Boarding & Daycare Agreement

Please fill out this online form and submit or if preferred you
may print/fill out a PDF form instead by clicking here.

Owner Information

First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Primary Phone *

Alt Phone

Email *

Confirm Email *

How did you hear about us?

Emergency Contact (if other than owner)

Emergency Contact Name

Emergency Contact Phone

Requested Boarding/Daycare Dates

Are you requesting boarding or daycare? *

Boarding

Daycare (no overnight boarding)

Overnight Kennel type? *

Rec Kennel (dogs between 40lbs - 100lbs)

Regular Suite (dogs 100lbs or less)

Luxury Suite (any size dog including 100lbs+)

Tiny Town (small dogs - 25lbs and under)

NOTE: Requested dates do not guarantee booking. Booking is dependent on the space we have available.

Requested Check-in Date: * +

Requested Check-out Date: * +

Dog Information

Dog's Name *

Breed *

Weight *

Color *

Birth date * +

Sex *

Male

Female

Spayed/Neutered? *

Neutered (Male)

Spayed (Female)

Unaltered

Method of flea control (all dogs must be on a flea medicine) *

Does your dog have an I.D. tag? *

Yes

No

Has your dog ever had kennel cough? *

Yes

No

Is your dog house broken? *

Yes

No

Has your dog ever been boarded or attended doggie daycare? *

Yes

No

Has your dog ever bitten a person or another dog? *

Yes

No

Has your dog ever been aggressive towards people or other dogs? *

Yes

No

You answered yes, please explain (aggressive) *

Is your dog a jumper, climber, or escape artist? *

Yes

No

You answered yes, please explain (jumper, climber, escape artist)

Please describe any physical or medical issues (including seizures, asthmatic symptoms, pancreatitis, separation anxiety, food allergies, etc.)

Secondary Dog Information

Do you have another dog you want in boarding and/or daycare? *

Yes

No

Dog's Name *

Breed *

Weight *

Color *

Birth date * +

Sex *

Male

Female

Spayed/Neutered? *

Neutered (Male)

Spayed (Female)

Unaltered

Method of flea control (all dogs must be on a flea medicine) *

Does your dog have an I.D. tag? *

Yes

No

Has your dog ever had kennel cough? *

Yes

No

Is your dog house broken? *

Yes

No

Has your dog ever been boarded or attended doggie daycare? *

Yes

No

Has your dog ever bitten a person or another dog? *

Yes

No

Has your dog ever been aggressive towards people or other dogs? *

Yes

No

You answered yes, please explain (aggressive) *

Is your dog a jumper, climber, or escape artist? *

Yes

No

You answered yes, please explain (jumper, climber, escape artist) *

Please describe any physical or medical issues (including seizures, asthmatic symptoms, pancreatitis, separation anxiety, food allergies, etc.)

Authorized Individuals Release Consent

Authorized Individuals Release

By checking here, you authorize the Facility to release your dog to someone other than the person(s) listed above, and you release the Facility of and from any and all responsibility for releasing your dog to any person they believe to be authorized by you.

List all authorized individuals:
(if adding multiple people, separate each person with a comma) *

Preferred Vet Clinic

NOTE: We require proof of vaccinations (Rabies, DHLPP, Parvo, Bordetella) to be brought in on your dog's first visit. Please upload or bring copies in with you in person.

Vet Name

Vet Phone

Vet Address

City

State

Zip Code

Upload Vet Records