New Customer Information Form

If you are a human and are seeing this field, please leave it blank.

Fields marked with an * are required

First Name *

Last Name *

Address 1 *

Address 2

City *

Zip / Post Code *

Email *

Home Phone

Cell Phone *

Local Emergency Contact *

Veterinarian Name

Veterinarian Number

Boarding/Daycare Contract

I choose to let my dog participate in the daycare program of Green Acres K-9 Resort which includes, but is not limited to, having my dogs play with other dogs of different breeds and size, playing on a variety of dif- ferent surfaces that other dogs have played on and being out in the 10 acres of field off-leash.

I understand the extra risks involved in letting dogs play together as far as disease transmission, risk of injury and risk of escape.

I have read, agree to and understand the entire Boarding/Daycare Contract Terms

I have read this agreement and understand its terms

And signed it freely on this date

By typing your name below you are agreeing to our terms and conditions on this page

Signature of Owner or Owner's Agent

Dog Information and Evaluation Form

Owner Name *

Breed *

Sex *

Age *

Licensed *

Tattoo/MicroChip Details

Does your dog go to a Dog Park?

Has your dog ever been in a fight? *

Does your dog’s behavior depend on the size, breed or gender of other dogs? *

Is your dog food or toy possessive? *

Were there any behavioral problems away or upon your return? *

Dog Name *

Description/Color *

Spayed/Neutered

Weight *

License #

Flea/Tick Program

Does your dog go to Doggie Daycare? *

Has your dog ever bitten an animal or human?

Are there any other problematic behaviors we might need to keep an eye on?

Has your dog been left overnight before?

Has your dog ever run away for ANY reason (cat/dog chase, looking for you, etc)?

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Boarding

Grooming

Daycare

New Customer Information Form

Boarding/Daycare Contract

Dog Information and Evaluation Form

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Green Acres K-9 Resort