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Enrollment Form
Reservations
Menu/Rates
Daycare
Boarding
Grooming/Training
Who We Are
Guidelines/FAQs
Gallery
Reviews
Blog
Jobs
Contact
(630) 834-3030
Enrollment Form
Your Information
*
Indicates required field
Owner's Name
*
Additional Owner Names
*
Address
*
City
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State
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Zip
*
Cell Phone
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Work Phone
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Home Phone
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Email (we will utilize this email address to send you updates from Tail Gate, boarding confirmation emails and vaccination reminders)
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Emergency Contact
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Emergency Contact Phone
*
Names of Others Authorized to Pick Up
*
How did you hear about Tail Gate?
*
Google
Yelp
Word of Mouth
Vet
Sign on Corner
Dog Event
Other
If Word of Mouth, a Vet, or Other, please enter
*
If you have more than one dog staying with Tail Gate, please fill complete information in full for the second dog as well.
Dog #1 PROFILE
Dog #1 Name
*
Dog #1 Breed
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Dog #1 Description
*
Dog #1 Birth Date (estimate if unknown)
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Dog #1 Gender
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Male
Female
Dog #1 Neutered/Spayed
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Neutered
Spayed
Neither
Dog #1 Behavioral Traits (select all that apply)
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Not House Trained
Mouthy
Excessive Barking
Excessive Marking
Excessive Mounting
Separation Anxiety
Aggressive
Food Aggressive
People Aggressive
Toy Possessive
Coprophagia (Poo Eater)
Fence Jumper
None
Dog #1 List any known food allergies
*
Dog #1 Treating Veterinarian
*
Dog #1 Veterinarian Address
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Dog #1 Veterinarian Phone
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Dog #1 Has your dog ever been enrolled in daycare before?
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Yes
No
If yes, where?
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Dog #1 How long have you owned your dog?
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Dog #1 How did you acquire your dog?
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Dog #1 If your dog was adopted, what is his or her history (if available)?
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Dog #1 Has your dog been obedience-trained?
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Yes
No
Dog #1 If yes, what level?
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Beginner
Intermediate
Advanced
Dog #1 Do you use a crate for your dog?
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Yes
No
Dog #1 If yes, is your dog comfortable in the crate?
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Yes
No
Dog #1 Does your dog play with other dogs on a regular basis?
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Yes
No
Dog #1 If yes, does he or she play nicely?
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Yes
No
Dog #1 Comments
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Dog #1 Does your dog get along better with dogs of a certain gender?
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Yes
No
Dog #1 If yes, which gender?
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Male
Female
Dog #1 Does your dog not get along with a particular kind of dog?
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Yes
No
Dog #1 If yes, what kinds?
*
Dog #1 Does your dog dislike any particular kind of person (i.e. man or woman, older or younger)?
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Yes
No
Dog #1 If yes, what kinds?
*
Dog #1 How does your dog respond to strangers?
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Well
Not Well
Indifferent
Dog #1 Describe behavioral problems, personality traits OR sensitivities Tail Gate should be aware of
*
Dog #2
PROFILE
Dog #2 Name
*
Dog #2 Breed
*
Dog #2 Description
*
Dog #2 Birth Date (estimate if unknown)
*
Dog #2 Gender
*
Male
Female
Dog #2 Neutered/Spayed
*
Neutered
Spayed
Neither
Dog #2 Behavioral Traits (select all that apply)
*
Not House Trained
Mouthy
Excessive Barking
Excessive Marking
Excessive Mounting
Separation Anxiety
Aggressive
Food Aggressive
People Aggressive
Toy Possessive
Coprophagia (Poo Eater)
Fence Jumper
None
Dog #2 List any known food allergies
*
Dog #2 Treating Veterinarian
*
Dog #2 Veterinarian Address
*
Dog #2 Veterinarian Phone
*
Dog #2 Has your dog ever been enrolled in daycare before?
*
Yes
No
If yes, where?
*
Dog #2 How long have you owned your dog?
*
Dog #2 How did you acquire your dog?
*
Dog #2 If your dog was adopted, what is his or her history (if available)?
*
Dog #2 Has your dog been obedience-trained?
*
Yes
No
Dog #2 If yes, what level?
