Online Application

View our printable Daycare Policy and Owner Agreement: Daycare Policy.pdf | Owner Agreement.pdf

Please note this application’s purpose is only to get your and your dogs’ information into our system. If you wish to schedule a stay please call or stop by and specify if you’d like to set up a boarding, daycare or grooming appointment. Thank you!

Your Information:

Name: (required)

Email: (required)

Cell Phone:

Work Phone:

Home Phone:

Address:(required)

City, State: (required)

Zip Code: (required)

Emergency Contact:

Emergency Number:

How'd you hear about us?

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Pet Information:

Pet Name: (required)

Breed:

Mix Breed - What Mix?:

Weight:

Pet's Color:

Pets Age:

Birth Date:

Sex:
MaleFemale

Spayed or Neutered?
yesno

If yes, approximate age. If no, when will he/she be spayed/neutered?

Does your dog have any allergies?
yesno

If yes, please explain:

How long have you had your pet?

Where did you get your dog?

How's your pets behavior?

Has your pet been trained?
yesno

Does your pet require more training?
yesno

Are there any special commands we need to be aware of?
yesno

If yes, what are they?

If your pet will not eat or take medication, is it ok to supplement their food with cheese or peanut butter?
yesno

Does your dog have a tendency to chew things? (beds, toys, etc.)
yesno

Tell us about your pet: (personality, manner, energy level, etc)

Send us a picture!
(Size limit 1MB)

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Medical Background Information:

Does your dog have any medical problems or need special medication?

Has your pet been tested for worms?
YesNo

Is your dog on heartworm and flea preventative?
YesNo

(if yes, what brand)

Please list dates of vaccinations & preventatives given and due dates for each. We will either need records from Veterinarian or the paperwork filled out and signed by your Veterinarian. Documentation for vaccines are required.

DHLPP:

Flea prev:

Heartworm prev:

Bordetella:

Rabies:

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Emergency Veterinarian Information.

Preferred Veterinarian/Clinic:

Veterinarian/Clinic Address:

Veterinarian/Clinic Phone: