Pet Register Owner name * Owner phone number * Owner email address * Owner home address * Dog name * Picture of your dog * 0% No Image selected Add Image Dog gallery images Gallery Image 1 0% Add Image Add Row Dog's date of birth * Dog weight * (weight in lbs.)5 - 1515 - 2526 - 4041 - 6061 - 7575+ Dog's height * (in inches from shoulder to ground)5 - 8"9 - 13"14 - 20"21 - 27"28 - 34"35+" Dog breed * Dog sex * MaleFemale Neutered/Spayed * YesNo Dog's play experience * Dog's play experienceHas never played with another dog.Has played with a small number of dogs that he knows.Plays with different dogs all the time.Shows fear around dogs. Your dog's play style? * Chase Wrestle Hangout Explore Does your dog like to play in water? * YesNo How many hours can your dog play? * How many hours can your dog playLess than 1 hr.1 - 2 hrs.3 -4 hrs.All day Vaccination records? * Distemper Hepatitis Leptospirosis Parainfluenza Parvovirus Bordetella Negative fecal exam Has your dog ever bitten another person? * YesNo Does your dog show guarding behavior over toys or food? * YesNo Has your dog ever bitten another dog? * YesNo Has your dog ever tried to run away ? * YesNo Do you have a fenced yard? * YesNo In the event of a medical emergency, we will call you immediately, but we will also be on our way to get medical care. If we arrive at the vet before you, we will need you to specify a dollar amount that we are certified to approve for your dog to receive immediate care. Please specify that amount here * Your signature attests that all information provided by you is true and that you have read and agreed to our Terms of Service, which includes a Waiver of Liability relieving Dog Life Pro LLC and all of its agents, employees and contractors from all liability. Submit