*
Beginner
Intermediate
Advanced
Dog #2 Do you use a crate for your dog?
*
Yes
No
Dog #2 If yes, is your dog comfortable in the crate?
*
Yes
No
Dog #2 Does your dog play with other dogs on a regular basis?
*
Yes
No
Dog #2 If yes, does he or she play nicely?
*
Yes
No
Dog #2 Comments
*
Dog #2 Does your dog get along better with dogs of a certain gender?
*
Yes
No
Dog #2 If yes, which gender?
*
Male
Female
Dog #2 Does your dog not get along with a particular kind of dog?
*
Yes
No
Dog #2 If yes, what kinds?
*
Dog #2 Does your dog dislike any particular kind of person (i.e. man or woman, older or younger)?
*
Yes
No
Dog #2 If yes, what kinds?
*
Dog # How does your dog respond to strangers?
*
Well
Not Well
Indifferent
Dog #2 Describe behavioral problems, personality traits OR sensitivities Tail Gate should be aware of
*
Please provide your dog's veterinary record.
Drop off, email at
info@tailgatefordogs.com
or have your veterinarian fax to Tail Gate at 630-626-3730.
We require proof of up-to-date vaccinations from you or your veterinarian before your dog(s) can enter our facility.
Dog #1 Vaccinations & Medical History
Dog #1 Rabies Vaccine due
*
Dog #1 Bordatella due
*
Dog #1 Fecal exam due
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Dog #1 H3N2 Canine Influenza Vaccination due
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Dog #1 DHLPP (distemper, hepatitis, leptospirosis, parainfluenza, parvovirus) vaccine due
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Dog #1 Describe in detail any medical/health issues we need to be aware of
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Dog #1 Anything contagious?
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Yes
No
Dog #1 If yes, please describe
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Dog #2 Vaccinations & Medical History
Dog #2 Rabies Vaccine due
*
Dog #2 Bordatella due
*
Dog #2 Fecal exam due
*
Dog #2 H3N2 Canine Influenza Vaccination due
*
Dog #2 DHLPP (distemper, hepatitis, leptospirosis, parainfluenza, parvovirus) vaccine due
*
Dog #2 Describe in detail any medical/health issues we need to be aware of
*
Dog #2 Anything contagious?
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Yes
No
Dog #2 If yes, please describe
*
Rules, Customer Agreement and Release
**THIS FORM REQUIRES YOUR INPUT. PLEASE READ AND ACKNOWLEDGE ENTIRE FORM BY SCROLLING DOWN***
To create a safe and healthy environment for our guests, customers and staff members at Tail Gate must comply with and acknowledge the following:
Vaccinations:
All dogs must have current, up-to-date vaccinations. Owners must submit written verification from their veterinarian that their dogs have been vaccinated against DHLPP (distemper, hepatitis, leptospirosis, parainfluenza, parvovirus), rabies, bordetella and the H3N2 canine flu. We will send you email reminders when your dog’s vaccinations are due. It is your responsibility to provide on-going verification of current vaccinations. You may be charged a separate fee if it is necessary for our staff to secure verification.
Health:
All dogs must be in good health. Owners must certify that their dogs are in good health and have been free from any condition that could jeopardize other guests. Dogs that have had a communicable condition in the last 30 days will require veterinarian certification of health to be admitted or readmitted. During your dog’s stay, if it is detected that he or she has fleas or ticks, treatment will be applied and charged to you at a minimum rate of $30. At check-in all dogs are examined for signs of fleas and ticks. A dog will not be admitted if fleas or signs of fleas or ticks are noticed.
Collars
and name tags:
Quick-release collars and name tags are required.
Leashes:
Leashes must be either leather or nylon. Retractable leashes are not allowed.
Food:
All food brought to Tail Gate must be stored in an airtight rodent-proof container. Plastic baggies or opened dog-food bags are not acceptable. Food for overnight guests must be divided into portions. If it is not, our staff will portion the food, and a separate fee may be charged. This is to ensure proper amounts for each meal.
Behavior:
All dogs must pass Tail Gate’s behavior assessment before enrollment in our program. All dogs must be non-aggressive and non-food- or toy-protective. Owners must certify that their dog(s) have not harmed or shown any aggressive or threatening behavior toward people or dogs. Reminders: The safety and health of your pet is our main priority. Although it is supervised play, your dog still might acquire an occasional nip or scratch.
