Training
Boarding
Day Care
Grooming
Raw Diet
Contact

Training
Boarding
Day Care
Grooming
Raw Diet
Contact

Agreement Form

Owner's Information

Full Name

Address

City

State

Zip Code

Home Phone

Cell Phone

Emergency Contact

Name

Phone

Dog(s) Information:

Name of Dog(s)

Breed(s)

Birthday

Gender

Microchip YesNo

Neutered/Spayed YesNo

Paw Palace accepts all dogs into boarding; we will only accept fixed dogs into the Day Care Program

Veterinarian Information

Name/Clinic

Phone

Address

City

State

Zip Code

Vaccinations

Bordetella YesNo

DHPP YesNo

Rabies YesNo

Negative Fecal test within last 12 months YesNo

Method of Flea Control

Has your dog(s) been ill in the last 30 days YesNo

Are there any restrictions that need to be placed on your dog’s physical activities? YesNo

If yes, please explain

Is your dog(s) on any medication? (Please explain)

Does your dog(s) have any allergies? (Please explain)

Boarding/Daycare

Has your dog(s) ever been boarded? YesNo

Has your dog(s) ever attended daycare YesNo

Does your dog(s) board well? YesNo

If no, please explain

Has your dog(s) ever bitten a person or another dog? YesNo

If yes, please explain

Has your dog(s) ever exhibited aggressive behavior towards people or dogs? YesNo

If yes, please explain

Has your dog(s) ever been bitten or attacked by another dog, or been abused? YesNo

If yes, please explain

What kind of food does your dog(s) eat and how much per day?

Does your dog(s) chew or eat on bedding, collars, harnesses, etc

How did you hear about us?

I agree the terms and conditions

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Contact Us

We would love to meet your pet!

Feel free to call us at 708-758-3647 or send us a message and we'll get back to you.

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