When dropping off or picking up your pet please either keep them on a leash or crated.
|
|
- Patience Chandler
- 5 years ago
- Views:
Transcription
1 Information Sheet Dogs When boarding with us, you will have to fill the following - Questionnaire Owner s Information Sheet Contract All this is to ensure that your pet(s) receive the best care possible. If you have more than one dog/cat, please fill out a questionnaire for each pet. The more information you give about your pet's behavior the easier and safer it will be for everyone. You will have to provide proof of your pet s vaccinations being up to date. No animal will be accepted unless these vaccinations are up to date. We will only accept vaccination certificates NOT vet records. When dropping off or picking up your pet please either keep them on a leash or crated. Fees apply from the day you drop and the day you pick up pet regardless of the time you have dropped your pet off. If you are a new client who is looking to book a stay you are required to book a trial run for a minimum of 6 hours stay. This will allow us to assess the animal to ensure that his or her needs can be met properly during the stay. The charges will be applicable as normal for this session. The Owner shall: seem fees will apply Please keep your pet crated or on a leash when dropping off or picking them up **Please note: We reserve the right to refuse boarding to pets who are overly aggressive or have severe behavior problems**
2 Owner s Information Sheet Name: Address: Postal Code: Home Number: Work Number: Mobile Number: In case of Emergency please call: at phone number Address: Pet s Name(s) Type and Number of Pets you are boarding: Dog / Cat Number
3 Part 1 Questionnaire Name of Pet: Breed Of Dog: M/F? Spayed/Neutered? Age: D/O/B(If Known) When are your pet s vaccinations next due? Regular Vaccines: Please list any current health problems or concerns you may have with your pet: PLEASE LIST EVERY THING NO MATTER HOW MINOR Is your pet on any medication? If so please list medications and instructions for care: Please name the veterinarian that you use and their contact information: Microchip / BMC Dog Tag Number:. Have you supplied your own food? Y N Name of food: How many times a day do you feed your pet? X per day Amount: Does your pet have food allergies or any snacks or foods he/she is NOT allow to have?
4 Part 2 What kinds of activities does your pet like to do (ie: play fetch, Frisbee, balls, chew toys, swimming) How often do you walk your dog and for how long? X Day minutes/walk Is your pet house trained? Y/N or in training? Y/N Crate trained? Y/N Have you ever boarded your pet before? Y/N Has you dog ever bitten another dog or human? PLEASE BE HONEST!!! Is your dog vocal when he plays with another dog? Y/N What is your pets favorite: Treat: Toy: My Pet is: Good with ONLY older children Is afraid of loud noises Good with small children Rides well in a vehicle Good with all children Needs to be crated in a vehicle Good with cats Does not ride well with in a vehicle Not good with cats Is a chewer and can destroy things Good with other dogs Will use a dog house Not good with other dogs Is a barker Likes affection whenever its given Is ok with nail trimming Likes affection on his/her terms Is ok with brush grooming Spends most of the time inside w/the family Is ok with bathing(if applicable) Spends most of the time outside alone Walks well on a leash Is afraid of thunder Needs more training on a leash Is unsure of strangers Can be nippy When my dog barks or growls it could mean: When my dog whines or cries it could mean: When my dog wants to go to the bathroom he/she will:
5 Part 3 My dog is good off leash: Yes No Answer only if you have more than one dog staying: My dogs will need to be fed separately: Yes No My dogs will need to be crated separately: Yes No I prefer that my dogs are crated separately: Yes No What commands does your pet respond too? (stay, off, sit, no, come,etc). If there is anything else you could like us to know about your pet please use the space below. Please also include your pet s daily routine and schedule.
