Online Application
Once your information has been received, we will review your application and contact you within 24 - 36 hours to schedule your dog’s Meet & Greet. Please be advised that proof of your dog’s vaccinations must be received before your Meet & Greet appointment. A $25 screening fee will apply at your dog’s Meet & Greet.

Contact / Applicant Information
Today’s Date:
Owner’s Name:
Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
Employer:
Work Phone:
Email Address:
Emergency Contact Information*
Name:
Phone:
Relation to You:
*Others Authorized to Pick Up Your Dog. *Please note they must have valid ID otherwise we can't release your dog to their care.
Your Dog
Dog's Name:
Dog's Date of Birth: (If unknown, please list dog's approximate age)
Breed:
Sex:
How old was your dog when you got him/her?
How old was your dog when spayed/neutered?
Medical Information
Veterinary Clinic Used:
Phone:
Address:
What medication does your dog take?
Does your dog have any medical problems? If yes please explain. Yes No
Does your dog have any allergies or food aversions? If yes please explain. Yes No
Background Information
What fears/dislikes does your dog have?
Has your dog ever bitten another dog or person? If yes please explain. Yes No
Has your dog ever growled or snapped at another dog or person? If yes please explain. Yes No
Please list other pets in your household
How does your dog get along with these other pets?
What brand of dog food does your dog eat?
What commands does your dog know?
How does your dog signal you that they need to go potty?
Any other information about your dog that you think we should know?
How did you hear about us?	Friend/Relative Area Business Flyer/Postcard Surfing the Net Advertisement Other
I understand these questions and have answered them truthfully and to the best of my ability (please check)	Initials:
Can’t wait to meet you!