Dog Care Services - The Pawparazzi Lounge

OWNER'S NAME

ADDRESS

CITY

STATE

ZIP

HOME PHONE

WORK PHONE

CELL PHONE

FAX

EMAIL ADDRESS

EMERGENCY CONTACT

CONTACT'S PHONE

..........................................................................................................................................................

DOG'S NAME

DATE OF BIRTH

OWNED SINCE

BREED

DOG'S BACKGROUND?

VETERINARIAN

VET'S PHONE

IS DOG IN GOOD HEALTH?

IF NO,
EXPLAIN

IS DOG ON ANY
MEDICATIONS?

IF YES,
EXPLAIN

DOES DOG PLAY OFF-LEASH WITH OTHER DOGS?

FREQUENCY
OF PLAY?

IS DOG AFRAID OF ANYTHING OR ANYONE?

IF YES,
EXPLAIN

HOW DOES
DOG PLAY?

WHAT DOES DOG DO?

HAS DOG
GROWLED AT
ANYONE?

IF YES,
EXPLAIN

HAS DOG
EVER BITTEN?

IF YES,
EXPLAIN

ANY FORMAL TRAINING?

LEVEL OF
TRAINING

TRAINER
OR SCHOOL

DOG KNOWS

	SIT		DOWN		STAY
	LEAVE IT		COME		HEEL

HOW DOES DOG GREET PEOPLE?

REFERRED TO
The Pawparazzi Lounge BY

Has Dog ever attended Daycare? YES NO

WRITTEN PROOF OF VACCINATIONS IS REQUIRED
You may fax copies to us at 405-341-3037

Rabies*, Distemper and Parvovirus -- Titers Accepted
Bordetella (Kennel Cough) also required for Daycare

I will not hold The Pawparazzi Lounge DOGGIE DAY CARE, 3724 E 2ND Street, Jordyn Calhoun, any employee or trainer at The Pawparazzi Lounge Doggie Day Care or anyone associated with them responsible for injury to persons or property caused by my dog or any dog brought by me. Nor will I hold them responsible for physical harm which might come to me or my dog while on the premises of The Pawparazzi Lounge Doggie Day Care.