Doggie Daycare Application

If you are interested in Doggie Daycare at Friendly Paws Pet Resort in Robinson PA, please fill out the following application.

Owner Information

Full Name
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Address
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City
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State
  • - Select One -
  • Alabama
  • Alaska
  • Arizona
  • Arkansas
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Florida
  • Georgia
  • Hawaii
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Mississippi
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  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • North Dakota
  • Ohio
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  • Pennsylvania
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming
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Zip Code
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Email Address
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Re-Enter Email Address
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Home Phone
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Work Phone
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Cell Phone
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How did you hear about Friendly Paws Pet Resort?
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Referred by a Friend?
Canine Referral Program Owner's Name
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Dog Information

Dog Name
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Breed
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Birth Date
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Age
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Weight
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Sex
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Spayed/Neutered?
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Color/Markings
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Is the pet tagged, tattooed with an identifying number or have a microchip implant?
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Please indicate below the dates the vaccines were ADMINISTERED. A copy of your vet record is still required to be on file.

Rabies
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Distemper (DHLPP)
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Bordetella (Kennel Cough)
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Please submit the most up-to-date shot records for this pet.
Allowed files types: jpeg, png, pdf. 5mb maximum file size.
Upload Records
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Dog Characteristics

How would you describe your dogs energy level?
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Has your dog had any formal training?
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  • Yes
  • No
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What commands does your dog know?
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May we give your dog treats?
  • - Select One -
  • Yes
  • No
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Please check all that describe your dog:
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Is there anything else we should know about your dog’s personality?
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How often will your dog attend daycare?
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What are your preferred days/times?
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Dog History

Where did you get your dog?
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How long have you had your dog?
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If adopted, what do you know about your dog’s history?
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Has your dog ever been to doggie daycare?
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Please specify where and how frequently?
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Has your dog ever been to a dog park before?
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What was the experience like?
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Does your dog play with other dogs regularly?
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Has your dog ever been aggressive with another dog?
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Please specify, why
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Has your dog ever bitten another dog?
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Has your dog ever bitten a person?
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Veterinarian Info

Clinic Name
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Clinic Phone
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Does your dog receive any medications
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Specific Medications
If your pet is on any medications, please specify what the medication is and what it is for. Please note that there may be a $5.00 per day fee for administering medications
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How is the medication administered
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How frequently is the medication administered
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Does your dog have any other medical issues we should be aware of?
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Specific Medical Issues
Please list any major past surgeries
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Emergency Information

Emergency Contact Name
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Emergency Contact Phone
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Secondary Emergency Contact Name
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Secondary Emergency Phone
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Specific Emergency Instructions
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Submit

Online Forms

Doggie Daycare Application
Online Registration

If you have any other questions, please contact us

Contact Us