Naples Safari Animal Hospital & Pet Resort, Inc.

Lesli R. Reiff, D.V.M.


Dear Dog Owner:

Thank you for your recent inquiry about Safari Daycare.  Safari Daycare is committed to providing a safe, fun and
stimulating social environment for your pet during weekday business hours.  At Safari Daycare, your pet will not be
crated for long hours, but will enjoy supervised playtime with other pets and our friendly staff.

Enclosed, you will find information and forms you need to register your pet for our services.  After your submitted
application has been reviewed and approved, you will need to make a temperament screening appointment.  This
screening is a one-time appointment with  a $20 non-refundable fee.  If your pet passes the screening, the fee will be
applied towards their first day at Safari Daycare.  

To enroll, simply fill out the enclosed forms and return them to Naples Safari Animal Hospital & Pet Resort, Inc. at 3333
Vanderbilt Beach Rd., Naples, FL 34109 along with proof of vaccinations.   You may enroll through mail, fax or if you
prefer, you may drop off your application in person.  Once we receive your enrollment form and proof of vaccinations,
we will review your paperwork and call to schedule a time when we can meet your pet.

If you have any questions, please feel free to contact us at (239) 592-1950 or stop by to take a tour of the facility.  Our
office is opened Monday through Friday from 7:30 a.m. to 5:30 p.m. and Saturday from 8:00 a.m. to noon. We look
forward to seeing you and your pet!





3333 Vanderbilt Beach Rd., Naples, FL 34109
Phone:  239-592-1950    Fax:  239-592-9987
www.naplespetvet.com



Naples Safari Animal Hospital & Pet Resort, Inc.
Enrollment Application for Group Play/Daycare

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For Office use only
Enrollment form_____     Enrollment Fee_____     Shots_____    Staff Screened_____
Notes:

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Emergency contact information

Owner Information
Name:__________________________________________________________________
Address:________________________________________________________________
Email:__________________________________________________________________
Phone:____________________________    Alt. Phone:___________________________

Emergency Contact
Email:__________________________________________________________________
Phone:____________________________    Alt. Phone:___________________________

Pet Information
Name:____________________    Breed:__________________  DOB:_______________
Sex:______________   Neutered/Spayed:________________ Weight:_______________

Veterinarian
Name:__________________________________________________________________
Address:________________________________________________________________
Phone:____________________________               Fax:___________________________

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Pet Personality Profile

How did you hear about Safari Daycare?_______________________________________
Date you acquired dog:_____________________________________________________
At what age was dog spayed/neutered?________________________________________
Where did you get your dog?________________________________________________
If adopted, do you have any knowledge of your dog’s past history?__________________
Does your dog like children?________________________________________________
How does your dog behave around children?____________________________________
Are there other animals in your household?  If so, please list type, sex and age of each:
________________________________________________________________________
How does your dog get along with other resident animals?_________________________
Please use the back of  page for additional information
Health/Grooming   
Does your dog have a problem with fleas?_____________         Allergies?____________
Does your dog have hip dysplasia?________  If yes, what restrictions need to be placed on your dog’s activities or
movements?________________________________________
Does your dog like to be brushed?____________________________________________
How does your dog react to having his/her nails clipped?__________________________
Does your dog have any sensitive areas on his/her body?__________________________
Where are your dog’s favorite petting spots?____________________________________

Behavior
Does your dog act afraid of any specific items or noises?  If so, please explain:
________________________________________________________________________
How does your dog react to strangers coming into your home or yard?
________________________________________________________________________
Does your dog ever bark or growl at anyone passing outside your yard or home?
________________________________________________________________________
Are there kinds of people your dog automatically fears or dislikes?
________________________________________________________________________
Are there any kinds of dogs your dog automatically fears or dislikes?
________________________________________________________________________
How does your pet react to puppies? __________________________________________
Has your dog ever climbed or jumped a fence?__________________________________
Has your dog ever dug under a fence?_________________________________________
Does your dog go to dog parks?____________________________       How did he react?
________________________________________________________________________
Has your dog ever:
Growled at someone?______________________                 What were the circumstances:
________________________________________________________________________
Bitten someone?_______________________                       What were the circumstances:
________________________________________________________________________
Does your dog have any problems in any of the following areas: (if so, please explain)
Mouthiness:_________________________    Housetraining:______________________
Barking:____________________________    Digging:___________________________
Jumping:____________________________   Other:_____________________________
Has your dog ever growled or snapped at anyone who has taken his/her food or toys away from him/her?
____________________________________________________________
What were the circumstances?_______________________________________________
Has your dog shared his/her toys with other animals?_____________________________
Does your dog play with any toys?_____________   If yes, then what kind of toys does your dog like and what games
does he/she play?_________________________________
Does your dog play with other dogs?__________________________________________
Has your dog ever had any formal obedience training?____________________________
If yes, when and where?____________________________________________________
What commands does your dog know?________________________________________
Other comments about your dog which you may feel might be helpful:_______________





Dog Daycare General Information and Policies
AGE:  All dogs must be at least 4 months of age or older.

