesome! We'd love to give them a bark and say thanks!

Name of Referral *

Alternate Allowed Pick-Up Person

Alternate First Name *

Alternate Last Name *

Alterante Cell/Primary Phone *

Paws Information

How many Paws will be joining us for some Pawesome Play Time?

Number of Paws *

The application will ask you specific information about each Paw. Please remember to fill out each section for each Paw accordingly. If you're not boarding all of your Paws, that's OK too, just fill out the information for those you're boarding!

Paws #1

Paws Name *

Breed *

Main Color(s) *

Weight (lbs) *

Approximate Age (Years) *

Gender *

Spayed/Neutered *

Neutered

Spayed

Not Fixed

Unknown

Birthdate *

Potty Training *

Outside

Potty Pads (inside)

Untrained

Microchip #

Microchip Company

Upload Vaccination File

Upload File(s) Here

Upload a Photo of Your Paw

Pawesome Smiles!

Paws #1 (cont.)

How long have you owned your Paws? (Years) *

Where did you get your Paws? *

Often times adopted and rescued Paws may need special attention or modification of boarding/play time. Please provide as much information as you can about their background so we know how to best accommodate their needs and ensure a Pawesome stay!

If Adopted/Rescued Please Provide All History:

Has your Paws ever been in daycare/boarding? *

Paws #1 (cont.)

May we entice to eat? *

Yes

May we administer anti-diarrhea medications? (Pepto, Immodium, etc.) *

Yes

Is there anything else we should know about your Paw?

Will you be bringing a 2nd Paw? *

Paw #2

Paws Name *

Breed *

Main Color(s) *

Weight (lbs) *

Approximate Age (Years) *

Gender *

Spayed/Neutered *

Neutered

Spayed

Not Fixed

Unknown

Birthdate *

Potty Training *

Outside

Potty Pads (inside)

Untrained

Microchip #

Microchip Company

Upload Vaccination File

Upload File(s) Here

Upload a Photo of Your Paw

Pawesome Smiles!

Paw #2 (cont.)

How long have you owned your Paws? (Years) *

Where did you get your Paws? *

If Adopted/Rescued please provide all history:

Has your Paws ever been in daycare/boarding? *

Paw #2 (cont.)Text

May we entice to eat? *

Yes

May we administer anti-diarrhea medications? (Pepto, Immodium, etc.) *

Yes

Is there anything else we should know about your Paw?

Will you be bringing a 3rd Paw? *

Paw #3

Paws Name *

Breed *

Main Color(s) *

Weight (lbs) *

Approximate Age (Years) *

Gender *

Spayed/Neutered

Neutered

Spayed

Not Fixed

Unknown

Birthdate *

Potty Training *

Outside

Potty Pads (inside)

Untrained

Microchip #

Microchip Company

Upload Vaccination File

Upload File(s) Here

Upload a Photo of Your Paw

Pawesome Smiles!

Paw #3 (cont.)

How long have you owned your Paws? *

Where did you get your paws? *

If Adopted/Rescued please provide all history:

Has your paws ever been in daycare/boarding? *

Paw #3 (cont.)

May we entice to eat? *

Yes

May we administer anti-diarrhea medications? (Pepto, Immodium, etc.) *

Yes

Is there anything else we should know about your Paw?

Will you be bringing a 4th Paw? *

That's Pawesome!

This application is only designed to collect information for 1-3 Paws. Please click the arrow in the bottom right corner to continue with the application then send an email to [email protected]!

Veterinarian Information

Veterinarian Name *

Veterinarian Clinic *

Veterinarian Phone *

Veterinarian Fax

Veterinarian Street Address *

Veterinarian City *

Veterinarian State *

Veterinarian Zip Code *

Veterinarian Country *

Health and Temperament Agreement

I agree and understand that in admitting my Paw to Max & Alayna’s Paws Play that my Paw is in good health, is current on all vaccinations and flea control and has not harmed or shown aggression or threatening behavior towards another Paw and/or human. I understand that in any cage-free Paw environment that there is an inherent risk of injury or illness from rough play and/or fights. Understanding this, I accept full responsibility and hold Max & Alayna’s Paws Play harmless for any pet injury, death or damage. I agree that I am solely responsible for any harm caused by my Paw while my Paw is in the care of Max & Alayna’s Paws Play. I agree not to hold Max & Alayna’s Paws Play and their associates liable for any injuries to my Paw while in the care of Max & Alayna’s Paws Play. I understand if my Paw shows repeated aggressive or menacing behavior that he/she will be moved to seclusion. If the behavior continues your Paw may be asked to leave Max & Alayna’s Paws Play. This is not a personal attack on the Paw, rather our attempt to ensure all of the Paws in our care are comfortable and kept safe. By signing this form, you acknowledge that you understand and accept the terms and conditions set forth by this agreement.

I agree to the Health and Temperament Agreement. *

Yes

EMERGENCY MEDICAL TREATMENT AUTHORIZATION

Max & Alayna’s Paws Play will make every effort to contact you in any emergency situation with your Paw before we transfer to a licensed veterinarian. This authorization gives the associates of Max & Alayna’s Paws Play to act on my behalf in the event my Paw needs medical attention. I, the owner, authorize a licensed veterinarian and their assistants to administer treatment and perform procedures as are considered therapeutically and diagnostically necessary for the care of my Paw, including administration of anesthesia. In the event that emergency treatment is required, I authorize the veterinary staff and their assistants to perform medical and surgical treatments necessary to preserve the life of my Paw until I can be contacted for further approval. I accept full responsibility for any and all financial costs associated with the treatment that my Paw receives from the licensed veterinarian and their staff. I hereby release and hold harmless Max & Alayna’s Paws Play and any of their employees and associates from any and all claims from any emergency situation involving my Paw.

I agree to the Emergency Medical Treatment Authorization. *

Yes

Guidelines and Policies

RESERVATIONS: Class schedules are consistent based on the day/time you choose.It will be very hard to make up a class and we will always do our best to accommodate but missing a class is not recommended and arrival should be prompt.
PAYMENT:Total investment is required prior to the start of you selected class schedule.
CANCELLATIONS: We accept cancellations up to 7 days in advance with a full refund; 50% less than 7 days; no refund less than 2 days.
FOODSmall bite treats may be brought and we do not recommend sharing with other Paws in class.
SICK POLICY: We reserve the right to refuse Paws if he or she is flea infested or sick. If your Paws becomes ill during your 8 week class, we will do our best to accommodate rescheduling but they should remain home.
COLLAR GUIDELINES: A quick release or buckle collar, head halter or harness (no choke, electric or prong collars)
LEASH GUIDELINES: We follow the leash laws of Cleveland. Every Paws arriving or leaving our facility must be leashed on a 4’ to 6’ leather or nylon, non-retractable leash.
VACCINATIONS: All Paws must have their second round of distemper, bordetella and if over 6 months they must have rabies as well. Proof is required before the start of class.
PARKING: Street parking is free in the area after 6PM on weekdays and all day on weekends.

I agree to the Guidelines and Policies. *

Yes