How did you hear about us?

Owner Information


Last Name                                                                                   First Name

Address                                                                                         Home  Number

                                                                                                      Work  Number

E-mail                                                                                             Cell Number     

Emergency Contact

Last Name                                                   First Name                                             Phone       


Name of clinic and/or doctor                                                                           Phone 

Pet Information

Name                                                                      Breed                                                         Age     

Sex                                                                                                                       Weight

My dog is spayed/neutered

My dog has had a contagious disease within the last 30 days 

Has your dog ever bitten another dog or person
             Please explain circumstances 

Does your dog have food allergies

Is your dog crate trained

Has your dog been a family member for at least  30 days

What else would you like us to know about your dog?

How often to you plan on using the daycare

Completing this application puts you under no obligation to SCHROEDER'S DEN. After receipt of your application, we will contact you to answer any questions and to schedule a temperament evaluation or you may call us at 503-614-9899.  

How would you like us to contact you?  

2110 NW Aloclek Dr. Ste 620  Hillsboro, OR  97124  503.614.9899   M-F 6:45 am to 6:30 pm