HAS YOUR DOG EVER BITTEN ANYONE OR ANY OTHER ANIMALS? YES NO
IS YOUR DOG ON A STRICT EATING SCHEDULE? IF SO, WHAT TIMES AND WHAT QUANITY DO YOU FEED YOUR DOG? ______________________________________________________
DOES YOUR DOG TAKE MEDICATIONS? ___________________________________ AND WHAT ARE THE SCHEDULED TIMES THAT MEDS ARE GIVEN? ______________________
(WE WILL GIVE YOUR DOG THEIR MEDICATIONS WITH A SIGNED CONSENT)
DOES YOUR DOG HAVE ANY INJURIES OR PAST INJURIES THAT MAY PREVENT THEM FROM INTERACTING AND PLAYING WITH OTHER DOGS OF ALL SIZES? YES NO
HAS YOUR DOG EVER BEEN AGGRESSIVE TOWARD OTHER ANIMALS OVER FOOD OR TOYS? YES NO
DOES YOUR DOG HAVE ANY ALLERGIES? IF SO, WHAT? ______________________________
DOES YOUR DOG JUMP OR CLIMB OVER FENCES? YES NO
HAS YOUR DOG BEEN TREATED WITH A FLEA/TICK PREVENTATIVE IN THE LAST 30 DAYS?________
ARE THERE ANY SPECIFIC THINGS WE SHOULD KNOW ABOUT YOUR DOG OR THEIR PERSONALITY?
Please know that we take every precaution to prevent any kind of injury to your dog, however, these things can happen when dogs are playing together, therefore, we will need you to agree to and sign the following:
Hold Harmless Agreement / Medication Administering Consent I understand that Wiggles and Wags, It's Owner and employees are not responsible for any injuries while they are caring for my dog. I understand that I am solely responsible for any injuries caused by my dog to another and will not hold Wiggles and Wags responsible. I give Wiggles and Wags, it's owner and employees permission to administer medication to my dog if necessary. I can provide written proof that my dog is current on vaccinations and has not been ill with any communicable diseases in the last 30 days. I have read, understand and agree to the Wiggles and Wags Owner's Agreement provided on this site.
Signature of owner_________________________________________ Date _________