Dog Intake form (Item) | Dug's Doggy Daycare

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DUG'S
DOGGY DAYCARE

Call or Text
519-457-0315

and boarding!

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Client Info

Owner(s) Name(s)*

Phone*

Address*

Email*

Emergency Contact *

Emergency Contact Phone*

Vet Office*

Dog's Information:

Dog's Name*

Dog's Breed/Mix*

Dog's Birthday*

Year

Month

Day

Male

Female

Is your dog fixed*

Yes

No

Has your dog ever bitten a person?*

Yes

No

Has your dog attended daycare of boarding before?*

Yes

No

Does your dog have allergies? (please explain)*

Does your dog have any medical conditions? (please explain)*

Does your dog take any medications? (please explain)*

Feeding Instructions*

Has your dog ever attempted to escape? (please explain)*

How does your dog handle loud noises?*

How does your dog handle separation from owner?*

How does your dog handle toy guarding?*

Do you have any other concerns or things we should know about your dog?*

Media Release:

Do you agree to allow Dug's Doggy Daycare to use your pup's photos or videos for the purpose of social media and advertising?*

Yes

No

Upload Proof of vaccination (or bring a copy to your next visit)

By signing this document, I acknowledge the inherent risks and voluntarily assume full responsibility for any injury, damage, or loss that may result from my participation. I hereby waive and release the business (Dug's Doggy Daycare), it's owners and its staff from any and all liability, past, present, and future, relating to the services provided.

Owner's Signature*

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Location

LOCATION

6523 Christ Church Ln.
London, ON N6L 1H7

HOURS

MON-FRI 7:00am-9:00am
4:00pm-6:00pm
SAT 8:00am-9:00am
4:00pm-5:00pm
SUN 8:00am-9:00am
4:00pm-5:00pm

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