Day Camp & B&B Reservation Request
*Read Tales from the Farm on the DogBlog   *Meet Our Adoptable Dogs   *Check Out the Video Diaries

Your Information

Name        
                 (Yours + Spouse's / Significant Other's)
Email         
Address   
City, State, Zip  
Home Phone            
Work Phone(s)       
Cell Phone(s)           

Are You Inquiring About
The Day Camp
Days Your Dog/s Would Like to Attend
Su M Tu W Th F Sa

OR

The B&B
Drop Off and Pick Up Dates
Dates must be included on this form or I will not be able to schedule your dog's stay!
Holidays sometimes fill a month or more in advance.
If you would like to email regarding availability
before filling out the form, please contact us at  pawsitiveenergy@aol.com

Would you like for your dog to have a/n:
 Ready for My Own Bed! bath Oh Baby! massage
Video Diary The Tune Up
It's All About Me! Day
Click each for more information.

Please Tell Me About Your Dog(s)

Name
Birthday  
Sex Male Female
Spayed/neutered? yes no
 Breed & Size   

Coloring/Markings

Where did you get him/her?
 rescue breeder pet store
other

Is your dog friendly with other dogs?
 yes no unsure
Cats? yes no unsure
Humans? yes no

Would your dog jump a 5' fence?
yes no

Feeding & Health Information
We feed Canidae Natural Dog Food & Mother Nature Treats, and can feed our food or yours.
What kind of food do you feed?
Amount    

Does your dog show food aggression?
yes no

Dietary Restrictions

Any allergies or other health problems? yes no
Is s/he on any medication? yes no
Please explain condition and give details such as the type of medication, amount, times given, how administered,etc.

Name
Birthday    
Sex Male Female
Spayed/Neutered? yes no
Breed & Size  

Coloring/Markings

Where did you get him/her?
 rescue breeder pet store
other

Is your dog friendly with other dogs?
yes no unsure
Cats? yes no unsure
Humans? yes no

Would your dog jump a 5' fence?
yes no

Feeding & Health Information
We feed Canidae Natural Dog Food & Mother Nature
Treats, and can feed our food or yours.

What kind of food do you feed?
Amount  

Does your dog show food aggression?
yes no

Dietary Restrictions

Any allergies or other health problems?
yes no
Is s/he on any medication? yes no
Please explain condition and give details such as the type of medication, amount,
times given, how administered, etc.

Need more space for additional dogs?
Just fill out your name
and the animal information portion of another form and submit.

Anything Else I Need to Know?
Things like special likes and dislikes, quirks,
crating/confinement instructions, and the reasons s/he would
like to attend the day camp or B&B.

We do supply bowls,bedding and toys for your dog to use during his/her stay.

Emergency Information

How may I reach you?

Your Employer & Work Number:

Your Vet's name & phone number:

Please authorize an amount that may be spent if we can't reach you
in the event of an emergency: $
We recommend a mimimum of $500. If an amount is not specified,
I will assume the right to use my best judgement in the event I am unable to reach you in an emergency.

Friends &/or relatives I may contact:

Etc.
How did you find out about us?

Check here if you'd be interested in helping us expand our
privately funded adoption program.  We're looking for volunteers
to spend time with our foster dogs ~ walks, baths, adoption events.
Hours to suit your schedule!

Would you be willing to help us spread the word about dogs needing homes?
Check here to be included in our email list.
Emails will also notify you of lost dogs and
other important issues such as holiday reservation reminders, product recalls, etc.

Pawsitive Energy Consent Form

I understand and agree that, while Pawsitive Energy LLC, will make every reasonable
effort to ensure my dog's/dogs' health and safety during his/her/their stay
with them, Pawsitive Energy, LLC cannot be held responsible for illness, injuries, or
loss resulting from normal interaction in a group or kennel situation. It is thoroughly
understood that I assume all risks relating to my dog's/dogs' stay with Pawsitive Energy, LLC.

In the event my dog/s must be taken to a veterinarian for treatment of illness or injury
during his/her/their stay, I will be responsible for any and all veterinary fees up to the
amount I have preapproved for emergency veterinary care. I understand that
Pawsitive Energy, LLC will generally use either a local veterinarian or MedVet for treatment.

I am requesting that the veterinarian contacted by Pawsitive Energy, LLC
do whatever is deemed medically necessary in administering treatment/s or caring for my dog/s,
whether treatment is medical or surgical, up to my preapproved emergency amount.

I will take responsibility for making the decision for treatment beyond the
preapproved emergency amount. If I have not provided a preapproved emergency amount
for care, and I am unable to be contacted in a timely manner, I request that Lori Price,
owner of Pawsitive Energy, LLC, use her best judgment regarding my dog's/dogs'
care, and that I will be responsible for any and all charges relating to that care.

I further agree that I will not hold Lori Price, Pawsitive Energy, LLC,
and/or any attending veterinarian in any way responsible or liable for any decision
that may be made in such a situation.

I acknowledge that the treating veterinarian will use all reasonable precaution
against injury to, escape or death of my dog/s, I agree that I will not hold him/her liable or
responsible in any manner whatsoever and under any circumstances relating to the care,
treatment or safekeeping of my dog/s, or otherwise in connection therewith, as it is thoroughly
understood that I assume all risks associated with such medical treatment.

I also understand and agree to comply with Pawsitive Energy, LLC's
policy regarding abandoned animals.
(below)

  Checking this box signifies my acceptance of these policies.

I understand that failure to accept these terms will result in a cancellation of my
dog's/dogs' Pawsitive Energy, LLC, reservation.

This form shall remain in effect for 12 months from the date of signing.


My sunshine doesn't come from the skies,
it comes from the love in my dog's eyes.~~Unknown

Lori Stewart Price


The Holistic Day Camp for Dogs,
Doggy B&B & More
Marysville, Ohio
614/774-3472
pawsitiveenergy@aol.com

*The Bed & Biscuit *The Day Camp *Reservation Form * Directions & Address
*The Bulletin Board *Video Diarys ~ Updated! *Baths & Special Services *Photos for Moms & Dads
*How We're "Holistic" *Vaccination Information *Duke's Natural Pet Products
*About Pawsitive Energy *Comments From Our Clients*Thoughts on Humane Living
*Natural Health Tips *Adoptions & Volunteering *We're Hiring! *Links *The Dog Blog

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Abandoned Dogs

I understand that the Pawsitive Energy, LLC policy
regarding abandoned animals is as follows:
If I leave my dog/s for 5 or more days beyond what
has been scheduled and do not contact Pawsitive Energy, LLC
to arrange extending the dog's/dogs' stay, Pawsitive Energy, LLC,
will make one attempt to contact me through
each of the phone numbers and email addresses I have provided.

If, after 10 days of the scheduled pick up date,
Pawsitive Energy, LLC and I have not been in contact,
and I have not received written approval from Pawsitive Energy, LLC
extending my dog's/dogs' approved stay, my dog/s will automatically
become a resident/residents of the Pawsitive Energy, LLC sanctuary.

Pawsitive Energy, LLC will determine what is in the dog's/dogs'
best interest regarding his/her/their future home,
and I will have no further claim to him/her/them.

I will still be responsible for payment of the boarding fees for the
originally scheduled visit, and agree to pay via cash or certified check.

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