🐾 New Client Registration

Welcome to [Your Doggy Daycare Name]! To get started, please fill out the following information so we can get to know you and your pup better.

Owner Information

Full Name:
[Your Full Name]

Phone Number:
[Your Phone Number]

Email Address:
[Your Email]

Home Address:
[Street Address, City, State, ZIP]

Emergency Contact Name & Number:
[Name & Phone]

Dog Information

Dog’s Name:
[Name]

Breed:
[Breed]

Age:
[Years/Months]

Weight:
[Pounds]

Gender:

• ☐ Male

• ☐ Female

• ☐ Spayed/Neutered (Yes/No)

Vaccinations (Please confirm current status):

• ☐ Rabies

• ☐ Bordetella

• ☐ DHPP
  (Proof of vaccinations required)

Medical Conditions or Allergies:
[Please list any]

Behavior Notes:
[Is your dog friendly with other dogs? Any triggers?]

Feeding Instructions:
[Include food type, schedule, portion size]

Medications (if any):
[Name, dosage, time]

Permissions

• ☐ I authorize [Your Business Name] to seek emergency vet care if needed.

• ☐ I agree to the daycare's terms and conditions.

• Signature: __________________________

• Date: ____________________

Submit Your Registration

Email this form to: registration@yourdoggydaycare.com
or
Bring a printed copy to: 123 Puppy Lane, Dogtown, USA