New Client Form Fill Out the Below Form to Contact Rummy's Beach Club! 22111 Fields Ln. Spring, Texas 77389, US +1 (713) 446-3805 firstname.lastname@example.org Mon: 10:00 AM - 3:00 PM Tue: 10:00 AM - 4:00 PM Wed & Thur: Closed Fri - Sun: 9:00 AM - 5:00 PM If you have difficulties with this form, please click here to print the forms and email them to Lisa@RummysBeachClub.com Online Client Form Hi! Thank you for contacting Rummy’s Beach Club! WooHoo! Let’s have some FUN! But first…..the serious stuff. Below, please find 6 pages: Instructions, new client forms, photo release, vet referral and donation request. Rummy's is an exclusive, PRIVATE facility. When you come to Rummy's, you and your dogs are the only ones using the facility. You will be accompanied by a staff member while you are here, but no other people or dogs are using the facility while you are here. You have access to our one-acre PRIVATE dog park with a PRIVATE custom-built dog pool and bathroom facilities and dressing rooms. Your dogs are going to have so much FUN!!! DOGS / PEOPLE – You can bring up to 3 dogs and 3 people age 16 or older for the prices quoted on our web site here: http://www.rummysbeachclub.com/rates---services.html If you bring 3 dogs, they MUST know each other and play nicely. Do not bring dogs / people and leave them in the car. Sorry - NO CHILDREN under age 16 allowed on the property for liability reasons. FORMS - Complete a new client form for each dog you are bringing & email to us BEFORE your appointment. The vet referral form is NOT mandatory, but is preferred. The photography release form is mandatory if you want pictures taken. Vaccinations – Please send us proof of your dog’s current vaccinations or titers. If you no longer vaccinate your dog, please explain why and send us the last vaccinations they received. MAKE YOUR APPOINTMENTS – After we review your new client forms and proof of vaccinations, we will contact you to ask you when you would like to come swimming. New clients cannot make appointments – however, once you are a client and have swam here once, you can go onto our online calendar and make your own appointments. If you want to come on the weekend, Rummy’s is often booked with a waiting list, just ask to be put on our weekend waiting list - we will get you in sooner or later. CANCELLATIONS – We have a 24-hour cancellation policy - If you cancel your appointment with less than 24 hours’ notice, you are responsible for payment of that appointment. We hate to do this, but we won’t stay in business long if we don’t. You are not charged for weather related cancellations – we pay for those. We don’t swim if there is thunder or lightning. PREPARATION – DO NOT FEED your dog 3 hours BEFORE swimming. No treats at Rummy’s until they are done swimming. Eating stimulates the GI tract and increases the chance of vomit, aspiration or poop in the pool. Protect your skin from dog claws & sun. Workout clothes or a bathing suit covered with a t-shirt works fine. Don’t forget towels, blankets, sheets for your dogs to snuggle in on the way home – they will be exhausted. There is a dressing room next to the pool so you can change your clothes. We have dog life jackets, toys & ear cleaner for ears after swimming to prevent ear infections (like swimmer’s ear for people). PARKING – Please park in the street near our driveway and stay in your car with your dogs so you don’t interrupt the dog swimming before you. When it is your appointment time, the large drive-in gates open and the dog swimming before you drives out. We will wave you in. Once inside of Rummy’s & the gates are closed, let your dogs out to RUN all around, pee and poop. Please don’t walk your dogs while waiting. Our neighbor breeds pit bulls and does not leash them. AGH!! PHOTOGRAPHY – If you sign our photo release form, this gives us permission to take pictures & videos of your dogs for no charge to you. We will text you these pictures or videos and may use them on Rummy’s social media and advertising. It may take 4-6 weeks to get your pictures & videos, sorry – my old hands are slower and slower. Dock Jumping / Diving: We have a beginner dock for your dog to learn how to jump into the pool and have FUN! PAYMENT – We offer private hourly swims only. Our discounted swim packages are called Season Passes that you can use once a week, once a month – however you want to use them. You can pay with cash, check or credit cards. We accept all major credit cards. Our prices are on our web site. Please let us know if you have any questions. See you soon! Lisa Goebel, RummysBeachClub.com Rummy’s Beach Club, LLC22111 Fields Ln., Spring, Texas 77389, US +1 (713) 446-3805 -- Rummysbeachclub.com BEFORE YOUR APPOINTMENT - please email proof of current vaccinations or titers. If you no longer vaccinate your dog, please explain why and send us the last vaccinations your dog received. New Client Form Date:(Required) MM slash DD slash YYYY Dog Details(Required)Dog's Name:Age:Gender:Breed: Add RemoveOwner’s Name:(Required) Neutered / Spayed?(Required) Yes No Email Address:(Required) Cell Phone:(Required) How did you hear about Rummy's(Required) Instagram Facebook Tik Tok You Tube Magazine TV Radio Friend Dog Trainer Google Search Google Ad Next Door Yelp Other Other(Required) When did you get your dog?(Required) And from where?