PAWS Doggy Day Care Registration Form
Please complete the following form
* Required
Email address
*
Your email
What's your dog's name?
*
Your answer
What breed of dog do you have?
*
Your answer
Your dogs microchip number (all dogs must be microchipped by law by the 6th april 2016):
*
Your answer
How old is your dog
*
Your answer
Is your dog a boy or a girl?
*
Female
Male
Is your dog neutered / spayed? (Males over 12 months need to ne neutered to attend day care unless advised otherwise by your vet):
*
Yes
No
At what age were they neutered / spayed?
Your answer
Is your dog sociable with other dogs?
*
Yes
No
Does your dog have behavioural problems?
*
Yes
No
Does your dog have any medical problems? (If yes please specify)
*
Your answer
Is your dog up to date with his / her vaccinations?
*
Yes
No
Is your dog regularly treated for worms and fleas?
*
Yes
No
Has your dog been vaccinated against kennel cough
*
Yes
No
What Vet is your dog registered with? (Please provide full address)
*
Your answer
Your Vets phone number?
*
Your answer
Your full name
*
Your answer
Emergency Contact numbers (Please provide a minimum of 2 contacts)
*
Your answer
Home address including post code
*
Your answer
How did you hear about us
Your answer
What brand of food do you feed your dog?
*
Your answer
Does your dog have any food allergies we should be made aware of?
*
Your answer
I give permision for my dog to be socialised in a group of dogs of various ages
*
yes
No
I give permission for PAWS to give treats to my dog (hypoallergenic natural treats)
*
Yes
No
I have read and understood PAWS terms and conditions
*
yes
No
Please answer the following question from the terms and conditions to ensure you have read and understand them. What is a legal requirement for a dogs ID tag?
*
Surname, address and postcode
phone number, Address and postcode
Dogs name and phone number
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