New Pet Day Care/Lodging Registration

New Pet Registration:

"Woofles is Pittsburgh's #1 Pet Resort & Concierge Service."
Pet's Name*

First NameLast Name
What type of service(s) are you interested in? (check all that apply)*

DaycareLodging
Parents Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Emergency Number*

Area CodePhone Number
E-mail*
Upload profile pic of your pet

Browse Files
We would love to see your pets beautiful face! Upload a profile pic for their records. Cancelof
Breed Type*
Age *
Weight*
Gender*
Date of Birth*
Pet's Veterinarian, Address & Phone Number*
Upload Current Vaccination Records (if records not included, a delay could occur to process application)

Browse Files

Cancelof
Can you pet have treats?*
Permission to Release Pet
List ALL authorized individuals who have permission to pick up your beloved pet
Medical or Special Instructions
Does your pet have any allegeries?*
Vaccinations: (All vaccinations MUST be current - Please check list below for requirements - Proof of records are required prior to visiting resort)*

RabiesDistemperBordetella (due every six months)Flea/Tick PreventativeHeartworm
List of Pet's Behaviors: (check all that apply)

Good with peopleGood with other animalsPlayfulActive/HyperQuiet/Low KeyFood AggressionAggression towards peopleAggression towards animalsTemperament IssuesTimidShy/Reserved
Is there anything else you would like us to know about your pet?
Any injuries/medical conditions/health issues we need to be aware of?
How did you hear about us?*
Internet
Does Woofles Premier Pet Resort have your authority to seek medical attention (at the owner's expense), if needed for any reason, while your pet is our possession?
Medical Permission*
By agreeing, you acknowledge that there are certain risks that come with any pet interaction. These risks include potential of physical injury and destruction of personal property. These risks include but are not limited to bites, scratches, being stepped on, transfer of bodily fluids that may contain bacteria, slips and falls that could lead to bodily harm. I understand that these injuries and loss of property may result unexpectedly and Woofles Luxury Pet Services is not liable. If anyone becomes ill or injured, I accept responsibility for all losses and medical bills associated with my visit or services rendered. I will not seek reimbursement for any situations that arise.
Acknowledgement*
Signature & Date

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New Pet Registration: