Von Falconer K-9 Boarding

Name________________________________________________ Dog's Name_______________________________
Address___________________________________ City___________________________ State_____ Zip_________
Phone #___________________ Work #_____________________ Message #_____________________

Drop off date_________________________________________ Time_____________________________
Pick up date_________________________________________ Time_____________________________
Name of Handler________________________________________________________________________

Is Dog in heat? If so, $10 extra fee. yes no
Is dog spayed or neutered? yes no

Any special training needs / Main concerns about pet ___________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

Tri Tronic Bark Collars are used            I approve the use of the Tri-Tronic Collar.
Electronic Training Collars                    I understand these collars are humane but that some
                                                                   dog's skin on the neck can become irritated.

In what language do you want commands taught:
English German Czech Dutch

Any medications?__________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

Do you have any equipment to check in?______________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
(WE ARE NOT RESPONSIBLE FOR LOST TOYS OR TORN BLANKETS OR BROKEN CRATES.)

Brand of food?_______________________________________________________________________

Color_______________________________ Markings________________________________________

When was your puppy's last evaluation?__________________________________________________

Cost: Each calendar day will be charged (including check-in and check-out days, regardless of the time arrived or left).		(Signature / Initials)
$50	per day. Boarding + Training.	_________________________________________
$55	per day. Boarding for dogs that are in heat (protection & special handling).
$45	per day. Boarding while waiting to breed. (Includes 2 puppies out of the litter for the stud fee.)	_________________________________________
$75	per day. Boarding dogs that need special handling (overaggressive dogs, etc.)
$100	per hour. Private Lessons at Von Falconer Canine Training Facility (evaluation included, at Von Falconer Training Facility).	_________________________________________
$175	per hour. Private Training At Your Home. (Home visit - 2 trainers will evaluate your dog's behavior. Off-site locations near the home may also be visited for social behavior training.)	_________________________________________
$60	VIP Boarding. This includes being in our house and transported to and from other venues like shopping centers, parks, beaches, etc.	_________________________________________

Waiver of Liability - I hold harmless Von Falconer Canine, Eric Falconer, Bryan Falconer, Jack Solma and all employees of Von Falconer if any injury or death happens to my dog while in their care. I also give Von Falconer Canine Training Facility permission to take my dog to the Emergency Veterinary in case of an emergency while in their care. I will pay for any Veterinary Service at my expense. I will pay for these expenses if it is an Act of God or an injury on their property at 750 Comstock Lane, Santa Cruz. I do know that accidents do happen. I will waive any lawsuits or attorney fees.		_X________________________________________

RULES FOR CHECKING IN YOUR DOG OR CHECKING OUT YOUR DOG
WE NEED A 24 HOUR NOTICE BEFORE THE CHANGE IN PLANS. WE DO NOT CHECK DOGS IN OR OUT BEFORE 9:00AM NOR AFTER 3:00PM. NO CHECK IN/OUT ON TUESDAY, WE'RE CLOSED.
Your dog must come with his own crate and food. Your dog should have a flat collar with its rabies tags and an updated shot record must be on file at Von Falconer K-9 (have your vet fax us at (831) 458-0169).

Visa Mastercard Card No. _________________________________ Exp. Date ________________
Authorized Signature___________________________________________________________________________

Signature_________________________________________________________________ Date_______________________

For more information or registration,
Phone: (831) 427-3811
Fax: (831) 458-0169
750 Comstock Lane - Santa Cruz, CA 95060