6 Contract This agreement is between, Indian Inhabitant residing at hereinafter referred to as the Owner (which expression shall unless it be repugnant to the context or meaning thereof be deemed to mean and include his heirs, executors and administrators) of the ONE PART and Meenakshi Chirawawala, Indian Inhabitant residing at 801/B Tirupati Apartments, Bhulabhai Desai Road, Mumbai for BNC Pet Sitters N Boarders hereinafter referred to as BNC (which expression shall unless it be repugnant to the context or meaning thereof be deemed to mean and include his heirs, executors and administrators) of the SECOND PART on this day of. WHEREAS: 1. It has been agreed upon between the parties stated above that the Owner has requested BNC to take care of the following pet(s): i. (Name Of Pet) (Breed and Type) ii. iii. (Name Of Pet) (Breed and Type) (Name Of Pet) (Breed and Type) 2. BNC is in the business of pet sitting and pet boarding services (hereinafter referred to as the said services) and the owner is desirous of leaving his/her pet/s in the care on BNC. 3. The owner understands that BNC is in no way responsible for any harm that may arise either directly or indirectly from the said services and that the owner is leaving his pet/s with BNC at his own risk. NOW THIS DEED WITHNESETH 1. That the owner has agreed to leave his/her pet/s listed above in the care of BNC in exchange for a consideration as agreed upon between the parties. The Parties
7 agree that such consideration shall be paid to BNC prior to the owner dropping off his/her pet/s to BNC. 2. That the parties agree that the owner will drop off and pick up pet/s in accordance to the date and time scheduled by BNC. 3. That in the event the owner fails to pick up his/her pet/s at the date and time scheduled for pick up without a twenty four (24) hour prior intimation to BNC the owner shall be liable to pay damages to BNC. The owner will pay fees twice the fees payable per day for every day he/she is late in picking up his/her pet. 4. That in thee event the owner cancels his/her booking then the owner agrees to pay the cancellation charges as follows : i) In the event of a stay of one to 5 days the owner shall be liable to pay 50 percent of the fees payable for the entire stay in case of cancellation less than 48 hours prior to the scheduled drop off date and time. ii) In the event of a stay for a period of more than 5 days the owner shall be liable to pay 25 percent of the fees payable for the entire stay in case of cancellation less than 96 hours prior to the scheduled drop off date and time. 5. The owner declares that: i) He/she understands that due to certain circumstances that are beyond anyone s control that accidents or health issues may occur and that his/her pet/s may have to be taken to see a veterinarian. ii) He/she gives Meenakshi Chirawawala permission to take his/her pet(s) to a veternarian to receive any medical attention that his/her pet may need. He/she understands that Meenakshi Chirawawala will phone him/her or their emergency contact, immediately upon any reason that their pet(s) may need medical attention. iii) He/she agree to reimburse BNC any costs of vet bills, medicines, transport and any other expenses that may be incurred by her based on actuals and on receipts where receipts are available that was required in his/her absence. iv) He/she agrees to indemnify and keep indemnified BNC, Meenakshi Chirawawala and any other person directly or indirectly involved in the said services provided to him/her against any and all risk or liability that may arise either directly or indirectly from the provision of the said services. 6. Signing below indicates the parties acknowledgment, understanding and agreement to the terms contained within this Contract and Agreement, and that you are setting your hand hereto delivering your signature freely, voluntarily and unconditionally.
8 7. This contract is valid and subsistent for every time the owner engages the said services from BNC. IN WITNESS WHEREOF the Parties have put their hands the day and year first hereinabove written. Signed and Delivered ) by the within named ) Owner ) ) in the presence of ) Signed and Delivered ) by the within named ) BNC ) through Meenakshi Chirawawala ) in the presence of ) DATED THIS DAY OF
You are welcome to bring whatever you feel will make your pet s stay more comfortable for him/her, for example, bed/bedding/crates, toys and treats.
General information Please find a contract, terms of conditions and a 3 page questionnaire. I know this looks like a lot of forms, but this will ensure that your dog(s) are receiving the best care possible
More informationDaycare Enrolment Form
Daycare Enrolment Form Office Use Only Enrolment Form Vaccination Record Signed Waiver Social Assessment Computer Entry First Day: How did you hear about WAG Canine? Contact Information Owner Information
More informationBellyrubs Doggie Daycare & Boarding LLC 1089 State Rte. 9 Gansevoort, NY (518)
Bellyrubs Doggie Daycare & Boarding LLC 1089 State Rte. 9 Gansevoort, NY 12831 (518)747-6815 www.bellyrubsdoggydaycare.com ABOUT US Bellyrubs is family owned and operated. We pride ourselves in our safe,
More informationCamp Cypress Dog Retreat
Client Information Form CONTACT INFORMATION Address: City, State Zip: Home Phone: Mobile Phone: Can we text this number? Y N Email: Alternate Contact: Address: City, State Zip: Home Phone: Mobile Phone
More informationThe Dog Wash & Grooming, INC National Road St. Clairsville, OH Phone: Web: Thedogwashandgrooming.com
The Dog Wash & Grooming, INC. 46147 National Road St. Clairsville, OH 43950 Phone: 740.296.5495 Web: Thedogwashandgrooming.com Owner Name: Street Address: City: State: Zip: Email: Phone: Cell: Emergency
More informationEnrollment Form, Pet Profile and Liability Release. Enrollment Form
Enrollment Form, Pet Profile and Liability Release A completed Enrollment Form and Pet Profile must be submitted for each pet attending Timberlane Pet Hospital & Resort before an interview is scheduled.
More informationDaycare & Boarding Application
New Daycare/Boarding Applicant Additional Family Member Existing Member s Updated Information Daycare & Boarding Application Guardian s/owner s Name: Address: City: State: Zip: Home Phone: ( ) Work Phone:
More informationNew Client Questionnaire For multiple dog owners please complete one questionnaire for each dog.
