Second Dog Registration

NOTE: Make sure you hit submit for your first dog in the previous tab! Thank you!

What is your dog's Name? *

Information about your dog

What is Your Dog's Birth Date *

Dog Breed and Short Description *

How much does your dog weigh? *

Dog's Sex *

Where did you get your dog?

Spayed/Neutered? (Note: all dogs over 7 months must be spay/neutered) *

Who is authorized to pick up your dog? *

When did you get your dog? (Dogs are required to live with their owners for at least a month before we can have them in our facility)

Where did you get your dog?

Breeder Name

Rescue Name

How old was your dog when you got them?

Behavioral History

The following behavioral questions will help us to understand your dog better and ensure we can take the best care possible when he or she is here at Woof! Thanks in advance for your honesty!

Check all that apply for your dog: *

My dog can have treats at Woof Central
My dog is potty trained
My dog is crate trained
My dog has had obedience training
My dog has been to daycare before
My dog has played off leash with other dogs

Behaviors we can watch for. Check all that apply:

Please describe the incident(s):

Please list:

Please describe:

Is there anything else you would like us to know about your dog that would help us bring him/her into the Woof Central play environment?

Medical Information

Veterinary Clinic Name and City *

Senior Dog/Medical Directive Information *

My dog is over 10 years old, I will sign the medical senior release form
My dog is under 10, but I will sign the medical directive for my dog
My dog is under 10 and I will wait to sign the directive

If we are unable to contact you or your emergency contact, how do you wish for us to proceed with your pet's care? *

Take every measure to save life
Make no heroic measures
Treatment with restrictions/maximum dollar amount
My dog is under 10 years old and I am waving my right for a health care directive and will accept any decisions made in the best interest of my dog's health.

Your dog is important to us. Because we care, we want to assure you that every effort will be made to make your senior pet’s visit as pleasant as possible. When older pets are boarded, their bodies are subjected to stress because of removal from their normal home environment. This stress has the potential to cause latent physical conditions (i.e. heart, liver and kidney disorders) to become active, and potentially life-threatening. In the best interest of your pet, we request your permission to obtain immediate veterinary treatment, should it become necessary. In this event, we will attempt contact with you at home and at the emergency contact number.

What are the restrictions/maximum dollar amount you are willing to pay to treat your dog?

*

By checking this box, I agree that I have read and understand the Senior Dog/Medical Directive, and as the owner or agent for the pet described herein agrees not to hold Woof Central, LLC and staff responsible for the illness or death of their pet or for any expenses incurred because of the illness or death of the pet described herein.

Any Allergies? *

What is your dog allergic to?

Any Health Concerns Our Staff Should Be Aware Of?

Check all that apply for your dog:

My dog is on flea/tick control
My dog is on heartwork preventative
My dog is chipped
My dog has had a negative stool check within the last year

I understand that my dog needs updated Bordetella, Distemper (DHPP, DAPP, DHPPV) and Rabies vaccines. You must present proper paperwork before we can accept your dog. *

Yes, Understand!

You can upload your vaccine forms below You (or your vet) can fax your forms to: 612-869-0691 You (or your vet) can email your forms to: info@woofcentraldogs.com

File Upload

Click or drag files to this area to upload. You can upload up to 2 files.

Upload your vaccine records (We need the page with next due dates for all three vaccines)