Wagon Tails Farm | New Client Registration Form

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

Wagon Tails Farm New Client Registration Form

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Please complete the forms below to your fullest extent. We will contact you if additional information is required.

Owner Information

First Name *Required*

Last Name *Required*

Phone Number *Required*

Email *Required*

Address *Required*

City *Required*

State | Province *Required*

Zip Code | Postal Code

Family Vet Clinic *Required*

How did you find us?

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

Owner Question #1: Are you primarily interested in our daycare or boarding services? *Required*

Owner Question #2: Are there any boarding dates that you'd like to check availability for? *Required*

Owner Question #3: How often do you plan on using our daycare services? *Required*

Pet #1 Information

Pet Name *Required*

Breed (Best Guess) *Required*

Sex *Required*

Color Description *Required*

Date of Birth *Required*

Wagon Tails Farm requires proof of vaccination.

Rabies Expiration *Req*

DHPP Expiration *Req*

Bordetella Expiration *Req*

Lyme Expiration *Req*

--- Expiration

Microchip Code

Weight *Required*

Insurance Info

Feeding Notes *Required*

Medication Notes *Required*

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

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

Pet Question #1: Is your dog crate trained? *Required*

Pet Question #2: Has your dog ever attended daycare in the past or been to dog parks? *Required*

Pet Question #3: Any known injuries, illnesses, or on any medication? *Required*

Pet Question #4: Did you get your dog from a breeder or a rescue? How long have you had your dog? *Required*

Pet Question #5: Have you ever noticed any Leash, Food, or Toy aggression with your dog? *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 savannah@wagontailsfarm.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