PAWS Doggy Day Care Registration Form
Please complete the following form
* Required
Email address
*
Your email
Todays Date
*
MM
/
DD
/
YYYY
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 micro chipped by law by the 6th April 2016 as well as having a legal tag):
*
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 be neutered to attend day care either with an implant or traditionally unless advised otherwise by your vet for health reasons):
*
Yes
No
At what age were they neutered / spayed?
Your answer
Is your dog sociable with other dogs?
*
Yes
No
Does your dog have any behavioral problems? (If yes please specify)
*
Your answer
Does your dog have any medical problems? (If yes please specify)
*
Your answer
Is your dog up to date with his / her vaccinations or has a recent titre test?
*
Yes
No
Is your dog regularly treated for worms and fleas?
*
Yes
No
Has your dog been vaccinated against kennel cough, we do not require this additional vaccine to attend day care (If your dog has recently been vaccinated please check with your vet when they can interact with other dogs)
*
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 fully understood PAWS terms and conditions which are on our website.
*
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 only
Dogs name and phone number
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