New Client Boarding Sign Up Form

Please enter the information below to signup for boarding with Canine Harmony. Click Here to return to our Main Page

Name * First Last
Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Home Phone * - (###) - ### ####
Cell Phone - (###) - ### ####
Email *
Boarding Dates
Drop Off (Start) Date * / MM / DD YYYY
Approximate Time of Drop Off
Our Hours for Drop Off Are:
Mon - Fri 7am - 7pm
Sat and Sun 8am - 6pm * : HH MM AM/PM
Pick Up (Going Home) Date * / MM / DD YYYY
Approximate Time of Pick Up
Our Hours for Drop Off Are:
Mon - Fri 7am - 7pm
Sat and Sun 8am - 6pm * : HH MM AM/PM
Monday through Friday 7am to 7PM, Saturday and Sunday, 8AM to 6PM.
Dog Information
Name *
Breed *
Age *
My dog is ... * Male Female
My dog has ... * not been spayed or neutered (+ $5 per day if over 6 months old) been spayed or neutered
My Dog is ... * still learning manners mostly well behaved a well mannered pro
My Dog's Potty Training ... * Is perfect Has some accidents Has lots of accidents Has kidney problems Doesn't know inside from outside
My Dog likes to sleep ... * in a kennel/crate brought from home In an private open pen sleeping area provided by Canine Harmony
My dog eats ... (Please bring your own food from home) *
Brand/Type of Food my Dog Eats *
Amount Per Feeding *
Special Instructions for my Dog's Food are ...
Health Concerns/Issues/Medications
Vet Information
Name * First Last
Clinic/Office Name *
Phone * - (###) - ### ####
Vaccination Information:
- Rabies Needed at least once Within Your Dog's Lifetime
- Parvo/Distemper Combo Needed Within 3 Years Prior to Boarding
- Bordetella/Kennel Cough Must Be Updated Every 12 Months
Date of Bordetella/Kennel Cough (Important Note: This vaccine cannot be given within 5 days of the start date of your boarding. Your dog needs 5-7 days to build an immunity and may become a carrier of the disease immediately after the vaccination. Please leave plenty of time to update your bordetella vaccine. Bordetella is best updated yearly.) * / MM / DD YYYY
Parvo/Distemper or Date of last Titer Test (This vaccine is valid for 3 years after your dog receives it.) * / MM / DD YYYY
Rabies (This vaccine is not required, but should be given to your dog at least once around the age of 1 year.) / MM / DD YYYY
Behavioural Information
My Dog is (check all that apply)... * Social with All People Social with Most People Aggressive Towards People (+ $5 per day for Human Aggressive Dogs) Social with All Dogs Social with Most Dogs Aggressive Towards Dogs (+ $5 per day for Dog Aggression)
My Dog has (Check all that apply)... * Shown mild aggressive behaviour such as growling or snapping (Use Extra Information to explain) Bitten someone (Use Extra Information to explain) Been Deemed Dangerous by my municipality and must be muzzled in public (Use Extra Information to explain) Never shown any aggression
My Dog Allows (Check all that apply) ... * Toys taken away Food taken away Grooming or Brushing Nail Trimming
When called my dog ... * Comes immediately Comes Eventually Stares at Me Runs the opposite direction
Extra Information:
Dog #2 (Optional)
Name
Breed
Age
My dog is... Male Female
My dog has... not been spayed or neutered (+ $5 per day if over 6 months old) been spayed or neutered
My dog is... still learning manners mostly well behaved a well mannered pro
My dog's potty training... is perfect has some accidents has lots of accidents has kidney issues doesn't know inside from outside
My dog likes to sleep... in a kennel/crate brought from home in a private open pen sleeping area proveded by Canine Harmony Third option
My dog eats... (Please bring your own food from home)
Brand/Type of food my dog eats
Amount per feeding in cups
Vaccination Information:
- Rabies Needed at least once Within Your Dog's Lifetime
- Parvo/Distemper Combo Needed Within 3 Years Prior to Boarding
- Bordetella/Kennel Cough Must Be Updated Every 12 Months
Date of Bordetella/Kennel Cough - (Important Note: This vaccine cannot be given within 5 days of the start date of your boarding. Your dog needs 5-7 days to build an immunity and may become a carrier of the disease immediately after the vaccination. Please leave plenty of time to update your bordetella vaccine. Bordetella is best updated yearly.) / MM / DD YYYY
Date of Parvo/Distemper Combo or Date of last Titer Test (This vaccine is valid for 3 years after your dog receives it.) / MM / DD YYYY
Date of Rabies (This vaccine is not required, but should be given to your dog at least once around the age of 1 year.) / MM / DD YYYY
My dog is (check all that apply)... Social with All People Social with Most People Aggressive Towards People (+ $5 per day for Human Aggressive Dogs) Social with All Dogs Social with Most Dogs Aggressive Towards Dogs (+ $5 per day for Dog Aggression)
My dog has (check all that apply)... Shown mild aggressive behaviour such as growling or snapping (Use Extra Information to Explain) Bitten someone (Use Extra Information to explain) Been Deemed Dangerous by my municipality and must be muzzled in public (Use Extra Information to Explain) Never shown any aggression
