Where we train you to train your dog in a positive way!

Mad City Dog Training

Doggy Daycare Registration

Owner's Name: _____________________________________________________________________________

Address:____________________________________________________________________________________

             ____________________________________________________________________________________

Phone: (Home) ____________________ (Work) ____________________ E-Mail: _________________________

Alternate Emergency Contact:   Name ________________________________    Phone __________________

Dog's Name: ____________________    Age:__________________     Birthdate:   ______________________

        Breed: _________________________    Sex: _______________   Neutered/Spayed __________

        Referred By: ______________________________________________________________

Veterinarian:  Name __________________________________    Phone __________________

• Your dog must be current on Distemper, Bordetella and Rabies vaccinations, be on a flea preventative program, and be free of parasites to attend our Doggy Daycare. We will need to see documentation from your vet regarding these requirements.

• Your dog's attendance at Doggy Daycare is not without risk. Every effort will be made by the Mad City Dog training staff to provide a safe environment for your dog. If your dog requires emergency medical attention, we will contact you immediately and transport your dog to The Emergency Clinic For Animals.

• You are responsible for any damage or injury incurred while your dog is at Daycare. Vet charges due to injury to your dog or injury to another dog caused by your dog will be the responsibility of you and the owner of the other dog.

• Bitches in season will not be able to attend Daycare.

• Your dog's acceptance into our Daycare is the sole discretion of the Mad City Dog Training staff. If your dog is disruptive while at the Daycare, he/she will not be able to return to Daycare until the problem is resolved.

I, the undersigned, agree to the above, accept full responsibility for the acts of my dog while at Daycare and release Mad City Dog Training, LLC and it's staff from any and all claims of liability.

Signature: ____________________________________________    Date: __________________

Contact Information:

Mad City Dog Training
813 Post Road
Madison, WI  53713
Phone: (608) 273-9797
Fax: (608) 273-9789
Email: info@madcitydog.com