Woodbridge, VA 22193
howl_a_day_inn@yahoo.com
703-670-2788
APPLICATION
Fill out the web form and submit, or download and fill in the PDF version.
A. Owner information
Owner Name
Mailing Address
Phone
Email Address
Emergency Contact Name
Emergency Contact Phone
People with permission to pick up dog (photo ID required when picking up) (up to three people, separated by commas)
Would you like a daily doggy diary entry on our web page for your convenience? (accessible by viewing our webpage) Yes
No
Points of interest you want to see
on your dog's doggy diary page
Eating habits
How well he or she sleeps
Where he or she sleeps
Activities with others
General activities
Photos
Number of walks
Other points of interest (please specify)

B. Dog Information
Name
Breed
Sex
Coloring
Weight
Age
License Number
Tattoo/Microchip Number
Toys and/or blankets brought
C. Medical Information
Dates of last vaccination (all owners must provide proof of vaccination prior to Howladay Inn's accepting the dog) Rabies
Bordatella
DHLPP
Does your dog have current flea and tick treatments? Yes
No
Is your dog in good health without any need for medications? Yes
No
List any any medical conditions and associated medications/treatments we should be aware of.
If for any reason your dog requires professional medical treatment while in our care is there a monetary limit you would like to place on the care? Yes
No
If Yes enter the amount:
$.00
   
Veterinarian's Name
Veterinarian's Phone
D. Behavior Information
What level of training does your dog have?
Has your dog ever bitten or attempted to bite a human or another dog? Yes
No
If you answered 'Yes,' please describe the circumstances
Is your dog aggressive regarding his or her food or toys? Yes
No
If you answered 'Yes,' please explain
Does your dog exhibit any behaviors I should know of in advance? Yes
No
If you answered 'Yes,' please explain
Has your dog been well socialized with dogs outside your own household? Yes
No
E. Owner Statement
I,         , hereby certify that my dog,        , is in good health and has not been ill with any communicable condition in the last thirty (30) days. I further certify that my dog has not harmed or shown aggressive or threatening behavior toward any other person or dog. I agree to the terms and conditions set forth by Howladay Inn, and have read and understand the following:

1. I understand that I am solely responsible for any harm caused by my dog while my dog is at the Howladay Inn.

2. I further understand and agree that Howladay Inn Daycare and Dog Boarding will not be held liable for any problems or costs which develop providing reasonable care and precautions are followed, and I hereby release Howladay Inn of any liability of any kind arising from my dog's participation at the Inn.

3. I also understand and agree that any problems, medical or otherwise, which develop or occur with my dog while at the Howladay Inn will be treated as deemed best by the Owner of Howladay Inn at their sole discretion and I assume full financial responsibility for any and all expenses involved.

4. I have read, understand and agree to the rates and billing policies of the Howladay Inn.  Any questions I have about the rates and billing policies of the Howladay Inn have been answered to my satisfaction by the staff of the Howladay Inn.

5.  I have read, understand and agree to the medical care policies of the Howladay Inn.  Any questions I have about the medical care policies of the Howladay Inn have been answered to my satisfaction by the staff of the Howladay Inn.

Electronic Signature
Date
After you have submitted this application, please print it out, sign it, and bring it with you to your first visit. Thank you!
FAQ

Home

Boarding Photo Tour About Us Doggie Diaries
Scheduling Availability Contact Us Directions Rules & Application Reviews
FAQ