6346 Farm Bureau Road Allentown, PA 18106

Creating Happy and Balanced Dogs, One Leader at a Time

6346 Farm Bureau Road Allentown, PA 18106 610-366-8282 info@lopci.com

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Name*
Phone
Email*
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Hours Of Operation

DAYCARE:

Monday thru Friday: 6:30 am - 7:00 pm
Saturday: 8:00 am - 6:00 pm
Sunday: 8:00 am - 6:00 pm

BOARDING:

Monday thru Friday: 6:30 am - 6:00 pm
Saturday: 8:00 am - 5:00 pm
Sunday: 8:00 am - 5:00 pm

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Leader of the Pack Canine Institute

Enrollment Form

Download: This Form | Enrollment Form | Waiver | Client Agreement | Rules & Regulations

Step 1 of 5 - General Owner Information

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Owners*
First Name Last Name
Address*
Street Address City State ZIP Code
Phone 1*
Phone 2
Phone 3
Emergency Contact(s) (Not in Same Household)*
Name Phone Relationship
Email*

Dog’s Name*
Dog's Breed*
Dog's Color*
Gender*
Fixed (Neutered/Spayed) *REQUIRED FOR DAYCARE IF OVER 6 MONTHS**
- Yes
- No
Fixing (Spaying/Neutering) Appointment Date
Birth Date*
Veterinary Clinic*
Treating Veterinarian*
Food Type
- Canned
- Dry
Specific Canned Food (If Requested)
Specific Dry Food (If Requested)
Referral
- Barking Buddy
Barking Buddy Parent

Dog License Number
Yearly Heartworm Test?*
- Yes
- No
Flea and Tick Medication?*
- Yes
- No
Describe any medical/health issues we need to be aware of (i.e. seizures, heart/hip problems, etc.)
Microchip
Microchip Number Brand

How long has your dog been in your family?*
Where did you get your dog?
Is Your Dog Adopted?*
- Yes
- No
Past History (If Known)*
Has your dog had any obedience training?*
- Yes
- No
Obedience Training Level*
- Beginner
- Advanced
- CGC
- TDI
- Agility
Do you use a crate?*
- Yes
- No
Are they comfortable in the crate?*
- Yes
- No
Is your dog comfortable with having his/her feet touched?*
- Yes
- No
- I'm not sure
Is your dog comfortable with having his/her collar used to lead?*
- Yes
- No
- I'm not sure
Has your dog ever climbed or jumped a fence?*
- Yes
- No
- I'm not sure
Has your dog ever growled or snapped at anyone who’s touched his/her bones, food or toys?*
- Yes
- No
- I'm not sure
Does your dog play with other dogs on a regular basis?*
- Yes
- No
Would you say he/she plays nicely?*
- Yes
- No
Would you say he/she plays nicely? (Cont.)
Does your dog prefer certain sexes of dogs?*
- Yes
- No
Which sex?*
- Male
- Female
Does your dog automatically dislike any kind of dog?*
- Yes
- No
What kinds?*
How does your dog react to puppies?*
- Happy to see them
- Go away I don’t like you
- Indifferent to them
How does your dog react to strangers?*
- Happy to see them
- Go away I don’t like you
- Indifferent to them
Does your dog automatically dislike any kind of person?*
- Yes
- No
What Kinds?*
Describe any behavioral problems/idiosyncrasies/special sensitivities we should be aware of*
IF ANY OF THE ABOVE INFORMATION CHANGES, PLEASE NOTIFY US IMMEDIATELY!

Client Agreement Consent*
- I Agree To The Client Agreement Consent
Rules And Regulations*
- I Have Read The Rules And Regulations
Waiver And Release*
- I Have Read The Waiver And Release
Signature*
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Overall Reviews

Leader of the Pack https://www.lopci.com Creating Happy and Balanced Dogs, One Leader at a Time

5.0 77 based on 77 ratings.

Contact Us

Name*
Phone
Email*
How Can We Help?*
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Connect With Us

Leader of the Pack

6346 Farm Bureau Road Allentown, PA 18106 Phone: 610-366-8282

FAX: 610-366-9666

Email: info@lopci.com

Hours of Operation

DAYCARE:

Monday-Friday: 6:30 am - 7:00 pm

Saturday: 8:00 am - 6:00 pm

Sunday: 8:00 am - 6:00 pm

BOARDING:

Monday-Friday: 6:30 am - 6:00 pm

Saturday: 8:00 am - 5:00 pm

Sunday: 8:00 am - 5:00 pm

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