Enrollment Form

Enrollment Form



Fill the form out below to instantly send us your information, or use this link to print out a copy of the form and send it in. Download Enrollment Form (PDF).

How did you hear about The Woof Room?

Client Information

Owner's Name

Street Address

City

State

Zip

Home Phone

Cell Phone

Work Phone

Email

Emergency Contact

Name

Phone

Guest Information

Dog's Name

Dog's Date of Birth (if known)

Dog's Primary Breed

Dog's Gender
 Male Female

Dog's Color

Dog's Approximate Weight

Is your dog spayed or neutered
 Yes No

Brand of food and feeding instructions

Does your dog have any known allergies?

Veterinary & Medical Information

Vet/Clinic Name

Vet/Clinic Phone

Is your dog on any medications
 Yes No

Instructions for medications (if applicable)

Describe any health/medical issues we need to be aware of:

Are there any restrictions on your dog's activities or movements?

In the event of a time-sensitive emergency, may we take your dog to another vet?
 Yes No

Help us get to know your dog!

How long have you owned your dog?

Is your dog friendly to other dogs?
 Yes No Unsure

Has your dog had any obedience training?
 Yes No

What commands does your dog know at this time?

How does your dog react when somebody else or another dog tries to take food or toys away?

Does your dog climb?
 Yes No Unsure

Does your dog jump fences?
 Yes No Unsure

Does your dog jump on you or others?
 Yes No Unsure

Is your dog afraid of anything?

How does your dog react to puppies?

How does your dog react to strangers?

Has your dog been boarded or attended daycare in the past 2 years?
 Yes No Unsure

Does your dog have any behavioral issues?

Why are you looking for a new daycare?

Is there anything else you would like us to know about your dog?

Please upload a picture of your dog.

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