Please complete the registration form below. Once registered, you will be able to bring your dog in for pre-screening any time during daycare hours.

Guardian Information
First Name:
Last Name:
Phone (Home):
Phone (Work):
Phone (Cell):
Email:
Address:
City:
Province:
Postal Code:
Please list the names of any other individuals that may drop off or pick up your dog:
Emergency Contact
Name:
Phone:
Veterinary
Doctors Name:
Clinic Name:
Clinic Address:
Clinic Phone:
Pet's Information
Name:
Breed:
Age:
Gender:	Male Female
Spayed / Neutered:	Yes No
Has your dog been to dog daycare before?	Yes No
Name of daycare previously attended:
When did he or she last attend?
Why is (s)he no longer attending?
Has your dog ever been in a fight?	Yes No
Please explain:
Has your dog ever bitten a human?	Yes No
Please explain:
Where did you obtain your dog?	Breeder Newspaper Rescue Other Humane Society
Is your dog up to date on its vaccines?	Yes No
Has your dog had shots for Bordetella (Kenel Cough) in the last 12 months?	Yes No
Is there anything you feel we should know about your dog?
Would you like to receive email about upcoming events at Tailz?	Yes No