New Client Registration Form | Allegiance K-9

The form below is for new clients only. If you're already a client of Allegiance K-9, please click here to request an appointment.

Allegiance K-9 New Client Registration Form

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Please fill out the form below. We will email you a waiver to e-Sign once we receive your information. We will contact you if additional information is required. If you do not have your vaccination records in digital format, simply take a picture of them and text the picture to 575-769-0231. Thank you!

Allegiance K-9 Client Registration Form

Owner Information

First Name *Required*

Last Name *Required*

Phone Number *Required*

Email *Required*

Address

City

State | Province

Zip Code | Postal Code

Family Vet Clinic

How did you find us?

Emergency Contact (Include Phone Number)/Others Allowed to Pick Up

Owner Question #1: Are you interested in grooming, boarding, training or daycare?

Owner Question #2: Has your dog ever boarded at any facility before?

Owner Question #3: Is your dog a digger or jumper? (Digging under fences, or jumping fences to escape)

Pet #1 Information

Pet Name *Required*

Breed (Best Guess) *Required*

Sex *Required*

Color Description

Date of Birth

Rabies, DPP2 Boosters with Lepto, Bordetella (Kennel Cough) required. Please enter expiration dates as they appear on your vet's record.

Rabies Expiration Expiration

DPP2 Booster Expiration Expiration

Bordetella (Kennel Cough) expiration Expiration

Microchip Code

Weight

Insurance Info

Feeding Notes

Medication Notes

Temperament Notes (Aggression, anxiety, etc? If extensive, tell us in person).

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

Pet Question #1: Does your dog usually get along with other dogs in a social setting?

Pet Question #2: Does your dog show signs of aggression around new people?

Pet Question #3: Does your dog have any health issues or on any medications?

Pet Question #4: Is your dog kennel trained and housebroken?

Pet Question #5: Does your dog have a bite history?

Pet Photo (Not Required. 5MB Max. Image Files Only) Click to Upload Pet Picture

Proof of Vaccinations (5MB Max. Only Images, No PDFs. Take a Picture of Document with Your Phone and Upload It.) Click to Upload a Picture of Proof of Vaccinations

Click Here to Add a Second Pet

Pet #2 Information

Pet Name *Required*

Breed (Best Guess) *Required*

Sex *Required*

Color Description

Date of Birth

Rabies, DPP2 Boosters with Lepto, Bordetella (Kennel Cough) required. Please enter expiration dates as they appear on your vet's record.

Rabies Expiration Expiration

DPP2 Booster Expiration Expiration

Bordetella (Kennel Cough) expiration Expiration

Microchip Code

Weight

Insurance Info

Feeding Notes

Medication Notes

Temperament Notes (Aggression, anxiety, etc? If extensive, tell us in person).

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

Pet Question #1: Does your dog usually get along with other dogs in a social setting?

Pet Question #2: Does your dog show signs of aggression around new people?

Pet Question #3: Does your dog have any health issues or on any medications?

Pet Question #4: Is your dog kennel trained and housebroken?

Pet Question #5: Does your dog have a bite history?

Pet Photo (Not Required. 5MB Max. Image Files Only) Click to Upload Pet Picture

Proof of Vaccinations (5MB Max. Only Images, No PDFs. Take a Picture of Document with Your Phone and Upload It.) Click to Upload a Picture of Proof of Vaccinations

Click Here to Add a Third Pet

ALERT: If you have more than three pets, submit this form once with your first three pets. After submitting the first time, click the link to come back to the form (shown after you submit the form) and fill out this form again with the information for your other pets. The second time you fill it out, you only need to include your name, phone and email in the OWNER section because the business will already have the other info (address, emergency contact, etc) from the first time you submitted the form.

Pet #3 Information

Pet Name *Required*

Breed (Best Guess) *Required*

Sex *Required*

Color Description

Date of Birth

Rabies, DPP2 Boosters with Lepto, Bordetella (Kennel Cough) required. Please enter expiration dates as they appear on your vet's record.

Rabies Expiration Expiration

DPP2 Booster Expiration Expiration

Bordetella (Kennel Cough) expiration Expiration

Microchip Code

Weight

Insurance Info

Feeding Notes

Medication Notes

Temperament Notes (Aggression, anxiety, etc? If extensive, tell us in person).

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

Pet Question #1: Does your dog usually get along with other dogs in a social setting?

Pet Question #2: Does your dog show signs of aggression around new people?

Pet Question #3: Does your dog have any health issues or on any medications?

Pet Question #4: Is your dog kennel trained and housebroken?

Pet Question #5: Does your dog have a bite history?

Pet Photo (Not Required. 5MB Max. Image Files Only) Click to Upload Pet Picture

Proof of Vaccinations (5MB Max. Only Images, No PDFs. Take a Picture of Document with Your Phone and Upload It.) Click to Upload a Picture of Proof of Vaccinations

Appointments & Bookings: If you want to request an appointment or booking with this business, click here to add those details.

REQUIRED: To prove you're not a SPAM robot, what does 2+2 equal?

If the form does not submit, please scroll up and make sure all required pet and owner fields are filled in. If the issue persists, send an email to allegiancek9trainers@gmail.com