(Required) Rescue Breeder Shelter Found A gift Medications:(Required) Allergies:(Required) Medical Problems. Surgeries, Injuries, dates:(Required) Describe your dog’s physical / emotional / behavioral disabilities / issues?(Required) Does your dog like strangers?(Required) Does your dog share food, toys or people with other dogs?(Required) When and why does your dog harm / snap / bite / show aggressive behavior toward people or animals?(Required) Training:(Required) Trained Yourself Group class Private Training Agility Flyball Tracking Obedience Dock Dogs Therapy Dog Search & Rescue Other: (Required) Exercise:(Required) Train Every Day Daily Walk Occasional Walk Dog Park Everyday Dog Park Occasionally Daily Play in Yard Couch potato Other: (Required) Ever attended doggie daycare?(Required) Yes No If yes, where?(Required) Do you have other dogs?(Required) Yes No If yes, name, breed, ages?(Required) Your dog’s experience in water:(Required) How are you hoping your dog will benefit from swimming?(Required) ATTACH YOUR DOG'S VACCINATIONS HERE(Required) Drop files here or Select files Max. file size: 100 MB. BEFORE YOUR APPOINTMENT - please email proof of current vaccinations or titers. If you no longer vaccinate your dog, please explain why and send us the last vaccinations your dog received. Cameras & video cameras are welcome and encouraged. Rummy’s Beach Club is happy to take pictures and or videos and share them with you on Facebook – there is no extra cost. Pictures taken by Rummy’s Beach Club are the property of Rummy’s Beach Club and will be used in social media, advertising, marketing, blogs, promotional materials, printed for sale or other reasons. Please write “YES” or “NO” to indicate whether you want pictures taken by Rummy’s Beach Club. If you would like Rummy’s Beach Club to take pictures and or video, please complete our “Picture & Video Release & Consent Form.”Please Select(Required) Yes No Picture & Video Release & Consent Form I hereby authorize Rummy’s Beach Club, LLC, hereafter referred to as “Rummy’s,” and its agents, employees, and volunteers to photograph, videotape, audio record, televise, duplicate, and/or otherwise record images of my animals and/or me and the likeness. I irrevocably authorize Rummy’s to publish photographs taken (whether in the past or future) of my pets and/or myself for use in the Rummy’s company publications including those that are printed, published online, or created in video form. I attest that I have full authorization to consent to publication of these photos. Further, I hereby release and hold harmless Rummy’s from any reasonable expectation of privacy or confidentiality associated with these images. I understand that Rummy’s will own these images and recordings. Rummy’s may take pictures of me and any of my dogs / pets. Pictures taken by Rummy’s are the property of Rummy’s and will be used in social media, advertising, marketing, blogs, promotional materials, printed for sale or other reasons. I understand that any pictures taken by Rummy’s are the property of Rummy’s Beach Club and they are allowed to use any pictures with me or my dogs for any purpose they choose. I waive any right to inspect or approve these recordings or material that may be used with them now or in the future, whether that use is known to me or not. I further acknowledge that my participation is 100% voluntary and that I will not receive financial compensation of any type associated with the taking or publication of these photographs (whether in the past or future) or participation in any company marketing materials or other Company publications. I acknowledge and agree that publication of said photos confers no rights of ownership or royalties whatsoever. I hereby release Rummy’s Beach Club, its contractors, its employees, and any third parties involved in the creation or publication of marketing materials, from liability for any claims by me or any third party in connection with my participation. I have read this RELEASE and understand all its terms. I execute it voluntarily and with full knowledge of its significance. This agreement has no time limit and is valid and enforceable for any and all future activity with my dog[s]. The information provided by me is complete and accurate and I agree to all its terms and conditions. I release Rummy’s, its regents, employees, and agents from all liability arising out of the use of these recordings, including but not limited to any claims arising out of my right of privacy or right of publicity and any claims based on any distortions, optical illusions, of any mechanical reproductions. I understand that I will not be compensated for any use of sale of these images/recordings. I understand that this is a legal document and represent that I have read it and understand it and am willing to sign it voluntarily.Date(Required) MM slash DD slash YYYY Your Signature:(Required)Your Printed Name: HiddenAttach your files here(Required)Max. file size: 100 MB. Rummy’s Beach Club, LLC 22111 Fields Ln., Spring, Texas 77389, US +1 (713) 446-3805 RummysBeachClub.com email@example.com Please Note: No alcoholic beverages. Age 16 and up only – with proof of age (driver’s license, student ID, etc.). DO NOT feed your dog 3 hours before and after swimming to help prevent regurgitation / defecation in the pool. No food or glass in the pool area. Cancellations without 24 hour notice incur charges. If weather is questionable, please call to confirm your appointment Dogs with vomiting, diarrhea, no