Rover's Enrollment Form

Please fill out this form for Doggy Daycare Enrollment.

Owner Information

Name:

Street Address:

City:

State:   Zip:

Owner's Email:

2nd Owner Email:

Home Phone:

 

Work Phone:

Work Phone #2:

Cell Phone:

Cell Phone #2:

Emergency Contact (if we cannot reach you)

Contact #1:

Primary Phone:

Contact #2:

Primary Phone:

Contact #3:

Primary Phone:

Authorized Drop Off/Pick-Up Person(s)

We will check ID to ensure your pet's safety.

Contact #1:

Primary Phone:

Contact #2:

Primary Phone:

Contact #3:

Primary Phone:

Veterinarian Information

Vet Clinic Name:

Dr./Vet Name:

Office Phone:

Office Fax:

How did you hear about Rover's Resort?

 Building Signs    Yellow Pages    Internet Search

Advertisement (please specify):

Client Referral (list name):

Other:


For the first two questions, please let us know, no matter how minor you think the incident may have been. It will help us to make sure your dog is happy and safe.

Has your dog ever bitten another dog?

 No    Yes

If yes, please describe in detail:

Has your dog ever bitten a human?

 No    Yes

If yes, please describe in detail:

Has your dog ever shown signs of food or toy possession aggression toward any human or animal?

 No    Yes

If yes, please describe which dog(s) and their behavior: