Small Animal Enrollment Form Thank you for choosing Fun Fur Pets. Please take the time to fill out the following information regarding you and your pet. This information will help us at Fun Fur Pets to better care for your trusted companion and enable us to provide a safe and fun environment for both your pet and others as well. After you have filled out this form, please email us or call us at 608.622.PETS to make your daycare or boarding reservations or to sign up for training classes, etc. Thank you and welcome to Fun Fur Pets. Owner Information Owner Name (required) Street Address (required) City (required) State (required) Zip (required) Daytime Phone (required) Alternate Phone (required) Email (required) Emergency Contact Name: (required) Emergency Contact Phone: (required) Please list all persons who are authorized to drop-off / pick-up your pet. We will only release your pet to the names listed here and your emergency contact.: Please tell us how you heard about Fun Fur Pets: Pet Information Pet Name (required) Animal Type? Potbellied PigFerretBirdOther Breed (required) Birthdate YYYY-MM-DD (required) Gender(required) MaleFemale Is your pet spayed/neutered(required) YesNo Color (required) Any distinguishing marks: Approximate Weight: (required) Does your pet have any physical limitations regarding movement or physical activity?, If so, please describe.: (required) YesNo What type of playing/interaction does your pet do? (if applicable) Use "Other" area if needed.Causually roams aroundWalksAttention from peoplePettingPrefers to be left alone: Does your pet have any allergies? If Yes, please describe.: (required) YesNo What type of food is your pet fed and how often: (required) Are there any food restrictions: (required) Does your pet take any medications?, If so, please list the name of the medications, the amount taken, the frequency and time administered.: (required) YesNo Are there any other medical/physical or other conditions we at Fun Fur Pets should be aware of:?, If so, please describe.: (required) YesNo Veterinarian Information Veterinarian (required) Clinic Name(required) Street Address (required) City (required) State (required) Clinic Phone (required) Date of Last Physical Exam YYYY-MM-DD (required) Date of Last Fecal Exam YYYY-MM-DD (required) Vaccinations Please provide the vaccinations and dates for your pet. Your pet must be current on vaccinations required for their species. Veterinary proof of vaccinations is required prior to your first day, your vet can fax them directly to 608-237-2004 if desired. After you have filled out this form, please email us or call us at 608.622.PETS to make your daycare or boarding reservations or to sign up for training classes, etc. You will receive an email confirmation within 24 hours to confirm your reservation with FFP.