ENROLLMENT FORM OLD

DOG ENROLLMENT FORM

Please Fill Out Completely

Today's Date *

Neutered or Spayed *

Yes No

Age/Birthday *

Color *

Address *

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City

State

Zip Code

Country

Cell Phone *

Home or Work Phone *

EMERGENCY CONTACT INFORMATION - Person Not Traveling With You

Address *

Line 1

Line 2

City

State

Zip Code

Country

Cell Phone *

Home or Work Phone *

Practice Name *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Doctor's Name *

Phone Number *

Date you acquired your dog *

If adopted, do you have any knowledge of your dog’s past history? *

Are there other animals in your home? *

Yes No

If yes, please list type and sex of each resident pet. *

Does your pet get along with other resident animals? *

Yes No

Has your dog ever been swimming? *

Yes No

Did he or she like it? *

Yes No

How does your dog react to bathing? *

Does your dog like to be brushed? *

How does your pet react to having its nails clipped? *

Does your pet have any sensitive areas on its body? *

What are your dogs’ favorite petting spots? *

Does your dog act afraid of any noises (like thunder) or items? *

Yes No

If yes, please explain: *

How does your dog react to strangers coming into your home or yard? *

Yes No

Been bitten by another animal? *

Yes No

If yes, what were the circumstances? *

Growled at someone? *

Yes No

If yes, what were the circumstances? *

Bitten someone? *

Yes No

If yes, what were the circumstances? *

Other problems not listed, please explain. *

Has your dog ever growled or snapped at anyone who has taken it's food or toys away from them? *

Yes No

What were the circumstances? *

Does your dog play with other dogs? *

Yes No

Has your dog had formal obedience training? *

Yes No

How long ago? *

Heartworm preventative your dog is currently on. *

Flea &/or tick control your dog is currently on. *

Is there anything else you would like us to know or do for your dog? *

PLEASE BE ADVISED:
All Dogs Receive Tons of Love, Affection, Hugs, Kisses, & Belly Rubs.
All Day, Every Day ... Rain or Shine!

ENROLLMENT FORM

DOG ENROLLMENT FORM

Home

VACCINATION + REQUIREMENTS

JOBS

Contact

CAMP MIMI PET RESORT
A Veteran-Owned Business
(770) 599-4599

ENROLLMENT FORM

DOG ENROLLMENT FORM

​Home​

VACCINATION + REQUIREMENTS

JOBS

Contact

CAMP MIMI PET RESORT​A Veteran-Owned Business (770) 599-4599

Home

CAMP MIMI PET RESORT
A Veteran-Owned Business
(770) 599-4599