New Dog Registration | Doggy Day Care

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Unit 1, Balthane Industrial Estate, Ballasalla, Isle of Man

Owner Information

First Name*

Last Name*

Mobile Number*

Please provide your home address below.

Owner Address

Country/Region*

Address*

City*

Zip / Postal code*

Emergency Contact / Pick Up

Emergency contact name (forename and surname)*

Emergency contact address

Emergency contact mobile number

Dog Information

Dog name*

Breed*

Age*

Gender*

Male

Female

Spayed/Neutered*

Yes

No

Shares toys with other dogs?*

Yes

No

Personality, likes/dislikes

Shown aggression to a person?*

Yes

No

Attacked another animal?*

Yes

No

Can be fed treats at daycare?*

Yes

No

Allergies/dietary requirements

Medical Details

Vaccinations including kennel cough up to date?*

Yes

No

Medication/illnesses/other information

Veterinary practice and address including telephone number

I confirm that I have filled out all information truthfully and understand my responsibilities for my dog while at The Hound Lounge, including responsibility for injuries, medical bills, risks of minor injury, and notifying staff of medical conditions.

Owner signature*

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Date*

Day

Month

Year

Print name*

Terms and Conditions

I understand and agree to The Hound Lounge terms and conditions. I confirm that the information I provide is accurate and that I accept the daycare rules, responsibilities, risks, and liability terms described in this registration form.

I accept these Terms and Conditions

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