Registration

Address *

Address

Phone Number

Area Code Phone Number
Other People Authorized To Pick Up My Dog
Name

First Name Last Name
Phone Number

Area Code Phone Number
Relationship
Name

First Name Last Name
Phone Number

Area Code Phone Number
Relationship
About Your Dog
Has your dog attended daycare before?

Yes No
Have you boarded your dog before??

Yes No
If yes, please describe your dog's experience.
Do you use flea/tick control on your dog?

Yes No
If yes, which one?
Does your dog have any allergies? food /medicine

Yes No
If yes, please describe.
Does your dog take any medications?

Yes No
If yes, please describe.
Has your dog ever bitten anyone?

Yes No
If yes, please describe.
Is your dog frightened by storms or loud noises?

Yes No
If yes, please describe typical behavior and what helps alleviate it.
Has your dog ever growled or snapped when food or toys are taken away?

Yes No
If yes, please describe.
Are there any particular types of people your dog seems to dislike immediately? (children, people in uniforms...)
Feeding Directions While Boarding at Dusty’s Dog House
My dog eats

Breakfast Lunch Dinner
Breakfast:
Lunch:
Dinner:
Special Feeding Instructions:
If you have electronic copies of your vaccines you can upload them here:

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