Applications & Agreements

Before submitting this application, please make sure all daycare requirements are met.

  • Vaccines/ Year-round flea & heartworm prevention (All dogs)

  • Spay/Neutered (daycare only)

  • No history of aggression (daycare only)

Boarding & Daycare Application

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Has your dog ever been to dog daycare before?
Have you boarded your dog before?
Has your dog been around children?
Has your dog had fleas?
Do you have your dog on prevention 12 months?
Is your dog on any medication?
Are there any circumstances where your dog is aggressive with other dogs?
Does your dog display any fear or aggression due to the following?
Has your dog ever growled at another person?
Has your dog ever bitten someone?
Has your dog ever bitten another dog?
Has your dog ever jumped or climbed over a fence?
Does your dog have problems with any of the following? (check all that apply)
Has your dog ever growled or snapped at anyone who has taken his/her food or toys away?
Has your dog ever shared his/her toys with other dogs?
Does your dog play with other dogs?
Has your dog had any form of obedience training?
Where does your dog stay when you are not home?

Health and Temperament Agreement

I understand I am solely responsible for any physical harm caused by my dog(s) while staying at Jorgensen’s Doggy Barn. I agree to pay for damages and/ or medical bills incurred as a result of my dog(s) actions.


I further understand that Jorgensen’s Doggy Barn and its employees/ volunteers have relied on my representation of my dog(s) health as well as any and all aggressive or threatening behavior displayed by my dog(s) toward any person and/ or other dog.


Furthermore, I understand that Jorgensen’s Doggy Barn and their staff will not be liable for any problems that may occur involving my dog(s) provided reasonable care and precautions are followed, and I hereby release them from any and all liability that may arise as a result of my dog(s) attendance at Jorgensen’s Doggy Barn.


In addition, I understand that any problem(s), medical or otherwise, that may arise involving my dog(s) will be handled as deemed necessary by Jorgensen’s Doggy Barn and their staff, and that I am financially responsible for any and all the costs involved.


My signature below certifies that I have read and understand all the information on the preceding pages and have answered all my questions truthfully and to the best of my ability and agree to abide by all the terms and conditions set forth with in this agreement.

Photo Release Form

I, the undersigned, was informed that pictures of my dog(s) shall be used on Jorgensen’s Doggy Barn’s website and in print (e.g. flyers) for advertising the facility and its services.


I give permission to Jorgensen’s Doggy Barn to photograph my dog(s) and to use the photo(s) on their website, social media accounts and in print for advertising the facility and its services

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