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Zoomies Enrolment Form
Fill out the form carefully for enrolment.
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* Indicates required question
About your Dog
Dog's Name
*
Your answer
Dog's Council Registration Number
*
Your answer
Date of Birth (estimate):
*
Your answer
Breed of Dog
*
Your answer
Neutered / Spayed / Entire:
*
Neutered Male
Spayed Female
Entire Male
Intact Female
Photo requirements
Please email a photo of your dog through to
admin@zoomiescambridge.co.nz
or you can direct message us on our Facebook Profile
@zoomiescambridge
Vaccination Status
Vaccination Status Proof
Please email a copy of your vaccine records through to
admin@zoomiescambridge.co.nz
or you can direct message us on our Facebook Profile
@zoomiescambridge
to complete your enrolment
Vanguard +5
*
Yes
No
Next Due:
Your answer
Leptoguard
*
Yes
No
Next Due:
Your answer
Kennel Cough
*
Yes
No
Next Due:
Your answer
I agree to keep up a regular worming and flea treatment regime to help protect my dog and the other dogs in the daycare environment.
*
Yes
Vet Clinic Used:
*
Your answer
Vet Clinic Phone Number:
*
Your answer
Medical conditions / concerns:
Your answer
Current medication (if any):
Your answer
Behaviour issues: e.g. excessive barking, digging, resource guarding
*
If misleading information is entered on this enrolment form then the agreement may be cancelled and your dog will be removed from Zoomies Doggy Daycare.
Your answer
What environment would your dog prefer?
*
Big Dog
Small Dog
Either
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