Registration Form

Owners Full Name*

First NameLast Name
PET INFORMATION
Dog's Name:*
Breed:*
Birthday:*
Color/Markings:*
Weight:*
Gender:*

MaleFemale
Is your dog spayed/neutered?:*

NeuteredSpayedUnaltered
MEDICAL INFORMATION

	Vets Name	Phone Number	Address
VETERINARIAN

Is your dog currently on flea/tick preventative?:*

YesNo
If yes, what type?
Does your dog have (or had) any of the following issues?:*

ArthritisHip DisplasiaDiabetesPoor EyesightBlindHard of hearingDeafSeizuresHeartworm treatmentProne to ear infectionsProne to hot spotsHeart problemsLiver problemsKidney problemsAnxiety (storm or separation)None
Does your dog have any allergies?*

YesNo
If yes, what kind?
Please list any medications that your dog is on:
Please describe any medical problems your dog has or has had in the past:
Does your dog have any old or current injuries?*

YesNo
If yes, please explain:
Are there any restrictions of your dog's movements?:*

YesNo
If yes, please explain:
It is common for some dogs while they are here for boarding to not eat. In the event your dog does not eat for more than 2 meals are we allowed to add the following enticement's to your dog's food?*

ChickenChicken brothPumpkinCheesePeanut butterYogurtHand feedHouse food: Life's AbundanceNoneOther
DOG BEHAVIOR
Has your dog ever attended daycare or been boarded before?:*

YesNo
If yes, please explain:
Has your dog been to a dog park before?:*

YesNo
If yes, please explain the experience:
Does your dog have a basic understanding of commands (sit, stay, down, etc.)?:*

YesNo
Is your dog house trained?:*

YesNo
Has your dog ever bitten a person?*

YesNo
If yes, please explain:
Has your dog ever bitten another dog?*

YesNo
If yes, please explain:
Please check all answers that describe your dog's personality:*

AffectionateOutgoingConfidentGentlePlayfulReservedSubmissiveVerbally sensitiveProtectiveClingyFeistyMouthyPushyAggressiveNone
Please check all answers that describe your dog's attributes:*

JumperClimbs fencesChewerBiterSeparation anxietyLikes to herdDiggerFears noisesFood aggressiveToy aggressiveExcessive barkingExcessive mountingNone
Please check all answers that describe situations where your dog may become unfriendly:*

Grabbing collarTouching pawsTouching earsTouching tailsTouching while sleepingBeing brushedBeing huggedBeing around menBeing around womenFearful/aggressive towards hatsNoneOther
POOL TIME: is your dog approved for pool-time (swimming in our beach entry or kid pool)?*

YesNo
Any additional information you would like to share about your dog?
Should be Empty:

PET INFORMATION

MEDICAL INFORMATION

DOG BEHAVIOR