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DATC Service Form - Updated 20 January
DATC Service Form - Updated 20 January
DATC Service Form - Updated 20 January
OWNER INFORMATION
Name of Parent/s:
Address:
Email address:
VETERINARY INFORMATION
Name:
I authorize Dogs and the City Daycare and Spa to act as my agent in the event of my dog
needing medical attention. I further agree that I will be responsible for any and all cost of
any veterinary care deemed necessary by the licensed veterinarian.
Signature
Date
Service Form
DOG'S INFORMATION
Dog's name
Are there any other animals in the household? List type, sex, and age
Has your dog ever been to a day care? Yes No If yes, where?
Does your dog have any health problems that require special attention?
Type Reason
Frequency Amount
Does your dog prefer to play with any specific breed or size of dog? Male/female?
Are there any kinds of people that your dog automatically fears or dislikes?
Will you allow your dog to rest on furniture while he/she is at daycare? Yes No
Signature
Date