Registration Form

Client Infomation

Emergency Contact

Alternate Person Who May Pick Up Your Dog(s)

Dog Health Information

In the event of an emergency, Urban Dog Market has permissions to transport my dog(s) to the above veterinarian or to the nearest animal clinic, if necessary. Payment arrangements are to be made between the owner and the veterinarian

Dog Training

Dog Background Information

Small Dog Day Care Owner Agreement and Waiver

• 1. I hereby represent that I am the legal owner of the dog described above (the “dog”) to be enrolled in urban dog market inc. Small dog day care (“urban dog market”)
• 2. I hereby release urban dog market, its employees, owners, representatives and agents from any and all liability which I, the dog, any third party or their pet may suffer, including and specifically, but not without limitation, any injury or damage whatsoever arising from my actions or failure to act, the dog’s actions or generally the dog’s attendance and participation at urban dog market.
• 3. I hereby agree to indemnify and hold harmless urban dog market, its employees, owners and agents from any and all claims, including but not limited to claims by myself or any third party accompanying me to a function or urban dog market, or while attending the premises thereof, as a result of any action or failure to act by me or the dog.
• 4. I hereby represent that the dog is of good health and has not been ill with any known contagious diseases within the last thirty days.
• 5. I recognize that the health of the dog is my personal responsibility. I hereby represent that all required vaccinations for the dog are up to date and will continue to remain so for as long as the dog attends urban dog market. I will also promptly provide proof of all booster vaccinations to urban dog market.
• 6. I further understand and agree that in admitting the dog, urban dog market has relied on my representation that the dog is in good health and has not harmed or shown aggression or threatening behavior towards any person or any other dog.
• 7. I understand that by bringing the dog to an open concept care facility means that they will be playing and interacting with other dogs. Although various sorts of minor incidents such as cuts or scratches are inevitable, and, though the dogs are carefully supervised at all times, and the staff and owners do their utmost to keep them safe, there is no warranty or representation by urban dog market that a more serious incident (scuffles, fighting, even death) will not occur. I accept the risk of any such more serious incident happening.
• 8. I further understand and agree that urban dog market and their caregivers will not be liable for any problems that might develop with the dog, including, but not limited to, sickness, disease, injury, running away and death, provided that reasonable care and precautions are followed.
• 9. I understand i am solely responsible for any harm caused by the dog to another dog or to any person while the dog is attending small dog day care at urban dog market. If for any reason, urban dog market is unable to further care for the dog, I must have an emergency contact available to pick up and care for the dog.
• 10. I further understand and agree that any problem that develops with the dog will be treated as deemed best by urban dog market in its sole discretion and that I assume full financial responsibility for any and all expenses involved.
• 11. The hours of operation of urban dog market are 7:00 am to 7:00 pm (“closing time”) Monday to Friday (except statutory holidays) and I agree that management of urban dog market retains the right to amend the hours of operation at any time.
• 12. I understand that I must pay in full for care and services rendered before the dog is released from urban dog market into my custody.
• 13. I agree to pick up the dog prior to closing time. It is hereby acknowledged that should I fail to pick up the dog before closing time, a late fee of $1 per minute, per dog is to be paid upon my arrival at urban dog market and before the dog is released from urban dog market into my custody. If the dog is not picked up 1 hour after closing time, the dog will be taken to an overnight boarding facility of urban dog market's choosing at the owner's expense.
• 14. I understand that I am to walk the dog in and out of the facility on a leash, and in a safe and expedient manner.
• 15. I agree that the dog may be videotaped, photographed, and/or recorded. Urban dog market shall be the exclusive owner of the results and all proceeds of such taping, photography, and recording.
• 16. Urban dog market reserves the right to permanently remove a dog from its day care at anytime.
• 17. Urban dog market daycare fees are non-refundable and non-transferable.
• 18. If the dog attends urban dog market on multiple dates, then this agreement applies to each and 
every date, until I provide notice of cancellation in writing to urban dog market.

I certify that I am eighteen years of age or older and have the legal capacity to enter into a binding contract. I am the only owner of the dog, or if I am not, then I have advised urban dog market who the other owner(s) is (are). Further I certify that I have read and understand the rules and regulations as set forth in this agreement. I agree to abide by the rules and regulations and accept all the terms, conditions and statements of this agreement.