The Crate Escape, Too 1364 Marshall Ave Williston, VT 05495 802-865-DOGS (3647) The Crate Escape, Inc. 1108 West Main Street Richmond, VT 05477 802-434-6411 www.crateescapevt.com New Client Questionnaire
More informationDaycare Application Form
Daycare Application Form TGDS Staff Use Only Evaluation Date: Application Complete: Liability Waiver Signed: Vaccinations Verified: Please submit the completed Application, signed Liability Waiver and
More informationGolden Paw Tregeagle Boarding Questionnaire
Your Name: Address: Mobile: Email: Drop off date: / / Pick up date: / / Time: Time: (our drop offs and pick ups are by appointment between 8-10 or 2.30-4.30) Person to contact in case of an emergency:
More informationPet Personality Profile
Pet Personality Profile Owner s Information Last Name: First Name: Phone: (cell) (home) (work) Email: Emergency Contact Name: Phone: Pet s Information Name: Breed: Color: Sex: M F Spayed/neutered? Yes
More informationDaycare & Sleepover Registration Form
Dog s Name Dog s Birthday Daycare & Sleepover Registration Form Owner(s) Information Name(s): Address: City: Postal Code: Home Phone: Cell: Business: Email: Emergency Contact Name: Address: Email: Home
More informationSex: Male Bitch. Is the dog: Spayed Neutered Entire. Type of Coat Short Semi Long haired
General Information: Date of home check: DOG ASSESSMENT FORM Home check completed by: Dogs name: Name of the owner: Address: Home telephone: Mobile number: Email address: Where did you hear about us? Dog
More informationBed & Biscuit, Inc. Doggie Daycare and Boarding. Name: Address: City: State: Zip Code: Home Phone #: Work #: Cell #
Doggie Daycare and Boarding FOR OFFICE USE ONLY Enrollment Form Shots Staff Screened Computer Entry Folder Made First Day EMERGENCY CONTACT INFORMATION Owner Information Name: Address: City: State: Zip
More informationCanine Enrollment Form
TODAY S DATE: *PLEASE PRINT CLEARLY IN INK* Full name and address (including zip) of owner / person/s responsible for payment: Driver s License Number: State license is issued in: Home Phone ( ) Work Phone
More informationGerman Shepherd Rescue of New York, Inc. P.O.Box 242, Delmar, NY
DOG SURRENDER APPLICATION Owner s/surrenderer s Name: Address: City: State: Zip: Home Phone: Work/Cell: Email Address: Are you 18 yrs. or older? Yes Date of Birth: REQUIREMENTS OF SURRENDER Proof of ownership
More informationBoarding/Daycare Contract
Boarding/Daycare Contract 1394 230th Street Glenwood City, Wisconsin 54013 715-265-9288 purrfectdog@live.com www.purrfectdog.com All boarding and daycare clients must sign a boarding/daycare contract for
More informationDog Sense. Owner s Name: Address: City/State/Zip Code: May we send updates on your pet? Text Photo Text . # visits/day: One Two (add $10/day)
Dog Sense P E T S I T T I N G F O R M Owner s Address: City/State/Zip Code: Home Phone: Email: Species: Cell Phone: # of Pets: Breed(s): May we send updates on your pet? Text Photo Text Email Start Date/Time:
More informationEmergency Contact Name Address Home phone Cell phone
3606 NE Columbia Blvd. Portland OR 97211 email: staypetreservations@gmail.com Phone: 503-288-7829 Fax: 503-288-8374 Owner Information Name Address City, State, Zip Email Cell phone Work Phone Home phone
More informationYOUR NAME: ADDRESS: HOME PHONE: WORK PHONE: CELL PHONE: DOG S NAME: AGE: BREED:
MEDICAL RELEASE FORM YOUR NAME: ADDRESS: HOME PHONE: WORK PHONE: CELL PHONE: EMAIL: DOG S NAME: AGE: BREED: THIS IS A REQUIRED FORM FOR ALL SALTY DOG DOGGY DAYCARE PARTICIPANTS RECEIVING SERVICES. First
More informationDoggie Daycare/Boarding Application
Doggie Daycare/Boarding Application Date of Application: Dates of Daycare or Boarding: OWNER S INFORMATION: Name: Address: City/State/Zip: E-Mail Address: Home phone: Cell / Work phone: Persons allowed
More informationCLASSIC GROOMING REGISTRATION POLICIES AND RELEASE FORM
CLASSIC GROOMING REGISTRATION POLICIES AND RELEASE FORM CLIENT INFORMATION Please tell us a bit about yourself Your Name First Last Partner/Spouse? His/Her Full Name Mailing Address Street Address Address
More informationVeterinary Group of Chesterfield Edison Ave., Chesterfield, MO
Veterinary Group of Chesterfield Daycare/Boarding Playtime Requirements Our guidelines are set forth to ensure the health and safety of all daycare participants. All dogs over 6 months of age must be spayed
