Registration Forms

OWNERS INFORMATION

Name:____________________________________________________________________________________________

Address:_____________________________________________________________City:_________________________St:__________Zip:__________

Best phone # :________________________________________other #:___________________________________

E-mail:________________________________________________

Emergency contact in area with phone:__________________________________________________________

Vet Clinic:________________________________________Phone:__________________________________________

How did you hear about us?  Phone book   vet   friend   newspaper ad    internet
PET PROFILE:

Name:___________________________________________________Nickname:______________________________

Breed:___________________________________________________Color:___________________________________

Sex: M_____ Neutered________ F_____ Spayed___________

Age:_______________Birthdate:_____________________________________________________________________

Any issues from the past that we should know about your dog? (if adopted, puppy years,etc…)__

___________________________________________________________________________________________________

Medications:_____________________________________________________ Reason for use ________________

Dosage and times per day:_______________________________________________________________________

Flea and Tick control (this is highly recommended):_______________________________________________

Amount of food and times per day:_______________________________________________________________

Brand of food: ____________________________________________________________________________________

Has your dog visited another day care, kennel, dog park, if so how do they react?________________

___________________________________________________________________________________________________

How is your dog with other dogs?________________________________________________________________

Is your dog food or toy possessive? (growl, nip):__________________________________________________

Is your dog sight or sound sensitive?_____________________________________________________________

Is your dog an escape artist? (climb fences, squeeze out of things):_______________________________

Please provide any other information that you think will be helpful:______________________________

___________________________________________________________________________________________________

Please send over a copy of current vaccinations: Rabies, DHLPP, Bordatella  and the above form BEFORE you come.

Crawfish Corners LLC*N4936 Popp Rd Jefferson WI 53549*920-674-5517*Fax 920-674-4545