NEW CLIENT FORM 2022 Header Image
Primary Owner (Biller Name)*
Second Owner Name (Optional)
Address*
Emergency Contact Name*
How did you hear about Pups4Fun?*
I am interested in booking for:*
Eg, fun and socialisation, get dog out during the day, assistance with behaviour

Dog Information

How many dogs do you have?*
DOB*
Sex*
Has your dog been wormed in the past three months?*
I understand that in order to attend daycare my dog must be wormed every three months*
Size*
Vaccination details*
Date next vaccination is due?*
Please upload your dog's vaccination record
No File Chosen
File uploads may not work on some mobile devices.
As of 2022 it is mandtory for daycare facilities to hold microchip numbers for dogs in the ACT
Any skin allergies or conditions?
Any medical conditions?*
Behavioural considerations*
Has your dog displayed any of the following behaviours?*
How often does you dog socialise with other dogs?
Second dog DOB*
Second dog sex*
Has your dog been wormed in the past three months? *
I understand that in order to attend daycare my dog must be wormed every three months *
Size *
Vaccination details *
Date next vaccination is due?*
Please upload your dog's vaccination record*
No File Chosen
File uploads may not work on some mobile devices.
As of 2022 it is mandtory for daycare facilities to hold microchip numbers for dogs in the ACT
Any skin allergies or conditions?
Any medical conditions? *
Behavioural considerations *
Has your dog displayed any of the following behaviours? *
How often does you dog socialise with other dogs? *

Permissions

I understand that despite my dog being vaccinated, and all due diligence in sanitation by Pups4Fun, that there is a risk of my dog catching a communicable disease due to the presence of other dogs.*
I give permission for photos of my dog to be used in Pups4Fun promotional material*
All dogs utilising daycare services must give permission for photos to be used due to the service provided. No identifying comments apart from the dogs name will accompany any photos.
In return for Pups4Fun providing services to me, I agree with the terms and conditions, and policies listed at the link above, and on the Pups4Fun website.*
I HAVE READ THIS AGREEMENT, UNDERSTAND ITS TERMS, UNDERSTAND THAT I AM WAIVING CERTAIN LEGAL RIGHTS BY SIGNING IT, AND AGREE TO ITS TERMS*
Name of dog owner*
Date/Time
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