Doggie Daycare Registration Form (Page 5 of 6) in pdf

K*""0$.#&L$3&'AA5$)'D5%M&

G.!>3<$!-3?!#::<.'3)%-!'3!4%0&?!?$33)%-W! !

8!H!(!

I$0%B1>!-%.:$04%!>3<$!?$33)0&?!.'>1%!=$%B%$%&:%.*!

++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++!

_"1%#.%!$%B%$!'3!3<$!"310:0%.!=#?%!'3!1%#$&!#43<'!3<$!#==$3#:5!C0'5!.%&03$!=%'.Z!=<==0%.HB0$.'!'0)%$.!

#&-!.%$03<.!)#''0&?!:3&-0'03&.`!K0)=1>!=<'Z!C%!<.%!3<$!%7=%$'0.%!'3!#:50%[%!'5%!4%.'!#&-!'5%!)3.'!3<'!

3B!>3<$!=%'!C501%!5%].!5%$%`!GB!'5%!B0&#1!$%.<1'!0.!<&.#'0.B#:'3$>!-<%!'3!:%$'#0&!0&-0[0-<#1!0..<%.!>3<$!=%'!

)#>!5#[%Z!C%!C011!3BB%$!'3!5#[%!>3<!4#:X!C0'50&!#!:3<=1%!3B!-#>.!'3!a'$>!#?#0&b`!F3C%[%$Z!C%!C011!&%[%$!

=<.5!#!-3?!4%>3&-!'5%!=30&'!3B!50.!=%$.3&#1!'31%$#&:%!1%[%1`!!

/"*&)%*-'$.&D*%%;,&,4)=&',&N"*E$%H&<A'.$%5,H&O$)=".H&%-)>&&&

,B'%$!'53$3<?5!$%.%#$:5Z!#.!#!$<1%Z!3<$!?$33)%$.!-3!&3'!$3<'0&%1>!=<11!'5%!5#0$!B$3)!'5%!%#$!:#&#1`!65%!

:<$$%&'!#-[0:%!B$3)![%'%$0&#$>!-%$)#'313?0.'.!0.!'5#'!'50.!=$3:%-<$%!:#&!-3!)3$%!5#$)!'5#&!?33-!4>!

#:'<#11>!:$%#'0&?!#!?$%#'%$!10X%10533-!3B!0&B%:'03&!4>!-#)#?0&?!'5%!'%&-%$!0&&%$!%#$!'0..<%`!G&.'%#-Z!3<$!

?$33)%$.!<.%!41<&'!'0==%-!.:0..3$.!'3!'$0)!'5%![0.041%!5#0$!0&!#&-!#$3<&-!'5%!%#$`!650.!0.!B3113C%-!<=!

C0'5!#!?%&'1%!)#..#?%!'3!'5%!4#.%!3B!'5%!%#$!'3!133.%&!C#7!#&-!-%4$0.!B$3)!-%%=!C0'50&!#&-!#!

'53$3<?5!:1%#&0&?!C0'5!=$3-<:'.!B3$)<1#'%-!B3$!%#$!:#$%`&

"1%#.%!0&-0:#'%!>3<$!:530:%!4>!:0$:10&?!'5%!#==10:#41%!.'#'%)%&'!4%13C`!

N%,H&A455&=$,P=%*&='$*&3*"0&%'*,&

6"H&;"&."-&A455&='$*&3*"0&%'*,&

L0'>!"%'.!?$33)%$.!$%.%$[%!'5%!$0?5'!'3!-%:10&%!'5%!:1%#&0&?!3B!#!.%$03<.1>!0&B%:'%-!%#$`!G'!0.!0)=3$'#&'!

'3!.%%!>3<$![%'!B3$!#!\<0:XZ!#::<$#'%!-0#?&3.0.!#&-!%BB%:'0[%!'$%#')%&'Z!'5<.!1%..%&0&?!'5%!'0)%!>3<$!

=%'!5#.!'3!.<BB%$!C0'5!<&:3)B3$'#41%Z!3B'%&!=#0&B<1!.>)='3).`!!

,.!=#$'!3B!'5%!?$33)0&?!=$3:%..Z!3<$!?$33)%$.!C011!:5%:X!'5%!#&#1!?1#&-.!#&-!-%'%$)0&%!0B!'5%>!&%%-!

#''%&'03&`!"1%#.%!0&-0:#'%!>3<$!0&.'$<:'03&.!4>!:0$:10&?!'5%!#==10:#41%!.'#'%)%&'!4%13C`!

N%,H&%QA*%,,&'.'5&#5'.;,&',&.%%;%;& &

6"H&2&A*%3%*&-='-&0(&G%-&='.;5%&-=$,&A*")%;4*%&

Doggie Daycare Registration Form Page 5