Enrolment - River Dogs

All fields including the Asterisk (*) are required fields.

Owner's Details

Name*

First Last

Email*

Home Contact Number*

Mobile Contact Number

Emergency Contact Name*

Emergency Contact Number*

Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Dog's Details

Name*

Breed*

Sex*

Date of Birth

Is your dog spayed/nuetered?*

Yes
No

Is this planned?*

Yes
No

Allergies, health or behavioural issues for River Dogs to be aware of?

Is your dog up to date with Flea and Worm treatments? - Please Specify treatment used:

Is your dog up to date with vaccinations, please provide vaccination card at assessment or upload a copy.

Picture of your dog

Proof of Vaccination Card*

Proof of Pet Insurance (If you have it)

Has your dog had the kennel cough vaccine?*

Yes
No

Although the Kennel cough vaccine is not a legal requirement River Dogs strongly advises that your dog has the vaccine. (Please refer to day care agreement).

Is your dog allowed treats?*

Yes
No

Do we have your consent to photograph your dog and share the images on social media?*

Yes
No

Microchip Number*

It is a legal requirement for your dog/s to wear a collar and tag. The tag must include the following information; Owners surname, full address and contact number.

How did you hear about us?

Vet Details

Registered Vet Name*

Vet Contact Number*

Collection Reference

Please enter a unique password to use when collecting your dog. This is for when others are collecting your dog and we haven't met them before.

Password*

Do we have your permission to walk your dog with dogs from other households?*

Yes
No

Consent*

I agree to the Terms & Conditions