Daycare, Boarding & Training 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. Before any dog is allowed on our property, we must have proof that all dogs have been fully vaccinated for the following:Dog Vaccinations: DPP* 1 or 3-yr. vaccine required *Distemper, Parvovirus & Parainfluenza, Bordetella and Rabies- 1 or 3-yr AND be on a monthly Heartworm and Flea & Tick preventatives.
Today's Date: *
Dog Names: * How did you hear about us? * Which program options interest you now and in the future? Doggie Daycare Program Options- You can make muliple choices
Daycare provides your dog with action packed fun while you are away for the day.
Doggie Overnight Boarding Options- You can make multiple choices
Your dog stays and plays while you are away for the night, a week or more!
Obedience Training Program Options- Otherwise, skip to the next section.
Obedience Training Programs: We can help with things like loose leash walking, place, sit, jumping up on people, counter surfing, come when you call for your dog and more! After a dog evaluation, we will chat about realistic goals, your normal weekly schedule, commitment, budget and what training tools that we recommend to set your team up for success at the meet and greet!
If you are setting up a tour/meet and greet or a private training session- What days AND TIMES work best for you and your dog to come and visit?
Meet & greet tours are scheduled anytime Mon-Friday 10am-8pm and Saturdays 8:30-1:00. We accept drop offs and pickups by appointment from 7am-9:00pm.
What date and time would you want 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 daycare, boarding or training enviroment before? Please elaborate on your experience. Has your dog ever indicated to you that he was uncomfortable with any people, other dogs and has your dog ever shown behaviors like fear, aggression, growling, lunging, guarding of food or toys, seperation anxiety, barking, drooling, pacing, fear of storms, OCD behaviors. ect- If so, please explain. * Does your dog prefer to explore and hang out by himself or does he like to play with different dogs? Please describe. * Are there any places that your dog does not like to be touched or picked up? If so, please explain. * Does your dog easily go into a crate or a small confined setting? If not, please describe. * Has your dog ever attempted to climb or jump over or dig under any fences? If so, please explain. *
If your dog escapes from any of our fenced in yards, we will do everything we can to find and bring your dog back. However, we will not be held responsible if your dog escapes from our property.
Do you have owner identification tags on your dogs collar? If not, ID tags are available in pet stores or on line and must be on your dogs collar prior to drop off. * Is your dog up to date on their monthly preventatives? Heartworm, flea and tick... If not, please explain. * Is your dog pregnant, in heat or sick with contagious conditions like: diarrhea, coughing, worms in stool, skin breakouts, fleas, ticks, in heat or pregnant? If so, we cannot care for your dog. *
If your dog has a skin rash, we will require a letter of clearance from your vet.
Does your dog have any allergies or non-contagious conditions? Does your dog need for us to provide them with any medications during their stay with us? Please provide all details * What kind of food does your dog eat and what are his daily serving amounts? *
It is important to provide a little more than ample food for your dog at drop off in the event that something happens and we need to provide extended care. We will return all of your dogs unsued food.
Are you okay with us offering your dog various treats throughout his stay? If you would like to bring treats for your dog please do so. And our pack would appreciate any extra treat donations that you would like to make. * Does your dog like to swim or wade in a swimming pool? If so, would you like for your dog to play in the pool? 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: * Sex of Dog: * Date of Birth and age: * Is the dog altered? *
No pregnant or in heat females are allowed.
Dog Breed: * General information on the dog- *
Please provide some brief history on the dog- any behavior issues and if the dog has had any kind of training and if so what has your dog been trained to do-
2nd Dog Name:
If you only have one dog, please skip down to the next required field.
Sex of Dog: Date of birth and age: Is the dog altered?
No pregnant or in heat females are allowed. No intact males over the age of one year.
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- was it a rescue, a puppy from a breeder- any behavior issues and if the dog has had any kind of training and if so what has your dog been trained to do- Vet Name: * Vet Phone#: * Do you agree to provide a current copy of your dogs vaccination records prior to coming onto the property *
You can upload a copy below, or you or your vet can email a copy to: email@example.com. 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
Heartwork and Fleas & Tick preventatives
You can upload a copy of the dogs vaccination records here.
Current copies are required for your dog to visit or to stay with us.
In the event that your dog escapes or is found to have fleas, ticks, illness, injury or death: you and your agent will be called as soon as posible. Depending on the situation, we have the right to take your dog to a veterinarian of our choice and you agree to be responsible for all expenses for boarding and care that they provide to your dog. And you also agree to be responsible for all expenses for any other dogs were your dog caused injured or illness to.
I have read and agree with the terms and conditions * After you sign and hit submit: scroll down to make sure that you did not receive any "red" errors indicating something is missing, if the form goes through, you should be transfered to our Happy Tails page.
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