Home About Services Gallery Registration Contact CALL US ➛ 508-744-7766 Home About Services Gallery Registration Contact CALL US ➛ 508-744-7766 Human Information "*" indicates required fields Name* First Last Cell Phone*Home PhoneEmail* Mailing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Spouse Name First Last Spouse PhoneSpouse Email Contact info to reach you at work* Local Emergency Contact & Phone - not you or spouse* Is anyone allowed to pick up your dog/s other than owner and spouse listed above? If yes, list full names. Dog 1Dog Name* Dog Breed* Color* Male or Female?* Male Female Spayed/Neutered? Date of surgery* Dog Date of Birth (estimate is fine) - when should we celebrate?* Any allergies? Explain* Any previous injuries or surgeries? Explain/Date* Anything we should know about your dog in regards to a daycare/B&B setting?* Does your dog have a bite history? Explain* Is your dog okay with children? (In home B&B)* Yes No Other Can your dog have treats and cookies at PDDD?* Yes No Only their own treats provided Has your dog been to doggie daycare before? If yes, have they been dismissed from another daycare for any reason? Explain.* Veterinarian Office & Phone Number* Add a 2nd Dog?* Yes No Dog 2Name* Breed* Color* Male or Female?* Male Female Spayed/Neutered? Date of surgery* Date of Birth (estimate is fine) - when should we celebrate?* Any Allergies? Explain* Any previous injuries or surgeries? Explain/Date* Anything we should know about your dog in regards to a daycare/B&B setting?* Does your dog have a bite history? Explain* Is your dog okay with children? (In home B&B)* Yes No Other Can your dog have treats and cookies at PDDD?* Yes No Only their own treats provided Has your dog been to doggie daycare before? If yes, have they been dismissed from another daycare for any reason? Explain.* Veterinarian Office & Phone Number* Add a 3rd Dog?* Yes No Dog 3Name* Dog Breed* Color* Male or Female?* Male Female Spayed/Neutered? Date of surgery* Dog Date of Birth (estimate is fine) - when should we celebrate?* Any allergies? Explain* Any previous injuries or surgeries? Explain/Date* Anything we should know about your dog in regards to a daycare/B&B setting?* Does your dog have a bite history? Explain* Is your dog okay with children? (In home B&B)* Yes No Other Can your dog have treats and cookies at PDDD?* Yes No Only their own treats provided Has your dog been to doggie daycare before? If yes, have they been dismissed from another daycare for any reason? Explain.* Veterinarian Office & Phone Number* ConsentConsent* I agree to the vaccinations policy.Prior to your dog being allowed into Paws Dream for the first time and thereafter, we must have current vaccinations on file; including Rabies, Distemper Combo, Bordetella, and a negative stool result. Puppies must have at least 2 rounds of puppy shots, Bordetella, and a negative stool result to begin using our services. Once they are over 16 weeks they must provide proof of Rabies to continue coming.Consent* I agree to the evaluation policy.Before bringing your dog into Paws Dream for the first time, you must set up an interview/trial day. We will evaluate your dog’s temperament and play style. If we feel that your dog is not suitable for daycare/B&B you will be called to pick your dog/s up immediately.Consent* By clicking agree and submitting, I am allowing Paws Dream to contact me regarding my dog/s and/or payment for services rendered.I have filled out this form with accurate and honest answers. Signature*CommentsThis field is for validation purposes and should be left unchanged. Paws Dream Doggie Daycare10 Corporation Rd.Yarmouth Port, MA 508-744-7766 e-fax: 309-218-5048 Email Us Accredited Since: 10/13/2009 Follow Us FollowFollow