Online Member Registration
Please complete the below registration form as fully as possible, then click Submit. (*For more than one dog, please complete this form for each dog, or provide as much information as possible for all dogs.) We'll be in touch with you as soon as we can to discuss your specific dog care requirements, and how we can be of service to you.
Name*
Email*
Home Phone*
Cell Phone
Address*
Your Dog's Name*
Dog's Gender*
Is your dog spayed or neutered?* Please note that we can't care for entire males over the age of 9 months or female dogs in season.
Size & Color*
Breed &
Age*
Valid Tag
or License #
Dog has received complete immunization for DHLPP, Bordatella (Kennel Cough) and Rabies*
Dog Insured*
Does anything upset, disturb or un-
settle your dog? Please give details.
Does your Dog enjoy Grooming*
Dog comes back when Called*
Which of the Services are You Interested in?*
Preferred Date for Service / Weekly Walk Days?*
Preferred Time Slot for Service?*
If the services, days or times you require differ from those provided, please tell us what you need.
Start Date*
End Date*
Vet Name, Address
and Phone #*
How did you hear about Hudson Valley
Dog Sanctuary?*
Please expand on your previous answer if applicable, i.e. who recommended us, which directory you found us in, or where you saw our information.
I have read, understand and accept the liability waiver, terms & conditions and release forms ?*
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"Caring for People and their Pets"
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