Keep in mind, Dogs need to be flea/tick treated at least one week prior to arriving at Paws-a-Palooza. No exceptions. Questions? Contact Us Prefer to fill out the form on paper? View Printable Version (When finished, contact us to submit the paper copy) General Pet Information Pet #1 Information: Name: * First Name: * Last Age: * DOB: * Weight: * Gender of Pet * Male Female Choose an Option: * Intact Spayed Neutered Breed: * Color/Markings: * Allergies: * Pet #2 Information: Name: First Name: Last Age: DOB: Weight: Gender of Pet Male Female Choose an Option: Intact Spayed Neutered Breed: Color/Markings: Allergies: Pet #3 Information: Name: First Name: Last Age: DOB: Weight: Gender of Pet Male Female Choose an Option: Intact Spayed Neutered Breed: Color/Markings: Allergies: Owner Information: Name: * First Last Name: * Last Address: Street Address Address: * City, State ZIP Code Home Phone: * Cell: * Work: * Email: * Cellular Carrier: * Persons authorized to pick up your pet(s): * Separate each with a comma... Does your dog(s) have a tendency to chew things?: * Yes No Emergency Contact: (responsible for decisions if owner not available) Name: * First Last Name: * Last Home Phone: * Cell: * Work: * Vet Information: Vet Clinic: * Phone: * Veterinarian Name: * Will your pet need vaccinated prior to coming to Paws-a-Palooza? * Yes No Is your pet on flea/tick prevention treatment? * Yes No Is your pet on heartworm preventative medication? * Yes No Day Camp / Boarding Questions: 1) Do you plan on using our day camp service when it opens? * Yes No If yes, how often might you use this service? * Daily 1-2 times per week 3-4 times per week If yes, how long, generally, would your pet be at day camp? * 1-4 hours (half day) 4+ hours (whole day) 2) Do you plan on using our overnight boarding service when it opens? * Yes No If yes, would you be boarding more than 1 dog each time? * Yes No If yes, would you want all the dogs boarded in the same suite? * Yes No How often do you currently use a dog boarding service? * Monthly 3-4 times a year 4+ times a year Never reCAPTCHA Submit If you are human, leave this field blank. Questions/Issues? Contact us!