New Client Registration Form | Southern Hound Playground

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

Southern Hound Playground New Client Registration Form

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

Southern Hound Playground Client Registration Form

Owner Information

First Name *Required* Required

Last Name *Required* Required

Phone Number *Required* Required

Email *Required* Required

Address

City

State | Province

Postal Code

Family Vet Clinic

How did you find us?

Emergency Contact and/or Others Allowed to Pick Up Pet(s)

Pet Information

Pet's Name *Required* Required

Breed *Required* (Best Guess) Required

Sex *Required* Required

Color Description

Birthday

Southern Hound Playground may require proof of vaccination. Upload below or bring to first appointment.

Rabies Expiration

DPP Expiration

Bordetella Expiration

Vaccine #4 Expiration

Vaccine #5 Expiration

Microchip Code

Weight

Insurance Info

Feeding & Medication Notes

Aggressive behavior or temperament issues? (If extensive, tell us in person).

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

Do you allow blankets in your dogs kennel?

Pet Photo (Not Required. 5MB or smaller. Only PNG and JPG/JPEG.)

Proof of Vaccination (PDF or Image File)

Click Here to Add a Second Pet

ALERT: If you have more than two pets, submit the form once with your first two pets and then fill it out again with the information for your third and fourth pets.

Second Pet Information

2nd Pet Name *Req*

Breed *Required* (Best Guess)

Sex *Required*

Color Description

Birthday

Southern Hound Playground may require proof of vaccination. Upload below or bring to first appointment.

Rabies Expiration

DPP Expiration

Bordetella Expiration

Vaccine #4 Expiration

Vaccine #5 Expiration

Microchip Code

Weight

Insurance Info

Feeding & Medication Notes

Aggression/temperament issues? (If extensive, please tell us in person.).

Anything else you'd like us to know?

Do you allow blankets in your dogs kennel?

Pet Photo (Not Required. 5MB or smaller. No PDF files. Only PNG and JPG/JPEG.)

Proof of Vaccination (PDF or Image File)

Do you want to request an appointment as well? If so, please include drop-off and pick-up dates. Southern Hound Playground will contact you if they require extra information.

Sorry, but spammers are really smart these days. One last time, to prove you're not a robot, what does 2+2 equal?

Here's a hint: 4

If the form doesn't submit, please scroll up and make sure all required pet and owner fields are filled in. If the issue persists, send an email to southernhoundplayground@gmail.com