appetite, etc. are not welcome -- if your dog is ill or has been near a dog with an infection, please do not bring him swimming for 7 days after exposure. Aggressive or out of control dogs and people will be asked to take a time-out or leave. We take the cleanliness of our beautiful pool seriously. We ask you to do the same. Allow 5 days to elapse after using topical flea treatment. If you come swimming once weekly or more - topical flea preventative will probably not work - you will need a pill form of flea preventative. Please brush your dog before swimming. Short & smooth dog nails are appreciated. Dogs new to you must live and thrive in good health in your home for at least 14 days prior to swimming. When you get to Rummy’s, the first 5-10 minutes will be spent letting your dog smell and go potty. Rummy’s is a stimulating environment for dogs – don’t be surprised if they defecate 2 or 3 times here. Dogs drink a lot of water while swimming. In addition, being in water is a natural diuretic - your dog will need to urinate several times for a few hours after each session. If you suspect your dog may defecate in the pool – for example if they are older and don’t always have control over their bowels or if they have a spinal cord injury, you are still welcome to swim here, we will just make you the last appt of the day so the pool can be cleaned overnight. We take half time breaks to decrease the likelihood of your dog defecating in the pool, however, if your dog defecates in the pool more than one time, your appointments will need to be the last one of the day so the pool can be cleaned overnight. I agree to hold harmless and indemnify Rummy’s Beach Club, LLC, and Lisa Goebel, the owner, as well as her agents, employees, volunteers, successors and assigns from any claim for loss or injury which may be alleged to have been caused directly or indirectly to any person or thing by the act of my dog while in or upon the premises or grounds or near any entrance thereto, and I personally assume all responsibility and liability for such claim. I further agree to hold the aforementioned parties harmless from any claim of loss of this dog by disappearance, theft, death or otherwise, and from any claim of damage or injury to the dog, caused or alleged to be caused by the negligence of the parties aforementioned, or by the negligence of any other person or any other cause or causes. I understand that any pictures taken by Rummy’s Beach Club is the property of Rummy’s Beach Club and that they are allowed to use any pictures with me or my dogs for any purpose they choose. I agree that there are inherent risks to me associated with the use of Rummy’s Beach Club, LLC, facilities arising out of or associated with use and conditions, such as swimming, wet floors, multiple dogs and owners and dog behavior. In consideration for Rummy’s Beach Club, LLC granting me permission to use these facilities, I agree to release Rummy’s Beach Club, LLC from liability arising out of or associated with such use, and hereafter waive any and all claims which may arise out of or be associated with such permissive use of the Rummy’s Beach Club, LLC, facilities. A handling fee of $40.00 will be charged on all returned checks. In the event it is necessary to initiate collection proceedings on the account, Client will be responsible for all attorney’s fees and costs of collection. Thank you for taking the time to fill out this lengthy paperwork. We look forward to swimming fun and miracles.Owner Signature(Required)And Date:(Required) MM slash DD slash YYYY Owner Printed Name:(Required) Rummy’s Beach Club, LLC22111 Fields Ln., Spring, Texas 77389, US +1 (713) firstname.lastname@example.org www.rummysbeachclub.com Warm Water Dog Swimming Veterinarian Referral Form This form is NOT mandatory, but if your dog has significant medical / surgery problems, we prefer to have it. Patient: Diagnosis: Owner: Veterinarian: Phone:Fax:Reason For Referral: Arthritis Pain Hip / Joint Dysplasia Ligament, Tendon or Muscle Injury Lose Weight Reduce Stress & Anxiety Owner Request Other, Please Explain: (Required) Precautions:In accordance with the Veterinary Practice Act of Texas, as the attending Veterinarian, I have determined that warm water dog swimming will not likely be harmful to the patient.Veterinarian’s SignatureDate MM slash DD slash YYYY Thank you for referring this patient to me!Can YOU Help? Animal Shelters & Rescues Need Your Old: Newspapers ANY Dog or Cat Stuff Collars, Ramps, Crates, Toys, Food, Treats, Clothes, Beds, Harnesses, Bowls, Leashes ANY House Stuff Newspapers, Furniture, Kitchen stuff, Appliances, Collectibles, Linens, Comforters, Blankets, Towels, Sheets, Clothes, Beds, Tools Bring stuff to Rummy’s - We Do the Rest! We donate to different shelters and animal rescues - every year, all year long – to help them help animals. Wanna donate everything in your garage or storage room? One of my clients will move everything out, sell it and donate the proceeds to animal rescue. Wanna volunteer? Just say the word – I am happy to help offer guidance on places to volunteer. In 2014, Rummy’s started our annual calendar campaign to raise funds for TLC – Texas Litter Control to increase spay & neuter procedures done on dogs. TLC just opened their third location!! We collect items all year, every year Thank YOU for your help! 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