Rockin' Paws LLC | New Client Registration Form

The form below is for new clients only. If you're already a client of Rockin' Paws LLC, please click here to request an appointment.

Rockin' Paws LLC New Client Registration Form

To prove you're a real person (and not a SPAM bot), please check the I'm not a robot box below.

The Google SPAM test above works with Chrome, Safari, Firefox and Microsoft Edge browsers, not Internet Explorer.

Thanks for choosing Rockin' Paws! Address: 3717 East Gelding Drive, Phoenix, AZ, 85032.Boarding rate is $60/ day. Payment is due at drop off. Board and train rate is $700/week Half payment is due at drop off Rockin' Paws has been helping dogs and their owners since 2005. We want to bring out your dogs inner Rockstar!! Drop off and pickup times are flexible Text when you arrive: 480-383-9727 Bring: Dog food and food bowl. We supply the rest! Payments: Zelle: rockinpawsaz@gmail.com Venmo: rockinpawsaz Cash Check CORE vaccines are required! Rabies, Bordetella and DHPP. Please verify with your vet if you are not sure. Cancellation policy: We are small home style and space is very limited so the following policy applies for early returns (non-holiday): credit to your account (holiday): no refunds

Owner Information

First Name *Required*

Last Name *Required*

Phone Number *Required*

Email *Required*

Address

City

State | Province

Zip Code | Postal Code

Family Vet Clinic

How did you find us?

Emergency Contact (Include Phone Number)/Others Allowed to Pick Up

Owner Question #1: What brand of food does your dog eat? *Required*

Pet #1 Information

Pet Name *Required*

Breed (Best Guess) *Required*

Sex *Required*

Color Description *Required*

Date of Birth *Required*

Rockin' Paws LLC requires proof of vaccination.

Rabies Expiration *Req*

DPP Expiration *Req*

Bordetella Expiration *Req*

Vaccine #4 Expiration

Vaccine #5 Expiration

Microchip Code

Weight *Required*

Insurance Info

Feeding Notes *Required*

Medication Notes *Required*

Temperament Notes (Aggression, anxiety, etc? If extensive, tell us in person). *Req*

Additional Notes (Anything else we should know? If extensive, tell us in person.) *Req*

Pet Question #1: Does your dog have any food allergies *Required*

Pet Question #2: Does your dog share toys, bones, etcs with others *Required*

Pet Question #3: Is your dog crate trained? *Required*

Pet Question #4: If your dog gets the runs can we give rice/pumpkin *Required*

Pet Question #5: Can your dog partake in natural enrichment chews *Required*

Mobile Phone Alert: Some phones have difficulty uploading the files below (the form gets reset after uploading). If this happens on your phone, please submit this form using a computer. You can also submit this form on your phone without uploading anything and then email your pet picture and vaccine verification document to us at rockinpawsaz@gmail.com. Thanks!

Pet Photo (Not Required. 5MB Max. Image Files Only)
Click to Upload Pet Picture

Proof of Vaccinations (5MB Max. Only Images, No PDFs. Take a Picture of Document with Your Phone and Upload It.)

Click to Upload a Picture of Proof of Vaccinations

Click Here to Add a Second Pet

Click Here to Add a Third Pet

ALERT: If you have more than three pets, submit this form once with your first three pets. After submitting the first time, click the link to come back to the form (shown after you submit the form) and fill out this form again with the information for your other pets. The second time you fill it out, you only need to include your name, phone and email in the OWNER section because the business will already have the other info (address, emergency contact, etc) from the first time you submitted the form.

Pet #3 Information