406 Eagle's Landing Parkway
Stockbridge, Georgia 30281
404-252-3647
Online Application

Please complete, submit; and then call us at
404-252-DOGS (3647) to make your
reservation.
First Name:
Last Name:
Street Address:
City:
State:
Zip/Postal Code:
Home Phone:
Mobile Phone:
Email address:
Work Phone:
Dog's Name:
Dog's Date of Birth:
Breed or Mix Description:
Gender/Sex:
 Male
Female
How old was this dog when you got him/her?
Yes
Is this dog neutered or spayed?
 No
Dog's approximate age at time of neuter/spay:
Emergency Contact Name (This is not a spouse
or someone who is unavailable when you are)
Emergency Contact Phone Number:
Should we require ID if/when this person picks up your dog?
 Yes
No
Veterinarian/Clinic Name:
Vet Phone Number:
Vet Number & Street:
Vet City, State, Zip:
Dog's Medical Conditions, dietary limitations,
or allergies (enter "none" if none):
Training/Behavior History (skip this section if your dog is under 12 weeks old)
Describe what formal training has your dog had:
Has your dog ever bitten any dog or human?
Yes
No
If yes, how many times and describe the severity of the
bite(s) and the precipitating situation:
List any problem behavior(s), including issues regarding
your dog's ability to socialize with other dogs:
Health Requirements:  All dogs must be healthy, flea-free, and show written proof of current Distemper/Parvo
and Bordatella vaccines or titers.  Dogs over 4 months must also show proof of current rabies vaccination or
titer.  For daycare and classes (not grooming), dogs over 7 months of age must be spayed or neutered.
Late Pickup Fees:  $30 FOR 1-15 minutes late, $50 for 15-30 minutes late, $100 for 30+ minutes late.  We
really don't want to collect on these fees - we just want to go home!
Hours of Operation:  M-F 7am - 6:30pm (Front door/reception closed M-F 12n-1pm)
         Sat/Sun 11am-12noon for boarding dropoff or pickup
I have read and understand the Health
Requirements, Late Pickup Fees, and Hours
of Operation for Beagles Landing.
How did you hear about Beagles Landing?