More informationClient Information. Doggie Information
Client Information Client (Person) Name: Emergency contact(s) & numbers: Street Address: City, State, Zip: Phone1: Phone2: Phone3: Email: Alternate contacts: Who is authorized to pick up/drop off your
More informationBOARD & TRAIN ENROLLMENT AGREEMENT
BOARD & TRAIN ENROLLMENT AGREEMENT Class Type: Starting Date: Dogs Information: Name: Age: Sex: Medications: Breed: Weight: Color: Spayed/Neutred: Past medical history: Current medical conditions: Allergies:
More informationPooch Personality Profile
Pooch Personality Profile Complete a profile for each dog enrolled at Urban Tails. Complete responses assist us in providing high quality care for your dog. There are no right or wrong answers as all dogs
More informationGerman Pinscher Club of America Rescue. (GPCA Rescue)
German Pinscher Club of America Rescue (GPCA Rescue) A d o p t i o n A g r e e m e n t & R e l e a s e S t a t e m e n t Our adoption agreement is designed with one purpose to protect the companion animal
More informationDemi s Animal Rescue Foster Agreement (Dog)
Demi s Animal Rescue Foster Agreement (Dog) Date Animal s Name: Breed: Sex: Weight: Age: Microchip ID: Notes: The parties agree that the foster shall abide by the following conditions: 1. (Name) hereinafter
More informationPAW PRINTS PET RESORT GUEST APPLICATION FORM
Telephone: 250-597-DOGS Email: pawprintspetresort@gmail.com Web: www.pawprintspetresort.com PAW PRINTS PET RESORT GUEST APPLICATION FORM Date: Assessed by: Dog Information Dog s Name: Nicknames: Breed:
More information3 DOGS BOARDING AND DAYCARE
3 DOGS BOARDING AND DAYCARE Owner Information Name Address City, State, Zip Email *Would you like to be added to our email list for daycare/boarding updates and availability? Yes No (this list is for our
More informationOwner Surrender & Relinquishment Dog
Owner Surrender & Relinquishment Dog Please help us provide great care for this animal by thoroughly completing the following information. Thank you! Owner Name: First Last Date: Address: Street City State
More informationAPPLICATION. Cell phone.
333 North Bedford Road Mt. Kisco, NY 10549 Phone: 914-218-8258 Fax: 914-218-8259 Website: ckatthepark.com APPLICATION Owner Information Name Address Date Home phone Work phone Cell phone Email Services
More informationANIMAL SERVICES AGREEMENT
ANIMAL SERVICES AGREEMENT Between: BETTER THAN HOME PET BOARDING, INC. And: Owner Name First, Last Owner Name First, Last Owner Address: Street, City, Province, Postal Code Owner Phone Number Owner Phone
More informationDaycare, Boarding, Grooming, Training 6976 West 152 nd Terrace Overland Park, KS 66224
Daycare, Boarding, Grooming, Training 6976 West 152 nd Terrace Overland Park, KS 66224 Phone: 913-685-9246 (WAGN) Fax 913-685-1922 Email: info@tailsrwaggin.com Website: www.tailsrwaggin.com CLIENT PROFILE
More informationPLAY ALL DAY, LLC REGISTRATION FORM
Today s Date: How Did You Hear About Us? Owner(s) Name(s) Home Address City, State, Zip PLAY ALL DAY, LLC REGISTRATION FORM Start Date: OWNER INFORMATION Home Phone ( ) Work Phone ( ) Cell Phone ( ) Other
More informationGUEST INFORMATION SHEET. How did you hear about Dogstown University? Relationship: Pet Name: Breed: Color/Markings: Approximate Weight:
DOGSTOWN UNIVERSITY 1807 South Powerline RD, Suite B-109, Deerfield Beach FL 33442 (954)-422-5764 FAX: (954)-794-0299 E-MAIL: dogstownuniversity@yahoo.com www.dogstownuniversityinc.com GUEST INFORMATION
More informationS.A.D. (Save All Doggies) All Breed Rescue Contract for Adoption of Rescue Dog
S.A.D. (Save All Doggies) All Breed Rescue Contract for Adoption of Rescue Dog IN CONSIDERATION of the payment of, the receipt of which is hereby acknowledged as full payment, the undersigned Adopter(s)
More informationC o m p l e t e C a n i n e C a r e E n r o l m e n t F o r m P a g e 1 5. OWNER INFORMATION Forename & Surname. Home Phone Work Phone Mobile Phone
OWNER INFORMATION Title Forename & Surname Home address Work address Home Phone Work Phone Mobile Phone Email PARTNER/SPOUSE Name Work Phone Mobile Phone How did you hear about us? Word of mouth Email
More informationDOG DAYCARE APPLICATION FORM
