CAMP MIMI
CAMP MIMI
SERVICES
DOG BOARDING
DOGGIE DAYCARE
DELUXE DOG WASHING
DOG TRAINING
ENROLL
ENROLLMENT FORM + AGREEMENT
HOURS
ABOUT
CONTACT
(770) 599-4599
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DOG ENROLLMENT FORM
Please Fill Out Completely
Today's Date
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DOG'S INFORMATION
Name
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Breed
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Sex
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Weight
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Neutered or Spayed
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Yes
No
Age/Birthday
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Color
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OWNER INFORMATION
Name
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First
Last
Email
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Cell Phone
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Home or Work Phone
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EMERGENCY CONTACT INFORMATION
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Person Not Traveling With You
Name
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First
Last
Email
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Cell Phone
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Home or Work Phone
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VETERINARIAN INFORMATION
Practice Name
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Doctor's Name
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Phone Number
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How did you hear about Camp Mimi?
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ABOUT YOUR PET
Date you acquired your dog
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If adopted, do you have any knowledge of your dog’s past history?
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Are there other animals in your home?
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Yes
No
If yes, please list type and sex of each resident pet.
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Does your pet get along with other resident animals?
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Yes
No
HEALTH AND GROOMING INFORMATION
Has your dog ever been swimming?
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Yes
No
Did he or she like it?
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Yes
No
How does your dog react to bathing?
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Does your dog like to be brushed?
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How does your pet react to having its nails clipped?
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Does your pet have any sensitive areas on its body?
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What are your dogs’ favorite petting spots?
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BEHAVIOR INFORMATION
Does your dog act afraid of any noises (like thunder) or items?
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Yes
No
If yes, please explain:
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How does your dog react to strangers coming into your home or yard?
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Yes
No
Has your dog ever:
Been bitten by another animal?
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Yes
No
If yes, what were the circumstances?
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Growled at someone?
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Yes
No
If yes, what were the circumstances?
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Bitten someone?
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Yes
No
If yes, what were the circumstances?
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Does your dog have any problems in the following areas: (select all that apply)
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Chewing
Barking
Jumping
Housetraining
Digging
Fence Climbing
Other problems not listed, please explain.
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Has your dog ever growled or snapped at anyone who has taken it's food or toys away from them?
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Yes
No
What were the circumstances?
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Does your dog play with other dogs?
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Yes
No
Has your dog had formal obedience training?
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Yes
No
How long ago?
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What commands does your dog know?
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HEALTH, FEEDING & MEDICATION
Heartworm preventative your dog is currently on.
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Flea &/or tick control your dog is currently on.
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Is there anything else you would like us to know or do for your dog?
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PLEASE BE ADVISED:
All Dogs Receive Tons of Love, Affection, Hugs, Kisses, & Belly Rubs.
All Day, Every Day ... Rain or Shine!
Submit
CAMP MIMI
SERVICES
DOG BOARDING
DOGGIE DAYCARE
DELUXE DOG WASHING
DOG TRAINING
ENROLL
ENROLLMENT FORM + AGREEMENT
HOURS
ABOUT
CONTACT
(770) 599-4599