Registration for one dog

Owners Name

Email

Address

Province

Postal code

Cell Phone

Home phone

Emergency contact name

Emergency contact phone

Emergency contact email

Veterinary clinic name

Doctors name

Veterinary clinic phone

Dogs name

Breed

Age

Weight

Colour and description

Sex Sex Male Female

Spayed or neutered? Spayed or neutered? Yes No

Microchipped Microchipped Yes No

Medication?

Allergies?

Things we should know such as old injuries or behavioural issues

Is your dog protective of food? Is your dog protective of food? Yes No

Brand and type of food

Feeding schedule and quantity

Describe your dogs eating habits

What time does your dog rise?

Where does your dog sleep?

Does your dog walk well on leash? Does your dog walk well on leash? Yes No

Is your dog allowed off-leash in the park? Is your dog allowed off-leash in the park? Yes No

Has your dog ever run away? Has your dog ever run away? Yes No

Please explain

Is your dog afraid of anything?

Has your dog every bitten a person or another dog? Has your dog every bitten a person or another dog? Yes No

Please explain incident/s

Please check if your dog... Please check if your dog... knows basic commands likes other dogs plays with other dogs fights with other dogs is good with cats likes toys likes children barks digs chews things he/she shouldn't jumps up on people chases cars chases cyclists chases runners

Please provide further details

I have read and agree to the terms of service I have read and agree to the terms of service Yes