New Client Registration

If your dog has yet to experience the wonder of A Dog Gone Good Place in person, please
fill out our Client Registration Form. If their is more than one dog in the family we
will need a registration for EACH.

All fields MUST be filled in or your form will not submit.  If your dog does not exhibit the behavior please put N/A

 

Last Name:
First Name:
Full Address: (street,city,state,zip)
Email Address:
Phone Numbers: Cell Business
Home
Emergency Contact:
Vet.Name/Address/Phone/Clinic Name
How did you hear about us?: Let us know who to thank
Security Question: Which is the larger of these two numbers? 3 or 57?
  Dog Information

Dog's Name/Birth Date

Breed

Gender/Altered
Vaccination Dates

Bordetella

Rabies

DHLPPC

Flea Treatment
  Personality Assessment
How Long have you owned your dog?
Where did you get your dog?
If adopted do you have information on prior history
Household members

Number of adults:
Number of children:

Any other animals in household?

YES NO

How do they get along?
List activities shared with your dog


Is your dog aggressive towards any of the following:

Food----> YES NO

Toys----> YES NO

Treats--> YES NO
Has your dog attended any formal obedience classes?
Is your dog crate trained? YES NO
What is your dog's reaction to the following:

Puppies-

When another dog approaches-

Off leash at dog park-

Out on leash-

When you leave home-

Under what circumstances does your dog exhibit the following behavior?

Barking/Growling

Jumping

Digging

Biting/Mouthing

Destructive Chewing

Mounting

Separation Anxiety

Running Away

Has your dog ever biten?
Does your dog have any physical elements that will limit it's play?
Has your dog attended play care before? if so where?
Is there anything you would like us to know about your dog?

Clicking this submit button will send your dog's registration to us via email. 

We will review your dogs registration AND contact your vet to obtain your animals vaccination records*

 Once all vaccinations are verified we will call you to set up a 1/2 day evaluation for your dog

If you have not heard from us within 24 hours, then we are having trouble verifying the vaccination records. Please call us at 503-617-7380.

What you should know about scheduling a Play Care Evaluation:

  • Drop off time is between 6:30-7:30am
  • Pick up time is between 11:00-11:30am (1/2 day evaluations are highly encouraged)
  • There is a $15 evaluation fee due at the time of scheduling (this is due to the high number of no shows)
  • At the time your dog completes his/her evaluation your $15 can be used towards a Play Care pass

Thank You for Choosing Us!