Dog Daycare Free Day Registration
Register your dog for ONE complimentary daycare day in January. Availability is limited—staff will confirm your requested date.
Owner's Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Are you a new or existing client?
*
New Client
Existing Client
Requested Daycare Date (January Only)
*
-
Month
-
Day
Year
Date
Preferred Drop-off Time Window
*
Please Select
7:00–8:00 AM
8:00–9:00 AM
9:00–10:00 AM
Other
Preferred Pick-up Time Window
*
Please Select
3:00–4:00 PM
4:00–5:00 PM
5:00–6:00 PM
Other
Dog's Name
*
Dog's Breed (new clients only)
Dog's Age (years) (new clients only)
Dog's Weight/Size (lbs) (new clients only)
Gender (new clients only)
Male
Female
Is your dog spayed or neutered? (new clients only)
Yes
No
Vaccination Status (new clients only)
Up to date
Not up to date
Upload proof of current vaccinations (new clients only)
Upload a File
Drag and drop files here
Choose a file
Cancel
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Temperament and behavior notes (e.g., sociability, fears, special needs) (new clients only)
Emergency Contact Name and Phone Number (new clients only)
Veterinarian Name and Phone Number (new clients only)
Medical conditions, allergies, or medications (if any) (new clients only)
I consent to my dog being photographed or recorded for promotional purposes (optional).
*
I consent
How would you like to receive confirmation?
*
Email
Text message
Thank you for registering! Staff will review your request and contact you to confirm your scheduled daycare day. Please note that only one free day is allowed per dog/household and dates are subject to availability.
Submit Registration
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