The Doggie Depot of Virginia, LLC
2100 Loudoun St., Winchester, VA 22601
Puppy Play Time/Doggy Happy Hour Form
Please complete a form for each dog and provide a copy of most recent rabies
vaccination record for dogs over 16 weeks old. Puppies must be at least 10 weeks old to
participate.
Please note, due to the intent of Puppy Play Time and Doggy Happy Hours, only one dog
per owner will be permitted. Should an owner have more than one dog per person, the
Doggie Depot of Virginia may admit additional dogs to day care at the half-day price.
Owner Name: ___________________________ Email: __________________________
Address: _______________________________________________________________
City: _________________________________ State: ________ Zip: ________________
Primary Phone: ____________________ Secondary Phone: ______________________
Pet Information
Dog’s Name: ____________________________ Breed: ___________________________
Age: ______________ Gender: M/F Spayed/Neutered: Y/N
I understand that The Doggie Depot of Virginia, LLC (“Doggie Depot”) may choose to deny this application for
enrollment for any or no reason in its sole and absolute discretion. I understand that if the Doggie Depot allows
my dog(s) to participate in Puppy Play Time and/or Doggy Happy Hour that it will be subject to the terms and
conditions of the Doggie Depot’s General Information and Policies and the Owner Agreement, both of which I have
been given the opportunity to review. I hereby certify that all of the information above is correct.
Owner Signature: _____________________________ Date: ____________________
September 2016