DOG DAYCARE APPLICATION FORM How Did you Hear About Us? Your Name: Address: Postal Code Home Phone ( ) - Work ( ) Cell: ( ) Email Address: If we can t get in touch with you who can we call? (Emergency
More informationThe Scruffy Puppy Hazlet, NJ scruffypuppypetcare.com
The Scruffy Puppy Hazlet, NJ 732-520-0454 scruffypuppypetcare.com In Home Dog Boarding Application & Agreement *Please PRINT clearly in blue or black ink & Fill in all applicable fields to the best of
More informationDOG WALKING AGREEMENT
DOG WALKING AGREEMENT This Dog Walking Agreement (the Agreement ) is entered into as of, (the Effective Date ) by and between The Pet Nanny, a California business, and an individual (the Owner, and together
More informationCat Boarding Enrollment Packet
Cat Boarding Enrollment Packet For Office Use Only Vaccines Checked In Computer Init.. Vaccination Records MUST accompany this form. Owner Information Name(s): Street Address: City: St: Zip: Home Phone:
More informationDOUGLAS COUNTY CANINE RESCUE FOSTER AGREEMENT
DOUGLAS COUNTY CANINE RESCUE FOSTER AGREEMENT NAME: DATE: D.C.C.R s first and foremost concern is for each and every animal s wellbeing. We must insure every animal s individual needs are met and will
More informationPAWSITIVELY PERFECT BOARDING & DAYCARE AGREEMENT. Address: City: State: Zip: Phone: Home: Work: Cell: Text? Y N
PAWSITIVELY PERFECT BOARDING & DAYCARE AGREEMENT Contact Information: Owner s Name(s): Address: City: State: Zip: Phone: Home: Work: Cell: Text? Y N Email: Do you check your email while gone? Y N Emergency
More informationRocky s Retreat Boarding/Daycare Intake Form
Rocky s Retreat Boarding/Daycare Intake Form (please complete entire form) Date: / / Owner/Guardian Mailing Address City State Zip Home Phone Work Cell Phone Email Address How long have you had your dog?
More informationIn-House Basic Obedience Training Program
In-House Basic Obedience Training Program Student Name: K9 s Name: Client Information Date Training Begins: 1 Student Information Name: Address: State/Zip: Date: City: Phone: Cell: Work: Email Address:
More informationBoarding Consent/Registration Form
Boarding Consent/Registration Form Café Free Boarding (Daycare dogs onl Traditional Boarding Thank you for choosing Rex s Place and Rex s Place Boarding House to care for your pet(s) while you re away.
More informationOwner s Name. Address. Primary Phone Alternate Phone. . Security Word (used for pick up verification) Other person authorized to pick up dog
Paws n Claws Playcare 1530 W 26 th St. Erie PA 16508 814-456-7297 fax 814-456-7299 Playcare Pet Profile Owner s Name Address City St Zip Code Primary Phone Alternate Phone Email Security Word (used for
More informationDAYCARE / BOARDING APPLICATION
Date: DAYCARE / BOARDING APPLICATION OWNER INFORMATION Address: City: Zip Code: Home phone: Cell: Work: E-mail Address: EMERGENCY CONTACT INFORMATION (someone t traveling with you) Relation: Home phone:
More informationAge: All dogs must be at least 16 weeks or older. Puppies and shelter dogs must have been at home for 2 weeks prior to coming to daycare.
Dogs @ Play Daycare Requirements To ensure the health and safety of your pet and of our other guests, we require that all of our clients comply with the following rules and regulations. Age: All dogs must
More informationFurtastik / Fuzzy Dog Dog Walking Contract & Profile
1 P a g e Furtastik / Fuzzy Dog Dog Walking Contract & Profile **Please PRINT clearly in blue or black ink. Fill in all applicable fields to the best of your knowledge*** Pet s Name Home Phone Your Name
More informationDog Enrollment Application
Dog Enrollment Application Page 1 of 5 OWNER INFO: NAME: ADDRESS: CITY/STATE/ZIP CELL PHONE: WORK PHONE: HOME PHONE: OTHER PHONE: EMAIL: EMPLOYER: DRIVERS LICENSE #: STATE ISSUED EMERGENCY CONTACT INFORMATION
More informationCat Profile. Animal ID (Staff Use Only) Cat s Name: Breed: Spayed or Neutered: (Check Box) Yes No Unknown Age: Date of Birth (If Known):
Date: / / Cat Profile Cat s Information: Animal ID (Staff Use Only) Cat s Name: Breed: Sex: (Check Box) Male Female Spayed or Neutered: (Check Box) Yes No Unknown Age: Date of Birth (If Known): Declawed:
More informationClient Enrollment Form Completed, signed and sent to us prior to first day of class.
