Dog Admission Form

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Pet Parent Information

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Emergency Contact

other than yourself

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List any person(s) authorized to pick up your dog if you cannot
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Veterinarian Information

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Pet Information

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Pet Health

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You will need to provide a current copy of the vaccination records when you drop off your dog.

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Does your dog have any injuries, hot spots, irritations, skin problems, bandages, stitches, or other problems our staff should be
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Does your dog have any medical conditions that limit your dog’s activities or
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General Information

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Do you have any knowledge of your dog's past
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If Yes, please list type, sex and age of
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Where does your dog stay most of the
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Behavior

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If so, what were the
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How does your dog react to strangers coming into your home or
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Does your dog act afraid of any specific items or
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Are there any circumstances where your dog is aggressive with other
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Does your dog go to
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Other comments about your dog which you feel we need to know and which might be
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If we provide other services, what would you be
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Certification required

that I have read the Service Agreement and the Rules and Regulations set forth in the links provided and that I thoroughly understand these documents. I agree to abide by the rules and regulations and accept all the terms, conditions and statements of these documents.

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