Returning Client Boarding Form

Returning Client Boarding Registration Form

DATES AND TIMES FOR BOARDING

Date of Drop Off:

Date you will be leaving your dog in the care of Canine Harmony

Approximate Time of Drop Off:

Time you will be leaving your dog in our care on the above day.(M-F, 6AM to 7PM, Sat-Sun 6:30AM to 6PM)

Date of Pick Up:

Date you expect under normal circumstances to return for your dog.

Time of Pickup:

Time you will be leaving your dog in our care on the above day.(M-F, 6AM to 7PM, Sat-Sun 6:30AM to 6PM)

OWNER INFORMATION

First Name:

Enter your Last Name please

Last Name:

Enter your Last Name please

Email Address:

Enter your email address we can contact you through.

DOG INFORMATION

Dog's Name:

Enter the name for your dog.

Breed:

What Breed is your dog?

My dog is:

Please indicate if your dog is a male or female.

My dog is:

+$5 extra per day for un-spayed and un-neutered dogs over 6 months of age for extra supervision requirements.

I want my dog to sleep...

Select your dogs sleeping arrangements

Emergency Contacts:

First Name:

First name

Last Name:

Last Name

Phone:

Enter the Person's Primary Phone Number

FEEDING INSTRUCTIONS

Dog's food will be ..

Where will the dog food come from?

My dog eats ...

How often in a single day does your dog normally eat?

Amount Feed:

How much food? 1 cup? 2 Cups? 1/2 cup?

Special Feeding instructions

Any special feeding instructions?

Health Issues/Concerns or New Information:

Let us know about any special medications or health issues. Or any new information to add to your dog's file.

Please add the following extras to my dogs stay at Canine Harmony:

Check all that apply: Bath, Brush, Ear Clean, Nail Trim Nail Trim Only Ear Clean Only Brushing/De-shedding Only Full Grooming Separate Field Walks (2X15mins) No extras, thank you!

Please point at the ? to see a price list

OTHER INFORMATION AND LEGAL NOTICES

POINT AT THE ? ON THE RIGHT SIDE OF THIS FORM TO READ THE WAIVER.

I agree to all previous waivers, terms and conditions.

Please point at the ? to see the terms.

Enter the code

TO AVOID SPAMMERS, PLEASE ENTER THE BLACK LETTERS ONLY. CASE SENSITIVE!

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