Age:
Any age dog is allowed at Tail Gate if he or she meets our criteria. Puppies may begin a daycare program before they receive their rabies vaccine and before they are spayed or neutered, if both will be completed by 6 months of age.
We reserve the right to admit unaltered dogs on a case by case basis and according to temperament.
Puppies younger than 4 months may not participate in group play, as they are going through a fear and imprinting stage. We do this to prevent any future behavioral issues. These puppies will stay in one of our suites and receive water, food (if desired), one-on-one attention from our staff and regular bathroom breaks.
Enrollment:
All guests must have a complete, up-to-date and approved enrollment form on file. ALL REQUIRED FORMS MUST BE SIGNED BY THE OWNER BEFORE
THEIR PET MAY PARTICIPATE IN ANY TAIL GATE PROGRAMS.
Fees:
Fees are due and payable at the end of each stay. Cash, check, MasterCard, Visa, American Express, Apple Pay, Google Pay and Android Pay are accepted. Payment for discounted packages must be in advance. There will be no refunds for unused portions of prepaid packages. We will always do our best to accommodate special needs of our guests; fees for special needs may be applied.
Hours of operation:
Mon - Fri: 6:30am–7pm
Sat - Sun: 7am–11am, and 4pm–7pm
Drop-off and pickup outside of normal business hours is by appointment only and may result in an extra fee. Tail Gate closes promptly at 7 p.m. seven days a week. Daycare dogs not picked up by 7pm may incur a boarding charge.
Holiday hours may differ depending on the holiday, please inquire at front desk.
RESERVATIONS
:
Daycare reservations are recommended; boarding reservations are required. Dogs without reservations cannot be guaranteed a spot. Tail Gate is busiest during holidays and summer months. Please use our on-line reservation system to ensure a daycare spot for your dog.
Boarding reservations must be done by phone at
630-834-3030
.
Grooming Appointments:
Appointments are required. Dogs without appointments cannot be guaranteed a grooming time slot. Tail Gate is busiest during holidays and summer months. Please call us at
630-834-3030
to schedule a grooming appointment.
Tail Gate will not be held responsible for any sickness or injury caused by the pet to itself during grooming.
Tail Gate will not be held responsible for clipper burn and/or minor nicks resulting from grooming of matted, neglected coats or for irritation caused by removing coat from pets possessing mild to severe skin allergy, nor will we be held responsible for stressful effects grooming may have upon any dog, especially those older in age. Our groomers are extremely gentle. Nevertheless, some dogs may find the grooming process stressful
Tail Gate reserves the right to charge additional fees for services we consider over and above the norm covered by our standard rates. We also reserve the right to refuse service to customers whose pets may pose a threat to us or to the other pets left in our care, whether it be is due to aggression, a health problem or a parasite problem.
Customer agrees to be responsible for any property damage caused by his or her pet.
Customers, dogs or guests may be videotaped or photographed. Such images are the property of Tail Gate.
Customer has read and understands the rules and conditions for Tail Gate’s grooming services. Customer agrees to release, hold harmless, acquit, indemnify and forever discharge the corporation and its principals and employees from all, and in all manner of action and actions, suits, damages, judgments, executions, claims, and demands whatsoever, in law or in equity, which may arise from the grooming of my pet at Tail Gate.
Customer Agreement:
I request that my dog(s) be accepted into the Tail Gate program. In enrolling my dog into the program, I acknowledge that Tail Gate will be relying on my understanding and agreement with the provisions of this agreement. I understand and agree that:
Animals are unpredictable. There are risks to dogs participating in daycare or boarding. I understand there are risks to humans owning, training, caring for, handling and being in the presence of dogs. These risks include injuries to people, property and animals resulting from dog fights, dog bites and the transmission of disease. ENTER YOUR INITIALS:
*
I understand that it is my sole responsibility to inform Tail Gate, when boarding multiple dogs if they can sleep and/or eat together or if they need to be separated during one or both of these activities.