Thank you for your interest in Wag Club! We can t wait to meet your pup! Below is a checklist of pre-requisites to help you complete enrollment for Training Classes, the Wine N Puppies playgroup and Special
More informationWillow Dog Walking HOME BOARDING BOOKING FORM PERSONAL DETAILS: Title: Mr, Mrs, Ms etc: First Name: Surname: Address: Postcode:
HOME BOARDING BOOKING FORM PLEASE NOTE: If your dog is lively and difficult to manage, this it is not suitable for the service we provide and would be best placed in a kennel. However, if your dog has
More informationPET CARE AGREEMENT FOR DOG WALKING/IN-HOME PET VISITS. Client Name: Address: City, State, Zip: Out of town phone number (if applicable):
Date: FOUR LEGGED PET CARE PET CARE AGREEMENT FOR DOG WALKING/IN-HOME PET VISITS Client Name: Address: City, State, Zip: Home Phone: Work Phone: Cell Phone: E mail: Out of town phone number (if applicable):
More informationThe 4 Paw Policy APPOINTMENTS COMPLETION TIME PUPPIES OLDER DOGS
The 4 Paw Policy Please download our PDF document. All Pet Parents will be required to read and sign this agreement at the time of their first appointment and consultation. APPOINTMENTS We will book your
More informationFoster Parent Contract
Foster Parent Contract Between Clancy s Dream, Inc. and Foster Provider This agreement made this day of _, 201 by and between Clancy's Dream Inc. (hereinafter called "CDI"), and _ (hereinafter be referred
More informationIncoming Dog Profile
Shelter use only Branch location: Collected by: Dog ID: Incoming Dog Profile The following questionnaire provides us with information about how your dog behaved in many different circumstances while he
More informationDAYCARE INFORMATION FORM
DAYCARE INFORMATION FORM BANDILANE CANINE CENTER Joyce Diamond, CPDT 80 Largo Drive, Stamford, CT 06907 ph: 203-975-8151, fx: 203-975-7457 email: info@bandilane.com www.bandilane.com OWNER S NAME ADDRESS
More informationDOGGY DAYCARE CONTRACT
DOGGY DAYCARE CONTRACT OWNER S NAME: EMAIL ADDRESS: RESIDENCE ADDRESS: MAILING ADRESS: HOME EMERGENCY CONTACT NAME: VETERINARIAN S NAME OTHER DOG(S) NAME BREED COLOR UID 1. 2. 3. AGE/ SEX CBJ LICENSE #
More informationOWNER SURRENDER FORM
P.O. Box 110987 Naples Florida 34108 Phone/Fax: 239-369-0415 info@grrswf.org www.grrswf.org OWNER SURRENDER FORM We understand that giving up your pet is a difficult decision, but we realize that in making
More informationGUEST INFORMATION SHEET
DOGSTOWN UNIVERSITY GUEST INFORMATION SHEET Please complete this form and bring it with you at check-in. Owner s Name: Preferred Accommodations: Small Mini Large Mini Large X-Large Super Suite Lounge Playroom
More information310 Carver Lane, East Peoria, IL Phone: (309) Fax: (309)
Owner Information Owner #1 Owner #2 Name Employer Home Phone Work Phone Cell Phone Email Address Physical Residence Address (Same for both Owners) Street/City/State/Zip Mailing Address (if different) Who
More informationHappy Hounds Doggie Day Care, LLC
Owner Information: Address: Happy Hounds Doggie Day Care, LLC Client Info Sheet Phone: Cell: Email: Additional Owner Information: Address: Phone: Cell: Email: Dog Info: Age: Breed: Sex: Weight: Additional
More informationClient Contract Form
Last Name: 1691 Highway 357 Lyman SC, 29365 Phone: (864)655-5884 Fax: (864)655-5812 Support@theultimatepetlodge.com Client Contract Form Owner Information First Name: Address: City: State: Zip Code: Home
More informationTRAINING & BEHAVIOR QUESTIONNAIRE
10832 Knott Avenue Stanton, CA 90680 Phone: (714) 821-6622 Fax: (714) 821-6602 info@crossroadspetresort.com TRAINING & BEHAVIOR QUESTIONNAIRE Please return these forms prior to the day of consultation.
More informationDaycare/Overnight Boarding Master Record Enables us to provide the most comfortable & safe experience for your pet.
