CAMP MIMI
CAMP MIMI
SERVICES
DOG BOARDING
DOGGIE DAYCARE
DOG WASHING
FULL SERVICE GROOMING
DOG TRAINING
ENROLL
ENROLLMENT FORM + AGREEMENT
HOURS
ABOUT
CONTACT
(770) 599-4599
JOBS
*
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DOG ENROLLMENT FORM
Please Fill Out Completely
Today's Date
*
DOG'S INFORMATION
Name
*
Breed
*
Sex
*
Weight
*
Neutered or Spayed
*
Yes
No
Age/Birthday
*
Color
*
OWNER INFORMATION
Name
*
First
Last
Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Cell Phone
*
Home or Work Phone
*
EMERGENCY CONTACT INFORMATION
-
Person Not Traveling With You
Name
*
First
Last
Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Cell Phone
*
Home or Work Phone
*
VETERINARIAN INFORMATION
Practice Name
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Doctor's Name
*
Phone Number
*
How did you hear about Camp Mimi?
*
ABOUT YOUR PET
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
HEALTH AND GROOMING INFORMATION
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?
*
BEHAVIOR INFORMATION
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
Has your dog ever:
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?
*
Does your dog have any problems in the following areas: (select all that apply)
*
Chewing
Barking
Jumping
Housetraining
Digging
Fence Climbing
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?
*
What commands does your dog know?
*
HEALTH, FEEDING & MEDICATION
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!
Submit
CAMP MIMI
SERVICES
DOG BOARDING
DOGGIE DAYCARE
DOG WASHING
FULL SERVICE GROOMING
DOG TRAINING
ENROLL
ENROLLMENT FORM + AGREEMENT
HOURS
ABOUT
CONTACT
(770) 599-4599
JOBS