Names of people authorized to drop off/ pick up your dog
Date of Birth
It is the Owner's responsibility to provide proof of vaccination for each animal coming into THE DOG HOUSE. Dogs that are not up-to-date on their shots will not be allowed in. The following Vaccinations must be administered 5 days or more prior to attendance:
Date Given: Distemper
Bordetella (1 year)
OWNER UNDERSTANDS THAT EVEN IF YOUR DOG IS VACCINATED AGAINST CANINE COUGH (BORDETELLA), THERE IS STILL A CHANCE THAT YOUR DOG MAY CONTRACT CANINE COUGH. I AGREE THAT I WILL NOT HOLD THE DOG HOUSE RESPONSIBLE IF MY DOG CONTRACTS CANINE COUGH.
Name of food
Dry mixed with water
Can He/She have treats? Yes
How did you hear about us?
How long have you had your dog?
Where did you get your dog?
Has your dog ever bitten anyone? Yes
Is your dog food or toy aggressive? Yes
If yes, please explain
Has your dog ever been in a large play group before? Yes
Has your dog ever been to daycare or boarding before? Yes
If so, when was the last time?
What is your dog's favorite toy?
What is your dog's favorite treat?
Please list any information about your dog that we should know: