Registration Form/ Welcome Sheet
For new clients to fill out before they board and submit or you can fill this out when you come in.
*
indicates required fields
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Name:
*
Address:
*
City:
*
State:
*
Zip Code:
*
Home #:
*
Cell#:
Work#:
Email Address:
*
Vet Clinic/ If not local please provide a phone #:
*
Emergency # to reach you:
*
Emergency# and person's name other than you:
Emergency # and name of person other than you:
*
Pet 1: Name:
*
Date of Birth:
*
Species:
Dog
Cat
Other
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Breed:
*
Color:
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Sex:
Male-Neutered
Male-UnNeutered
Female-Spayed
Female- UnSpayed
*
Weight:
Medical Conditions/issues:
*
Pet Behaviors- please check al that apply:
Aggressive with People
Aggressive with other Dogs
Can climb over 6ft chain link fence
Will dig under fence to escape
Chews Bedding
You would like them to play with other dogs
You would like them to play alone
Afriad of Thunderstorms
Can Have Treats
Has Food Allergies- please list to what in medical conditions area
Pet 2: Name:
Date of Birth:
Species:
Dog
Cat
Other
Breed:
Color:
Sex:
Male-Neutered
Male-UnNeutered
Female-Spayed
Female-UnSpayed
Weight:
Medical Conditions/issues:
Pet Behaviors please check all that apply:
Aggressive with People
Aggressive with other Dogs
Can climb over 6ft chain link fence
Will dig under fence to escape
Chews Bedding
You would like them to play with other dogs
You would like them to play alone
Afriad of Thunderstorms
Can Have Treats
Has Food Allergies- please list to what in medical conditions area
*
Authorization:
I give Caraway Kennels permisson to take my dog to my vet or an emergency vet, if needed.
If you have completed the form to the best of your ability please submit.
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