Please email suzie@poochiepark.com with the following information. Not a computer person? Not a problem, you can call us and we will ask you the necessary questions and fill out the form on your behalf to set up your account. Once completed we will email you the Poochie Park Services Agreement and collect your vaccination information from you or your veterinarian.
Your information
First Name
Last Name
Email Address
Phone Number (Mobile)
Secondary Phone Number (Home or Work)
Shuttle Services
For those interested in Pickup/Drop-Off Services, Please Include your:
Street Address
City
Postal Code
Do you have any Pick-up/Drop-Off Notes/Special Instructions, etc.?
Are you in our shuttle zone?
(Please see our Shuttle Zone Map on our website)
Additional Contact/Owner
First Name
Last Name
Email Address
Phone Number (Mobile)
Secondary Phone Number (Home or Work)
Relationship to Additional Contact/Owner
Pet Information
Type of Pet
Pet’s Name
Sex of Pet
Is your pet spayed or neutered?
Primary Breed
Colour(s)
Weight
Birthday
Personality and General Information
Are they dog friendly?
Are they human friendly?
Are they a new rescue (adopted less than 6 months ago)?
Are treats allowed? (we only use beef liver)
Does your dog have any allergies, medical issues or physical ailments/impairments?
Is there anything else we should know about your dog?
Is your dog on a Flea and Tick regimen?
Your Veterinarian Information
Name of Veterinary Clinic
Phone Number
Address
Veterinarian’s Name
Please send a scanned copy, photo or PDF of your pet’s proof of vaccination. Please ensure your pet’s name is clearly shown.
Vaccinations Required with Dates
Rabies
Bordetella (Optional)
DHPP
Leptospirosis (Optional)
Canine Parvo Virus (If Separated from DH2APP/DHPP) (Optional)
DAP Vaccine (Done in Conjunction with Parvo Vaccine) (Optional)
Flea & Tick Preventitive (Optional)
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