Date(s) of Play group
you would like to RSVP
for:
 Fri, Jan 21st
 Fri, Feb 18th
Fri, Feb 4th
Last Name:
 First Name:
Dog(s) Name(s):
Email Address:
Are you a current client
of My Two Dogs, Inc.?
No (Please fill out information below)
Owner Information
Street Address:
 Apt:
City:
 State:
 Zip Code:
Primary Phone #:
Alternate Phone #:
Dog Information
Dog Name:
Breed:
Gender:
 M
 F
Weight:
 Lbs.
 Is your dog spayed/neutered?
 Yes
 No
Birthdate:
Additional Dogs:
Veterinarian/Clinic Name:
Phone Number:
I understand that in compliance with the laws of the City of New York, I must
provide a copy of my dog's Rabies & DHLPP vaccinations to My Two Dogs,
Inc. If I do not provide such proof, my dog will be unable to attend play
groups. I understand that I will be asked to sign a standard waiver as well.
Initials: