New Client Boarding Registration PLEASE COMPLETE ONE FORM PER PET How Did You Hear About Us?GoogleDrive byInstagramFriendFacebookKaty Impact MagazineYouTubeCurrent CustomerOther Arrival Date Departure Date Owner Name Your Home Phone Number Your Cell Phone Number Second Owners Name Second Owners Cell Phone Number Address Your Email Emergency Contact Name Emergency Contact Phone Number Vet Clinic Vet Clinics Phone Number Pet Health Insurance Company, Policy Number and Phone Number if Applicable How many pets are you registering?123456 DOG HEALTH QUESTIONS Has your dog had any communicable diseases in the last 30 days including Bordetella (kennel cough) or dog flu? YesNo Use monthly or quarterly flea and tick preventative? YesNo PET INFORMATION Pet's Name Breed Sex SexMale - IntactMale - FixedFemale - IntactFemale - Fixed Pet's Date of Birth When did you acquire your dog? Pet's Exact Weight Pet's Color Brand of food How much do you feed at each feeding? How often do you feed? How often does this pet board or attend daycare?0-2 times per year3-5 times per year6-8 times per yearVery oftenNever Before Health concerns or physical limitations or anything special we need to know? YesNo Details if applicable PET'S TEMPERAMENT Is your dog an indoor or outdoor dog? Is your dog allowed to run free in the home? If no, please explain why. Does your dog jump over fences? YesNo Walked on leash only? YesNo Allowed outside unleashed but supervised? YesNo Has your dog ever growled or snapped at anyone taking food or toys away? If so, please provide details: Is your dog afraid of other dogs? If so, please provide details: Has your dog ever growled at someone? If so, please provide details: Has your dog ever bitten someone? If so, please provide details: Is your dog possessive of food or treats? If yes, please explain. Is your dog possessive of toys? If yes, please explain. Has your dog ever shared food or toys with other animals? Are there any other pets in your household? What is your dogs training history?Private training sessionsGroup class - basicGroup class - advancedTrained at homeNo training BOARDING HISTORY QUESTIONS Has your dog participated in off-leash play? YesNo If yes, where did they play? HomeDog ParkDoggie DaycareBoarding Does your dog prefer to play with male or female dogs?: Has your pet ever been boarded before? YesNo Does your dog enjoy boarding? YesNo Has your dog shown aggression to people? If yes, please explain. Has your dog shown aggression to pets? If yes, please explain. Does your pet climb or jump out of fences? YesNo Does your pet dig out of enclosures? YesNo Does your pet have food or toy aggression? Food AggressionToy AggressionNone If applicable please explain: How does your dog react when strangers approach the home, yard or out in public? Any lumps/bumps/scars we need to know about? Does your pet have any food allergies? If yes, please list them. Other allergies? If yes, please list them. Yeast on skin or ears? YesNo Diarrhea or sensitive stomach? YesNo If yes to the question above, would you like pumpkin or probiotics given? PumpkinProbioticNone Prone to hotspots? YesNo Is your dog afraid of thunderstorms, loud noises or other situations? YesNo If your dog is afraid of thunderstorms, loud noises or other situations how do they react? Do you want your dog to have Benadryl if a storm is coming? (Benadryl can help to calm dogs during a storm; please check with your veterinarian.)? YesNo Where did you get your dog? BATHING OR GROOMING OPTIONS Do you want your dog bathed or groomed before pickup? YesNo Is your dog comfortable being bathed, groomed, brushed, having nails clipped, and/or having ears cleaned? Please give details if your answer is no: Step 1: Pick Grooming Service Grooming ServiceFull Groom - includes full body haircut, nail trim and ear cleaningMaintenance Groom - includes trims around face feet and privates, nail trim and ear cleaningBasic Bath - includes bath and blow dry and ear cleaningNo bath or groom If wanting a full haircut, briefly describe what you want: Step 2: Add Additional Services Nail Clip $10Dremel $15Teeth Brushing $5Blueberry Facial $5Blueberry Whitening Shampoo $15Full De-Shed Treatment $30-$50(includes de-shed shampoo, conditioner, and full shedding brush out)De-Shed Shampoo $10Oatmeal Shampoo $10Antifungal/Antibacterial Shampoo $10Conditioner $10Anal Glands Expression $15De-Matting $40/hourNone