Daycare Booking Form Dogs Dogs Name   Edit Delete There are no Dogs. Add Dog Add multiple dogs. Click SUBMIT/ENTER after each one.Dates Date   Edit Delete There are no Dates. Add Date Add multiple dates. Click SUBMIT/ENTER after each one.Your Name* First Last Email* Enter Email Confirm Email Phone*Additional ServicesNONAIL CLIPPING ($15.00)NAIL CLIPPING & EAR CLEANING ($25.00)Would you like to add additional information?NOYESAdditional Information*I AGREE THAT MY DOG(S) HAVE NOT HAD CANINE COUGH (KENNEL COUGH) OR BEEN IN CONTACT WITH DOGS THAT HAVE HAD IT (THAT I ARE AWARE OF) IN THE PAST 4 WEEKS* I AGREE MY DOG HAS HAD CANINE COUGH WITHIN THE PAST 4 WEEKS Please note that if you knowingly send your dog(s) to Daycare while infected, there is a very high chance that they will infect other dogs.Was you dog(s) treated with antibiotics by a vet for this?* YES NO Has your dog finished it's full course of antibiotics and cleared by the vet to return to daycare? (a letter email from your vet must be given, emailed or confirmation given by your vet by email will suffice).** YES NO We are sorry but In order for your dog(s) to come to daycare, we must have confirmation from your vet that they are fully clear and do not pose a risk to any other dog. Thank you for your understanding! This iframe contains the logic required to handle Ajax powered Gravity Forms.