Dusty's Dog House Registration

Owner Information

Emergency Information
Provide a name and phone number of someone you authorize to make decisions regarding your pet's care, veterinary or otherwise, if you are unable to do so.

Dog Information

Veterinarian Information

Other People Authorized To Pick Up My Dog

About Your Dog

Feeding Directions While Boarding at Dusty's Dog House


Please enter the characters you see in this picture:


This helps prevent automated form submissions. If you are not sure what the characters are, make your best guess. You will have another try in the next screen.
Can't see the image? Click here for an audible version in English.

Need assistance with this form?