Daycare/Overnight Boarding Master Record Enables us to provide the most comfortable & safe experience for your pet. Rules and Regulations Trial Day/Date Monday Thursday (must be in at 7:00am) Health: All
More informationAGREEMENT & WAIVER FORM
AGREEMENT & WAIVER FORM By signing this document I, as the owner/agent/guardian, guarantee that I will be personally liable for all expenses resulting from daycare, boarding, bathing and grooming, veterinarian
More informationPAWS IN TIME PET RESORT
PAWS IN TIME PET RESORT CLIENT INFORMATION Name Date Address City State Zip Home Phone # Name & Cell # Name & Cell # Email address How did you hear about us? Current client? name PET INFORMATION Veterinarian
More informationCOMPANION DOG HANDLER AGREEMENT SAVE OUR SHELTERS - PEN PALS
COMPANION DOG HANDLER AGREEMENT SAVE OUR SHELTERS - PEN PALS INMATE'S NAME =3)0
More informationBoarding & Daycare Contract
Boarding & Daycare Contract This is a contract between Ruff House Kennel and Daycare, LLC and the Pet Owner, or his agent. All pets are boarded, or otherwise handled or cared for, by Kennel staff without
More informationWADE S WIENERS BREEDING & BOARDING KENNELS BOARDING AGREEMENT
WADE S WIENERS BREEDING & BOARDING KENNELS BOARDING AGREEMENT OWNER S INFORMATION: Owner s Names: Address/City/State/Zip: Email Address: Phone: (Home) (Cell) _ Employment: (Phone) DOG S INFORMATION: Name:
More informationYes No PATIENT INFORMATION. Dogs: Cats: Feline Rabies: FVRCP (Feline Rhinotraceitis/Calicivirus/Panleukopenia):
NEW PATIENT & CLIENT INFORMATION SHEET CLIENT INFORMATION First name Last name Spouse/Partner first name Spouse/Partner last name Address City State Zip Primary Phone # (home work cell) CIRCLE ONE *Please
More informationAGREEMENT & WAIVER FORM
AGREEMENT & WAIVER FORM By signing this document I, as the owner/agent/guardian, guarantee that I will be personally liable for all expenses resulting from daycare, boarding, bathing and grooming, veterinarian
More informationPLEASE KEEP THIS PAGE FOR YOUR RECORDS
General Information about All Pets Dog Daycare DOGS ALL dogs must pass a temperament test prior to their first day of daycare. Temperament tests generally last 1 hour and an appointment is REQUIRED for
More informationAPPLICATION & ENROLLMENT
APPLICATION & ENROLLMENT OWNER S INFORMATION: Name: Address: City: State: Zip Code: Place of Employment: Home Phone: Work Phone: Cell Phone: E-mail Address: Emergency Contact Name (other than self): Relationship:
More informationPower Paws Assistance Dogs
Power Paws Assistance Dogs 1201 N. 85 th Pl. Ste. B101~ Scottsdale, AZ 85257 Phone 480-970-1322 ~ Fax 480-947-3090 www.azpowerpaws.org PUPPY RAISER APPLICATION Name Puppy Name Address Puppy s Date of Birth
More informationMetro Dog Day Care and Boarding Program Application
Metro Dog Day Care and Boarding Program Application Thank you for your interest in our programs for your dog. No one knows your dog better than you, which is why we appreciate you taking the time to fill
More informationOWNER REFERRAL QUESTIONNAIRE
GSR USE: Received by: Form sent by: Date: GERMAN SHEPHERD RESCUE of SOUTHEASTERN PENNSYLVANIA PLEASE RETURN FORM TO: Sandra Slaymaker 243 Wilson Mill Rd Oxford, PA 19363 referrals@gsr-sp.com OWNER REFERRAL
More informationClient Enrollment Form Completed, signed and sent to us prior to your grooming appointment.
Grooming Enrollment Form Thank you for your interest in Wag Club! We can t wait to meet your pup! Below is a checklist of pre-requisites to help you complete enrollment for grooming only. Client Enrollment
More informationPet Personality Profile
Please complete a profile for each dog to be enrolled in day camp at The Paws Resort & Spa. Complete responses assist us in the interview process. There are no right or wrong answers as all dogs are unique.
