Small-Medium dog boarding form
To reserve a slot please complete and submit the booking form.
Title
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Ms.
Mrs.
Mr.
Full Name
*
First Name
Last Name
Phone Number
*
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Pet's information
I would like to board my:
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Small dog
Medium dog
Pet's name #1
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Pet's name #2
Pet's name #3
Gender #1
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Male, neutered
Male, not neutered
Female, neutered
Female, not neutered
Gender #2
Male, neutered
Male, not neutered
Female, neutered
Female, not neutered
Gender #3
Male, neutered
Male, not neutered
Female, neutered
Female, not neutered
Breed #1
*
Breed #2
Breed #3
Age #1
*
Month / Year
*
Month(s) old
Year(s) old
Age #2
Month / Year
Month(s) old
Year(s) old
Age #3
Month / Year
Month(s) old
Year(s) old
Can your Pet mix with others?
*
Yes, to all pets size
Only small size
Only medium size
Only large size
NO, does not mix
Tick/fleas prevention?
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Yes
No
All dogs MUST be on tick/fleas prevention 1 week before boarding
Any traits?
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Scared of Thunderstorm
Seperation anxiety
Shy / scared of dogs
Attention seeker
Bark / cries a lot
Scared of Fireworks / firecrackers
None of the above
Medical problem
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Dental problem
Hip dysplasia
Allergies
None of the above
Temperament:
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i.e: He is very friendly. Loves to be with dogs and people. has allergies. Needs meds. Doesn't get along with other pets. Seperation anxiety, etc...
Check-in date
*
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Day
-
Month
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Check-out in date
*
-
Day
-
Month
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Up-to-date vaccination
*
Upload a File
Cancel
of
Terms and Conditions
Basic / Full Policy
Terms and conditions
#1
*
Owner agrees to pay all costs and charges
#2
*
It must be clearly understood that animals are boarded purely at the owner’s own risk
#3
*
Dogs MUST be on Tick/fleas prevention 1 week before boarding date
#4
*
Owner agrees the pet is inoculated and boosters are up to date
#5
*
All dates booked/deposit will be charged and under no circumstances will refunds be given. Under T&C : Cancellation of booking
#6
*
Owner agrees the entire Agreement. Link is provided in the email or see on our website
Enter the message as it's shown
*
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