Have you registered your dog?

Please Signup
*
Username
Username can not be left blank.
Please enter valid data.
This username is already registered, please choose another one.
This username is invalid. Please enter a valid username.
*
Dog Name
Text field can not be left blank.
Please enter valid data.
Breed Of Dog
Text field can not be left blank.
Please enter valid data.
Please enter valid data.
Age of Dog
Text field can not be left blank.
Please enter valid data.
*
Birth Date
Please select date.
Invalid Date.
*
Sex of Dog
MaleFemale
Please select one.
Please enter valid data.
Vet Details
Text field can not be left blank.
Please enter valid data.
Tel number
Text field can not be left blank.
Please enter valid data.
Please enter valid data.
Vaccinations Date
Please select date.
Invalid Date.
Kennel Cough Vaccination Date
Please select date.
Invalid Date.
Microchip Number
Text field can not be left blank.
Please enter valid data.
Spayed/Neutered?
YESNO
Please select one option.
Please enter valid data.
Aggression Towards Others?
YESNO
Please select one option.
Please enter valid data.
If yes give a clear reason eg (food, toys, fear, possessive aggression)
Please enter valid data.
Please Tick One
High EnergyMedium EnergyLow Energy
Please select one option.
Please enter valid data.
Particular Likes And Dislikes
This Field can not be left blank.
Please enter valid data.
Details
Text field can not be left blank.
Please enter valid data.
Special Requirements
Text field can not be left blank.
Please enter valid data.
*
Dog Owner First Name
First Name can not be left blank.
Please enter valid data.
This first name is invalid. Please enter a valid first name.
*
Last Name
Last Name can not be left blank.
Please enter valid data.
This last name is invalid. Please enter a valid last name.
*
Email Address
Email Address can not be left blank.
Please enter valid email address.
Please enter valid email address.
This email is already registered, please choose another one.
*
Password
Password can not be left blank.
Please enter valid data.
Please enter at least 6 characters.
    Strength: Very Weak
    Address
    This Field can not be left blank.
    Please enter valid data.
    *
    City
    Text field can not be left blank.
    Please enter valid data.
    *
    ZIP
    Text field can not be left blank.
    Please enter valid data.
    *
    Phone Number
    Text field can not be left blank.
    Please enter valid data.
    Please enter valid data.
    Emergency Contact Number
    Text field can not be left blank.
    Please enter valid data.
    Please enter valid data.
    Submit
     
    Powered by ARMember
      (Unlicensed)

        Please take note of the important details below

    • Your dog is left in our care at your risk, Happy Hounds Play Centre Ltd can accept no liability for injury or death of your dog or to another dog whilst in our care, unless it is proven to be due to our negligence.
    • If any medical problems develop while your dog is in the care of Happy Hounds Play Centre and you cannot be contacted, you authorise us to do whatever is necessary for the safety, health and wellbeing of your dog and agree to assume full financial responsibility for all expenses incurred plus those of any dog/s your dog maliciously injures whilst at Happy Hounds Play Centre Ltd.
    • I understand that ‘no shows’ will not be refunded.
    • I understand that all sessions must be paid upfront or on collection of my dog by bank transfer, online or debit/credit card payment
    • I understand that late collections more than 15 minutes late may incur a surcharge and if my dog has not been collected by 18.30 emergency kennelling may need to be sought, at my expense.
    • I confirm I am the owner and keeper of the above mentioned dog and I have read and understood the points above including ‘The Important Stuff’ and confirm I have provided information to the best of my knowledge.

     

     

    Signed   ______________________                                                               Date ______________________

    clic