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Dogs staying at Tail Gate may experience anxiety when separated from their owners. Dogs not accustomed to the level of activity at Tail Gate may experience the discomfort of sore muscles, sore joints and fatigue. Dogs not accustomed to outside activity or play on hard surfaces may experience sore paws, blisters, bruises or abrasions. ENTER YOUR INITIALS:
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Dogs not regularly socialized may not know how to behave with other dogs. These dogs are at higher risk of bites, fights, fear aggression, object guarding or other misbehavior. ENTER YOUR INITIALS:
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Dogs staying at Tail Gate may get dirty. Dogs with longer fur may become matted from the level of activity at Tail Gate. Baths and brush-outs can be requested and scheduled with our groomer. Excessively long toenails may cause injury. Tail Gate will notify an owner if his or her dog's nails are too long, and the owner may schedule a trimming with our groomer. ENTER YOUR INITIALS:
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An additional risk of disease exists for puppies younger than 6 months or that are not fully vaccinated when they enter Tail Gate's daycare or boarding program. ENTER YOUR INITIALS:
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Water is provided continuously to our guests. I understand that my dog may still be thirsty after daycare. I will be aware of my pet's water intake as excessive amounts may cause an upset stomach or other problems. ENTER YOUR INITIALS:
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I understand that a change in food or food quality may cause upset stomach, diarrhea or colitis. ENTER YOUR INITIALS:
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Behavior that Tail Gate considers to be dangerous or inappropriate may result in segregation of my dog(s) from the group or dismissal of my dog(s) from the program. ENTER YOUR INITIALS:
*
Pay for services is required at the time they are rendered. I understand that any unpaid fees will be turned over to a collection agency, and I will be responsible for all collections and legal fees incurred by Tail Gate. ENTER YOUR INITIALS:
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Tail Gate has relied on my representation that my dog is in good health, has not been ill with any communicable disease in the last 30 days, has not harmed any person or animal and has not acted aggressively or exhibited threatening behavior toward any person or animal. ENTER YOUR INITIALS:
*
I understand that Tail Gate staff members will examine all pets involved in any type of incident; however, Tail Gate's staff members are not veterinarians and will not be responsible for the location, treatment or diagnosis of any injuries that occur on Tail Gate premises. If my dog is involved in an incident at Tail Gate, I will perform my own examination or seek treatment by a veterinarian at my discretion and cost. ENTER YOUR INITIALS:
*
Photos, videos and other recordings made by Tail Gate of the Tail Gate facility, dogs, customers and staff are the property of Tail Gate and are for the exclusive use of Tail Gate. I consent and give Tail Gate permission, without compensation to me, to use, reproduce and alter the images, at its sole discretion, either in print or electronic format, or on the internet, alone or in combination with other images, text and graphics. I waive my right to approve finished photographs, advertising, print material or electronic files that may be used in with the images. I represent that I am 18 or older and understand that the rights granted in this paragraph are irrevocable, worldwide and perpetual, and are binding on my heirs, successors and assigns. ENTER YOUR INITIALS:
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I understand that in the event of a medical emergency involving my pet, Tail Gate, at its sole discretion, may seek the attention of a licensed veterinarian. If I am unable to pick my dog(s) up and seek medical attention from my veterinarian, I authorize Tail Gate to seek medical attention from its veterinary partner facility. I further agree that I am financially responsible for any medical treatment my pet(s) receives as a result of a medical emergency while engaged in services provided by Tail Gate. ENTER YOUR INITIALS:
*
I understand that some dogs are poop eaters (coprophagia) and Tail Gate staff members will do everything possible to prevent dogs from engaging in this activity, but it is not always possible to remove all fecal matter before a dog can get to it. ENTER YOUR INITIALS:
*
I have read, I understand and I agree with Tail Gate's Rules and Guidelines. ENTER YOUR INITIALS:
*
I hereby release Elmhurst Tailgate Inc., its owners, staff, partners and volunteers, from any liability, financial or otherwise, for injuries to my pet, to me or to property of mine while my pet is participating in services provided by Tail Gate. I understand the risks associated with Tail Gate services, by placing my dog at Tail Gate, I am assuming these risks myself. I agree to hold Tail Gate harmless in the event that there is an injury or illness to my dog or if my dog contracts a viral or bacterial infection. ENTER YOUR INITIALS:
*
Type your full name, including middle initial
*
Date
*
Submit
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