Fuzzz PlayGround Customer Application

Welcome to Fuzzz PlayGround the best dog treat there is & Your Dog’s home away from home... We are a fun, loving small business dedicated to grant your dog a tail wagging experience. Healthy choice, unique & memorable is only the beginning. Join us & allow your dog to be unleashed & go wild in the PlayGround indoors & outdoors ❤

Please complete this application to the best of your knowledge, make sure to read and then sign the attached rules & waiver form.

New Customer App

Doggie Parent Info

Name

First Name

Last Name

Cell Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact (Other Than You)

(###)

###

####

Your Doggies Info

Dogs Name

list all

Birthday

YYYY

Gender

Color & Breed

Medical Information

Vet Office Name

Spayed Or Neutered

Yes

Does your dog have any food allergies

Yes

Special Instructions

How did you hear about us?

Facebook

Google

Word Of Mouth

Referral

Sign the Waiver Form