BED AND BISCUITS NEW CUSTOMER FORM

Please fill out and submit this online new customer form.

How did you hear about us?
 *

OWNER INFORMATION

List other contacts if we are unable to reach you.

Authorized to pick up?
Authorized to make health decisions?

Authorized to pick up?
Authorized to make health decisions?

Authorized to pick up?
Authorized to make health decisions?

PET INFORMATION

Pet 1 *
Pet 1 *
Pet 1 Spayed orNeutered *
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Does your dog or cat have any allergies or diet restrictions? *
 
Does your dog or cat have any medical needs we should know about (such as medications, injuries, prior health conditions, etc.? *
 
Does your dog or cat cough, wheeze, or exhibit any asmatic symptoms? *
Has your dog or cat ever stayed at a pet care center? *

Answer only if this pet is a dog.

Does your dog (pet #1) like playing with other dogs? A yes answer means your dog can be assigned to a play group monitored by a staff member (as long as neutered if male and not in heat if female). If no your dog will have one on one time with a staff member during daycare or boarding.
Out of the following options, which would you say best describes your obedience practice with pet #1?
Would you be interested in finding out more about our Lodge and Learn or Doggie Day School Training programs? If yes please indicate if you prefer we contact you by phone or email.
 
Out of the following options, which would you say most describes your pet#1?
Has pet #1 ever bitten a person or another dog?
 
Has pet #1 ever been bitten or attacked by another dog, or been abused?
 
Is pet #1 a jumper, climber, or escape artist?
 

Answer for all pets.