Dog Days Bill of Health

For the safety of all dogs who attend training classes at Dog Days, we require that they be in good health and adequately protected from disease.
Please complete this form and return it to us.

Dog's Name:_______________________________________________________________

Owner's Name:_______________________________________________________________

Class Title:________________________________Class Start Date:________________

Veterinarian's Name:______________________________________________________

Vet Clinic Name:_______________________________________________________

Vet Clinic City and State:__________________________________________________

Vet Clinic Phone:_________________________________________________________


In order for your dog to be admitted, please have your veterinarian sign the following:

I certify that the dog named above is in good health and as appropriate for age has received all vaccinations.

_______________________________________________________________________
Veterinarian

_______________________________________________________________________
Date