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|608-571-PAWS (7297) | YaharaRiverPaws@gmail.com

Home
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Info
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Home
Services
Info
Apply

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Services
Info
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ApplicationBen Test2018-12-20T21:49:05+00:00

Consent for Treatment Contract and Waiver of Liability Statement

All applicants agree to our Consent for Treatment Contract and Waiver of Liability Statement. These forms can be found here.

River Paws Application

Select Services

Daycare
Puppy Play
Play, Stay and Train
Training

Name *

First

Last

Address *

Home Phone *

Cell Phone *

Email *

Emergency Contact (friend/family):

Alternate person who may pick up dog:

Dog's Name: *

Dog's Birthday: *

Breed: *

Weight: *

Dog Gender *

Valid Tag or License:

Dog has received immunizations for: *

DHLPP
Bordatella
Rabies

Veterinarian's Name: *

Clinic's Name: *

Vet Clinic's Phone: *

Allergies: *

Physical Limitations:

Medical Conditions:

Previous Daycare Experience: *

Previous Obedience Training: *

Crate-Trained: *

How long have you had this dog: *

How does your dog react to new dogs: *

Dog is afraid of: *

Dogs preferred Toys, Games, Rewards: *

Behavioral Challenges:

Shyness
Separation anxiety
Jumping
Fence Jumping
Chewing
Digging
Chasing small animals
Bolting out doors
Excessive leash pulling
Escaping leash
Running Away

Other Behavioral Challenges:

Treats OK? *

Any treat or food dog may NOT have:

Preferred Attendance for Daycare:

Monday
Tuesday
Wednesday
Thursday
Friday

Desired Start Date:

Any additional information

I have read, understood and agree to the Consent for Treatment and Liability Waiver policies: *

Yes

Email

Our Location
5305 River Rd
Waunakee, WI 53597

HOURS
Monday – Friday
6:30 AM – 6 PM

Contact Us
608-571-PAWS (7297)
YaharaRiverPaws@gmail.com

Copyright 2016 - 2019 River Paws | All Rights Reserved |