Canine Intake Form
This form is to be filled out once a year for every client. Please notify me if there are any health, medical, feeding, or medication changes with your canine in the meantime.
First & Last Name*
Address*
Phone number *
Email*
How did you hear about us?
Which service(s) are you interested in?*
Day Camp ( Half or Full)
Staycation
Woof'ber (Transportation)
Daycampers only* What's your preferred camp schedule?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Unsure- will schedule online
Boarding Only*Date: Drop Off
Boarding Only*Date: Pick up
In the event of an emergency, I will make all reasonable efforts to first contact the pet owner. If the pet owner is unable to be contacted, I will contact the following: *
Preferred Veterinarian/Clinic*
Pets Name/ Age/Breed*
Additional pets: Name/Age/Breed
We require all canines to be housebroken and/or fixed. Is your canine Neutered/Spayed?*
Yes
No- unfortunately we can not move forward, however we offer drop in visits!
Feeding schedule?*
Current on flea/tick and heartworm prevention?*
Yes
No
Additional information/instructions