Board and Train 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 provide better training for your trusted companion in a safe and fun environment. Our Board and Train enrollment process is: 1. Complete the following form and submit 2. We will email you a confirmation and begin the process to get your pup evaluated and enrolled in the program that will best fit you and your pup. 3. Our programs require waivers and contracts to be signed and 1/3 of the training cost paid as a non-refundable deposit to reserve your pup's drop-off date. 4. The second 1/3 payment must be made at drop off 5. The final 1/3 at pickup (prior to receiving your go-home training). Fun Fur Pets accepts cash, check, credit cards, and PayPal credit for payments. If you have questions regarding our training programs, please feel free to email our trainers at firstname.lastname@example.org, send us a message on facebook, or you can leave a message for one of our trainers at 1-608-451-3647. 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 tell us how you heard about Fun Fur Pets: Pet Information Pet Name (required) Breed (required) Birthdate YYYY-MM-DD (required) Gender(required) MaleFemale Is your pet spayed/neutered(required) YesNo Approximate Weight: (required) Does your pet have any physical limitations regarding movement or physical activity?, If so, please describe.: (required) YesNo Which training program would you like to enroll your dog in? Stay and TrainDay Training: Is your dog overly reactive or aggressive towards other dogs or people? If Yes, please describe.: (required) YesNo Is your dog overly shy or scared? If yes, please describe: (required) YesNo What would you like your dog to learn in training? (required) What type of food or toys motivate your dog?: (required) Are there any other training issues or other concerns we at Fun Fur Pets should be aware of:?, If so, please describe.: (required) 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 All vaccinations listed below are required and must be current. Veterinary proof of vaccinations is required on your pet's first day or prior to that day, your vet can fax them directly to 608-237-2004 if desired. Rabies date last administered YYYY-MM-DD (Rabies is required) DHLPP date last administered YYYY-MM-DD (required) Bordatella date last administered YYYY-MM-DD (required) Heartworm date last administered YYYY-MM-DD (required) Brand of flea preventative used After you have filled out this form, please watch our online orientation class (about 40 minutes).