online registration 
owner information vet information
Owner Name Vet Name
Address Vet Address

Home Phone Vet Phone Number
Work Phone Vet Fax Number
Cell Phone    
Fax    
E-Mail Address    
pet information
Pet Name     Breed
SEX:MaleFemale SPAYED/NEUTERED: SpayedNeutered
general questions
Times Feed per Day?
Amount per feeding?
List any and all health problems that your dog might be experiencing:
List any medication that your dog is taking and what the medication is for:
How often is medication given and what dosage:
Has your dog been in a Boarding Kennel before? YesNo
Has your dog been to a Community Dog Park before? YesNo
Does your dog have any aggressive behavior towards other dogs or animals?
YesNo
If yes, please explain:
Has your dog ever bitten a person? (This includes during grooming)
YesNo
If yes, please explain:
Are you having any serious behavior problems with your dog?
YesNo
If yes, please explain:
terms and conditions
I/We agree to hold Four Paws Dog Day Camp and Kennel , and its members, directors, officers, agents, and owner of the premises and
any employee of the aforementioned parties, harmless from any and all claims for loss of injury which may be alleged to have been
caused directly or indirectly to any person or thing by the action of my dog, and I/We personally assume all responsibility and liability
for any such claim, and I/We further agree to hold aforementioned parties harmless from any claim for loss of my dog by
disappearance, theft, death or otherwise, and from any claim or damage or injury to the dog, whether such loss, disappearance, theft
damage or injury be caused or alleged to be caused by the negligence of the organization or any of the parties aforementioned, or by
the negligence of any persons person, or any other cause or causes. I/We assume the sole responsibility for and agree to pay for any
and all expenses that may be caused by my dog to any or all persons or animals in such a case that medical treatment should be
required. I will not charge the aforementioned or its representatives with punitive damages. I certify that I am the actual owner of the
dog, or I am the duly authorized agent of the actual owner. I have read and understand all of the statements in this agreement and
agree to be bound to the above agreements. I agree to meet all of the financial requirements.
 
    Contact Us | About Four Paws | Hours | Disaster Plan | Socialization Test
    13385 Montour St, Brooksville, FL  34613, (352) 597-9494