Surf's Pup Doggie Lounge | New Client Registration Form

Surf's Pup Doggie Lounge New Client Registration Form

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Howdy! Thanks for visiting Surf's Pup Doggie Lounge, we cannot wait to meet you and your Pup(s)!! Please print a copy of the Waiver and bring with you on your first day in the Lounge. Vet records may also be emailed to janis@surfspupdoggielounge.com ahead of time.

Important: In addition to the online form below, please print the following PDF document and bring it to your first appointment: View Document

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

Pet #1 Information

Pet Name *Required*

Breed (Best Guess) *Required*

Sex *Required*

Color Description

DOB

Vaccine Expirations

Surf's Pup Doggie Lounge requires proof of vaccination.

Rabies

DA2PP

Bordetella

Canine Influenza

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Microchip Code

Weight

Insurance Info

Feeding Notes

Medication Notes

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

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

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 janis@surfspupdoggielounge.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

REQUIRED: To prove you're not a SPAM robot, what does 2+2 equal?

If the form does not submit, please scroll up and make sure all required pet and owner fields are filled in. If the issue persists, send an email to janis@surfspupdoggielounge.com