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Fosters
301-738-6781  fax: 301-738-6782
info@sniffersdoggiedepot.com
OPEN 7AM-7PM 7 DAYS A WEEK

Client & Dog(s) Information and Release Form
Please enter all the appropriate information below. When you're finished, please read the agreement at the bottom of this form and press the Submit button.

First Dog
* Dog's Name:
* Breed:
* Color:
* Birthday:
Rescued?   
Gender:   
Spayed/Neutered?   
Microchip #:
Second Dog
Dog's Name:
Breed:
Color:
Birthday:
Rescued?   
Gender:   
Spayed/Neutered?   
Microchip #:
Third Dog
Dog's Name:
 Breed:
 Color:
 Birthday:
Rescued?   
Gender:   
Spayed/Neutered?   
Microchip #:
Your Information
* Name:
* Address:
* City:
* State:
* Zip
* Home Phone:
Work Phone:
Cell Phone:
2nd Cell Phone:
* Email Address:
Vet Information
Name:
Address:
City:
State:
Zip:
Phone:
Emergency Contact (other than owner or vet)
Name:
Address:
City:
State:
Zip:
Phone:
We will only release the dog to the above said person(s), if there is someone who may need to pick up your dog for you please list them
Name:
Phone:
Name:
Phone:
Your Dog's Special Needs
Medical History:
Medications:
Special Instructions:
Is your dog allowed to have treats and biscuits?     
How did you hear about SNIFFERS?
As owner of the above pet(s), I hereby give consent for emergency medical care as prescribed by a licensed veterinarian. This care may be given under any conditions that are necessary to preserve life, limb or the well being of my pet. I understand that I am responsible for all veterinary costs. I consent to photographs or recording of my dog by SNIFFERS Doggie Depot for the purpose of promotion only, without compensation. I release all rights to these images or recordings to SNIFFERS.

By checking the I Agree button below, you are indicating your agreement to all terms above.




7300-1 Westmore Road Rockville, Maryland 20850
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