More informationDog Profile for Behavior Evaluation
Shelter use only Branch Collected Dog ID: location: by: Our Companions Animal Rescue P.O. Box 956 Manchester, CT 06045-0956 Dog Profile for Behavior Evaluation The following questionnaire provides us with
More informationDog Daycare. Pet Profile Enrollment Form. K-9 Kamp Downer Street Rd. Baldwinsville, NY Phone:
K-9 Kamp Dog Daycare Pet Profile Enrollment Form Please return this completed form along with a copy of your pet(s) vaccination records to: K-9 Kamp 228 Old Bridge Street East Syracuse, NY 13057 -OR- 2115
More informationThe Barking Orange Daycare Application (Updated September 2015)
The Barking Orange Daycare Application (Updated September 2015) Contact & General Information Your Name Street Address City, State, ZIP Code Home Phone Cell Phone Work Phone E-Mail Address How Did you
More informationCanine Facilitated Adoption Profile. Owner s Name: Reason for Re-homing:
Canine Facilitated Adoption Profile Office Use Only Animal #: Program Entrance Date: Staff: Owner s Name: Date: Address: Phone Number E-mail: Dog s name: Does he/she respond to his/hers name: Yes No Reason
More informationTOP DOG DAYCARE ADMISSION PACKET. Client Name Home Mobile Work. Client Name Home Mobile Work. Address.
Start Date TOP DOG DAYCARE ADMISSION PACKET Client Name Home Mobile Work Client Name Home Mobile Work Address E-Mail Emergency Contact (Not listed above) Home Mobile Work Vet Clinic Dog s Name Breed Birthday
More informationFeline Distemper (FVRCP) Parvovirus. In order for your pet to play in our daycare groups he/she must be neutered/spayed if over 9 months of age.
Boarding Registration Daycare Registration Thank you for choosing Just For Paws Pet Spa to care for your pet while you re away. Here is some helpful information regarding our requirements for boarding
More informationPaw Paw s Pets 3124 Broad Avenue Memphis, TN
Paw Paw s Pets 3124 Broad Avenue Memphis, TN 38112 901-286-5488 New Member Application Parent / Pet Owner Information Name(s): Address: City: State: Zip: Home Phone: Cell: Email: How did you hear about
More informationHappy Tail Dog Training LLC Colleen Griffith, Managing Member Canine Behavior Modification Consultation
Client Behavior History Form Happy Tail Dog Training LLC Please complete the questions below as best as you can. Canine behavior is complex; hence, this questionnaire is designed to help me understand
More informationOff-Leash Play Application
Off-Leash Play Application We love dogs and want your dog to love coming to our off-leash playgroup. No one knows your dog better than you, so we d appreciate you taking the time to fill out this application.
More informationClient Information. Dog Profile
Every Client is required to read and sign this form prior to any service rendered at 20 th Street Grooming & Doggie Daycare. Thank you and we would like to Welcome you and your dog(s) to 20 th Street Grooming
More informationAllBreed s Canine Care Application
AllBreed 2357 Ventura Drive, Ste 102 Obedience & Woodbury, MN 55125 Behavioral school for dogs www.allbreedobedience.com AllBreed s Canine Care Application 651/704-9785 em: Aobedience.aol.com PLEASE PRINT
More informationThe Pet Resort at Greensprings, Inc.
The Pet Resort at Greensprings, Inc. 2878 Monticello Avenue Office: 757-220-2880 Williamsburg, VA 23188 Fax: 757-220-0094 caring@williamsburgpetresort.com Boarding, Day Camp, Grooming & Training Agreement
More informationClient Enrollment Form Completed, signed and sent to us prior to your first day of class.
Thank you for your interest in Wag Club! We can t wait to meet your pup! Below is a checklist of pre-requisites to help you complete enrollment for Training Classes, the Puppies N Wine playgroup and Special
More informationReservations, Deposit and Cancellation Policy
THE PURRING PARROT Client Information Owner s Name Date Address City State Zip Code Home Phone Cell Email Driver License Emergency Contact Phone Cell Phone Email Persons allowed to pick up and drop off
More informationCanine Intake Profile. Owner s name: Owner s Phone#: Owner s Address Number: Street Name: Apt/Unit Postal Code: City:
Date: Canine Intake Profile Office Use: A# P# Notify K9 on arrival House in B.H/ QOL concerns Notes: Scanned Logged Memo Print medical records from Kennel Card Drive if previous THS animal Owner s name:
More information4 PAWS Community Center Dog Boarding and Daycare
4 PAWS Community Center Dog Boarding and Daycare New Dog Interview Application Additional Family Member 2244 Franklin Rd. Bloomfield Hills, MI 48302 Update Existing Information (248) 230 PAWS OWNER INFORMATION:
More informationDOG ENROLLMENT FORM PET PARENT INFORMATION
DOG ENROLLMENT FORM Please complete the following questions to the best of your knowledge. This form and the subsequent evaluation are required before your dog can stay with us. This information will help
More informationAll dogs must be at least 8 weeks of age or older. All dogs 7 months or older must be spayed or neutered.
GENERAL INFORMATION AND POLICIES Purpose: Sunny Acres Pet Resort Doggy Day Camp provides a safe, fun and stimulating social environment for dogs. To ensure the safety and health of your pet and our other
More information