Pet Boarding Registration Owner Name_______________________________________________________ ___________________ Were you referred to us by another client? ______________________________________________ If No to above, How did you hear about us? ________________________________________________ 1st Pet’s Name______________________________ Pets Weight_______________ Breed(s) ________________________ Color________________ Pet’s Estimated. DOB_______________ Sex (Circle) MALE FEMALE Neutered/Spayed YES NO Mealtime Schedule: Food Brand____________________________ Food Allergies? ________________ Specific Instruction (times per day/measured amount): ________________________________________ ______________________________________________________________________________ Medication(s):_______________________________________________________________________ 2nd Pet’s Name______________________________ Pets Weight________________ Breed(s) ________________________ Color________________ Pet’s Estimated. DOB_______________ Sex (Circle) MALE FEMALE Neutered/Spayed YES NO Mealtime Schedule: Food Brand____________________________ Food Allergies? ________________ Specific Instruction (times per day/measured amount): ________________________________________ __________________________________________________________________________________ Medication(s):_______________________________________________________________________ 3rd Pet’s Name______________________________ Pets Weight________________ Breed(s) ________________________ Color________________ Pet’s Estimated. DOB_______________ Sex (Circle) MALE FEMALE Neutered/Spayed? YES NO Mealtime Schedule: Food Brand____________________________ Food Allergies? ________________ Specific Instruction (times per day/measured amount): ________________________________________ __________________________________________________________________________________ Medication(s):________________________________________________________________________ 1 Luggage: Each item must have the owner’s last name on it or the item(s) will not be accepted (limit 2 toys). We provide bedding for all pets. We are NOT responsible for lost, dirty, or damaged items. You must list your own items upon Check-In. Additional services are offered at $6.00-$8.00 each. These services include: Massage, Coat Brushing, Additional Potty Times, and/or Playtime Activity with Staff Additional considerations in the care of your pet(s): _________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ If multiple pets, would you like you pets roomed together or separate? _________________________ Does your pet(s) have any allergies? ______________________________________________________ Has your pet(s) every bitten anyone? ______________________________________________________ Does your pet(s) have any dog, people or food aggression issues? ______________________________ Is your pet(s) afraid of thunderstorms? ____________________________________________________ Does your pet(s) have any special needs or pre-existing physical problems? ______________________ Does your pet(s) jump fences or try to dig out? ______________________________________________ What type of Flea Program is your pet(s) on and due date? ____________ _______________________ What type of Heartworm preventative is your pet(s) on and due date? __________________________ If you have answered “Yes” to any of the questions above, please give details and/or explanation: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ 2
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