Complete your Dog's Registration Form for his Orientation Day


When is your orientation day appointment?
 *
 
About Your Dog
Dog's Name:
 *
Breed or Description:
 *
 
Health & Behavior History
Birthdate or Approximate Age:
 *
 
Please Select One:
Neutered Male
Spayed Female
Non-neutered male under 8 months
Non-spayed female under 8 months
 
Please Check all Boxes that Apply to Your Dog:
If my dog needed to be kenneled for a medical or behavior reason he might chew up or ingest pieces of a dog bed
Please do not use any scented grooming products on my dog while he is at Woof Dah!
Please do not clean my dog's ears
Please do not allow my dog to swim in the Woof Dah! pool
My dog is prone to diarrhea vomiting or has a sensitive stomach
My dog should not eat our home-made birthday cake (ingredients include hamburger rice peanut butter and Milk Bones)
My dog has been aggressive with another dog
My dog has been aggressive while greeting another dog on a leash
My dog has been aggressive over food or toys
My dog has been aggressive towards a person
My dog has bitten another dog or a person
My dog has pet health insurance
 
Please provide details (if appropriate) for any of the boxes you checked above
 
Describe any health conditions your dog has or has had in the past.
Any allergies to medications foods or insects?
Anything else we should know about best caring for your dog?
Details/comments about Pet Health Insurance (if any)
Regular Veterinary Clinic:
Clinic phone number:
 
Owner's Contact Information
First Name:
 *
Last Name:
 *
Street Address:
 *
City State and Zip
 *
Best phone number to reach me at on orientation day is:
 *
Home phone number:
 *
Work phone number:
Cell phone number:
Last 4 digits of your Drivers License number
 *
This is a required security code that allows you to add or change information on this form via email or phone such as adding a person you want to be authorized to pick up your dog.
 
Additional Person Authorized to Make Decisions About my Dog's Care on my behalf:
Full Name:
This person is a:
Friend
Relative
Significant Other
Spouse
Home number:
Work number:
Cell number:
Other persons authorized to pick up my dog: (A photo ID may be required)
Other persons authorized to make decisions about my dog's care on my behalf: (Please provide full name and contact information)
 
Your dog will receive a complimentary ID collar for Orientation Day. Please select the colors you like best below:
Collar Color Choices
 
How did you find out about us?
Your email address:
 *
Comments or Questions about this form:
Do not enter anything in this field:

* indicates a required field
Submit to Woof Dah! Staff
 

Hey there!  My name is Onyx.  Did you know that I work here at Woof Dah!?  Anyway, me and my mom, Jillian, are excited to meet your dog on his very first day here.   My mom will be here to greet you and answer any questions your mom or dad might have and I'd love to show you around the place!  P.S.  I know everything about this place and I'd love to introduce you to all my buddies!

Love, Onyx and Jillian

Click here to learn more about me!

Woof Dah! Inc.
12250 Portland Avenue
Burnsville, MN 55337
Open 365 days a year.  Staffed 24 hours a day.

(952) 895-1700
Fax:  (952) 400-3088
Email:
info@woofdah.com
Copyright 2008-2013 , Jillian Helwig

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