SEX:  All dogs 7 months or older must be spayed or neutered.

SHOTS:  All must have up-to-date vaccinations.  Dogs must have a physical exam within the past year and be current
with DHPP and Rabies vaccinations.  A negative heartworm and fecal parasite check within 1 year and Bordetella
vaccination within 6 months are requirements. Written proof of vaccinations are required at check-in.  If your pet is not
current on vaccines, these can be updated by our doctors upon arrival.  

HEALTH:  All dogs must be in good health.  Owners will certify their dog(s) are in good health and have not been ill in
with a communicable condition in the last 14 days.  Upon admission, all dogs must be free from any condition which
could potentially jeopardize other guests.  Dogs that have been ill with a communicable condition in the last 14 days will
require veterinarian certification of health to be admitted or readmitted.

BEHAVIOR:  All dogs must be non-aggressive and not food or toy protective.  Owners will certify their dogs have not
harmed or shown aggressive or threatening behavior towards any person or any other dog(s).  Please remember: your
pet will be spending time with other pets and the safety and health of all animals is our main concern.

APPLICATION:  All dogs must have a complete, up-to-date and approved application on file.  After your submitted
application has been reviewed and approved, you will need to make a temperament screening appointment.  This
screening is a one-time appointment with  a $20 non-refundable fee.  If your pet passes the screening, the fee will be
applied towards their first day at Safari Daycare.    

FEES:  Fees are based on a pass plan.  A pass is valid for 90 days from date of purchase.  If refund is necessary,
please request before pass expiration and payment will be prorated based on regular $28 per day fee.    Additional
dogs that are living in the same household are half price per day, per dog.
Less than 4 hours:        $15.00
1-day pass:                $28.00
10-day pass:                $260.00
20-day pass:                $500    
While Boarding:        $25 (in addition to boarding fees)

DAYS AND HOURS:  Monday through Friday from 7:30 a.m. to 5:30 p.m. Staff goes off duty at 5:30 p.m. and there is a
$1.00 per minute charge for any pet left after 5:30 p.m.  

RESERVATIONS:  Required.  Payment is due upon arrival.  If any changes to the dates of the contract are necessary,
24 hour notice must be given or a $25 cancellation fee will be charged to your account. No boarding animal will be
released until all boarding charges are paid in full.
Owner Liability Waiver and Health Certification
OWNER AGREEMENT

I, _________________________, herby certify that my dog(s):_____________________ is/are in good health and
has/have not been ill with any communicable condition in the last 14 days I further certify that my dog(s) have not
harmed or shown aggressive or threatening behavior towards any person or any other dog.  I have read and
understand the following:

1.  I understand that I am solely responsible for any harm caused by my dog(s) while my dog(s) is/are attending Safari
Daycare.

2.  I further understand and agree that in admitting my dog(s) to Safari Daycare, staff have relied on my representation
that my dog(s) is/are in good health and has/have not harmed or shown aggressive or threatening behavior towards
any person or any other dog.  

3.  I further understand and agree that Safari Daycare and their staff, will not be liable for any problems that develop,
provided reasonable care and precautions are followed, and I hereby release them of any liability of any kind
whatsoever arising from my dog’s/dogs’ attendance and participation at Safari Daycare.

4.  I further understand and agree that dogs can sometimes receive minor cuts and scratches at daycare and any
problems that develop with my dog(s) will be treated as deemed best by staff of Safari Daycare, at their sole discretion,
and I assume full financial responsibility for any and all expenses involved.

I certify that I have read and understand the policies of Safari Daycare as set forth on the preceding pages and that I
have read and understand the conditions, and statements of this agreement, including the following:

FEES:  Fees are based on a pass plan.  A pass is valid for 90 days from date of purchase.    

DAYS AND HOURS:  Monday through Friday from 7:30 a.m. to 5:30 p.m. Staff goes off duty at 5:30 p.m. and there is a
$1.00 per minute charge for any pet left after 5:30 p.m.  

RESERVATIONS:  Required.  24 hour notice for cancellation is required or a $25.00 cancellation fee will be charged to
your account.

Dated:__________________________________________________________________

Signature of Owner:_______________________________________________________