Boarding & Daycare Registration Form
This form will be kept on file for as long as D&B Services, LLC DBA: Miracle Paws provides on-going pet services for your dogs.
For the safety of our staff and our other guests- *
If you know that your dog has ever had any aggressive or guarding tendencies towards any humans or other dogs, or has been known to escape from fencing: please call us and tell us about your observations so we can determine if we will have the proper space to accommodate your dog. Has your dog ever shown any of these behaviors? Please feel free to call us at 864-314-1804 or you can explain your observations here and we will call you to discuss.
Today's Date: *
Dog Names: * How did you hear about us? * Boarding & Daycare Program Options- You can make muliple choices
Our stay and play options provide your dog with action packed fun throughout their stay while you are away for the day, the night or a week or two. We also offer daily walks and training programs.
We may or may not need to schedule a meet and greet- *
Pet parents are always welcome to visit and tour our facility by appointment, would you like to schedule a tour?
Yes, Id like to meet the staff and tour the facility No tour is necessary Would you like for us pick your dog up and or drop him off?
We can also provide transportation services to and from our facility and for your dog to get to the vet or groomer- Let us know if you are interested in these services.
For facility tours, what date and time work best for you? What date and time would you prefer to drop your dog off for the first time? What date and time would you want to pick your dog up? Has your dog ever been in a boarding or training enviroment before? Please elaborate on your experience. Has your dog ever escaped from fencing before? If so, please explain. * Dog Parent Name: *
Alternative Dog Parent Name:
Cell Phone: * Alternate Phone: Email *
Name of an emergency or alternative person that is over age 18 and that you authorize to pick the dog up and that can make medical decisions for your dog: *
Emergency "Agent" Contact #: * Alternative Emergency Contact #: 1st Dog Name: * Does your dog prefer to explore and hang out by himself or does he like to play with different dogs? How would you describe your dogs personality? *
Laid back, energetic, happy, sad, anxious, nervous, fearful, excitable, serious, shy, playful, goofy, instigator, happy go lucky, nosey, mischievous, destructive, protective, ect- depends on the day, all the time, ect-
Sex of Dog: * Date of Birth and age: * Is the dog altered? Neutered or Spayed *
We cannot accept pregnant or in heat females.
Dog Breed: * General information on the dog- *
Please provide some brief history on the dog-
2nd Dog Name:
If you only have one dog, please skip down to the next required field.
Does your dog prefer to explore and hang out by himself or does he like to play with different dogs? How would you describe your dogs personality?
Laid back, energetic, happy, sad, anxious, nervous, fearful, excitable, serious, shy, playful, goofy, instigator, happy go lucky, nosey, mischievous, destructive, protective, ect-
Sex of Dog: Date of birth and age: Is the dog altered?
No pregnant or in heat females are allowed.
Due to insurance regulations, we cannot care of dog breeds that are not known to be insurance friendly.
How old was the dog when you acquired him? Please provide some brief history on the dog-- Vet Name: * Vet Phone#: * Do you agree to provide a current copy of your dogs vaccination records prior to or upon arrival?
Current copies are required for your dog to visit or to stay with us. You can upload a copy below, or you or your vet can email a copy to: firstname.lastname@example.org. You can bring a copy with you to our meet and greet session. Dog Vaccinations: DPP* 1 or 3-yr. vaccine required *Distemper, Parvovirus & Parainfluenza Bordetella Rabies- 1 or 3-yr. vaccine required Canine Influenza-Bordeteala and all dogs must be on monthly Heartworm and Fleas & Tick preventatives.
In the event that your dog escapes or is found to be or becomes contagious, sick or injured while in our care you and your agent will be called as soon as possible. Depending on the situation, we have the right to take your dog to a local emergency veterinarian of our choice and you agree to be responsible for all expenses for boarding and care that they or a specialist veteranarian provides to your dog. And you also agree to be responsible for all expenses for any other dogs that your dog caused injury or illness to.
I have read and agree with the terms and conditions * Digital signature: *
By typing your name here, you are agreeing to the terms and conditions of this agreement. You will get a email confirmation when the application is received. If you do not hear back from us within a few hours, please call us! 864-314-1804
****After you hit submit: If you are not immediately redirected to our Happy Tails page then you will need to scroll down a bit to make corrections. If you are not redirected to the Happy Tails page, your form is missing information and we will not receive the form.*****