My dog allows (check all that apply)... Toys to be taken away Food to be taken away Grooming or Brushing Nail Trimming
When called, my dog... Comes immediately Comes eventually Stares at me Runs the opposite direction
Extra Information
Emergency Contact Information
Name * First Last
Phone * - (###) - ### ####
Extra Information
Please add the following extras to my dog's vacation (prices are quoted after the service type): * Nail Trim: Tiny Dog Under 10 lbs ($5 incl GST) Nail Trim: Small Dog 10 - 20 lbs ($8 incl GST) Nail Trim: Medium Dog 20 - 45 lbs ($10 incl GST) Nail Trim: Large Dog 40 - 60 lbs ($12 incl GST) Nail Trim: Extra Large Dog 70 lbs + ($15 incl GST) Bath, Brush, Ears & Nails: Tiny Dog Under 10lbs Short Hair ($10 incl GST) Bath, Brush, Ears & Nails: Tiny Dog Under 10lbs Long Hair ($15 incl GST) Bath, Brush, Ears & Nails: Small Dog 10 - 20 lbs Short Hair ($20 incl GST) Bath, Brush, Ears & Nails: Small Dog 10 - 20 lbs Long Hair ($25 incl GST) Bath, Brush, Ears & Nails: Medium Dog 20 - 45 lbs Short Hair ($30 incl GST) Bath, Brush, Ears & Nails: Medium Dog 20 - 45 lbs Long Hair ($35 incl GST) Bath, Brush, Ears & Nails: Large Dog 45 - 70 lbs Short Hair ($40 incl GST) Bath, Brush, Ears & Nails: Large Dog 45 - 70 lbs Long Hair ($50 incl GST) Bath, Brush, Ears & Nails: Extra Large Dog 70 lbs + Short Hair ($50 incl GST) Bath, Brush, Ears & Nails: Extra Large Dog 70 lbs + Long Hair ($60 incl GST) Brush Out / Deshedding Treatment (No Bath): Tiny Dog Under 10 lbs ($5 incl GST) Brush Out / Deshedding Treatment (No Bath): Small Dog 10 - 20 lbs ($8 incl GST) Brush Out / Deshedding Treatment (No Bath): Medium Dog 20 - 45 lbs ($10 incl GST) Brush Out / Deshedding Treatment (No Bath): Large Dog 45 - 70 lbs ($15 incl GST) Brush Out / Deshedding Treatment (No Bath): Extra Large Dog 70 lbs + ($20 incl GST) Full Professional Grooming by Tania (Fridays or Saturdays Only) Breeds That Require Full Hair Cuts such as Poodles, Shih Tzus etc: Prices Based on Breed and Style - Quote Will Be Emailed for Approval Homeopet Natural Anxiety Remedy (2 Doses Daily): Dogs Under 20 lbs ($2 Per Day incl GST) Homeopet Natural Anxiety Remedy (2 Doses Daily): Dogs 20 - 100 lbs ($3 Per Day incl GST) Homeopet Natural Anxiety Remedy (2 Doses Daily): Dogs Over 100 lbs ($4 Per Day incl GST) No Extra Services Needed, Thank You!
Please choose one or more of the following options to add to your dog's vacation package...
For sanitary purposes, all our play yard surfaces are pea gravel. This allows us to bleach and disinfect the yard several times per week to protect the health and safety of your dog(s). Some dogs, however, are not used to this surface and may develop sore feet during their stay. Canine Harmony will check my dog's feet daily to check for any irritation and will apply any necessary creams or ointments to my dog's feet should they become red or sore and will protect my dog's feet from further irritation. * My dog is mostly an inside dog and does not walk on hard surfaces on a regular basis. My dog probably has sensitive feet and will need rests during the day to protect his/her feet from becoming red or irritated. By checking this box, I agree to release Canine Harmony of any liability should my dog's feet become red or irritated. My dog goes out regularly, but usually on grass or smooth pavement. My dog may have sensitive feet and may require rests during the day to protect his/her feet from becoming red or irritated. By checking this box, I agree to release Canine Harmony of any liability should my dog's feet become red or irritated. My dog goes out regularly and has been exposed too many different surfaces like sand or gravel. My dog probably does NOT have sensitive feet and should be fine to play during regular play time. However, by checking this box, I agree to release Canine Harmony of any liability should my dog's feet become red or irritated.
My dog has not been exposed to rabies, parvo, distemper, bordetella or any other contagious disease in the past 30 days. * By checking this box I agree to the previous statement regarding my dog's previous exposure to disease.
Canine Harmony agrees to board and provide all physical and emotional care of the above mentioned dog(s) while on its premises. Canine Harmony Dog Training Academy agrees that, while the dog(s) is/are on the premises and under its control for boarding, The Academy will exercise the utmost diligence and care to protect the health and safety of your dog(s). However, the owner of the dog(s) agrees that Canine Harmony Dog Training Academy has no liability for loss or damage to the dog or the owners property resulting from fire, natural disaster or other unavoidable acts of nature. * By checking this box I agree to the previous statement regarding the wellfare of my dog in the care of Canine Harmony.
In case of accident, injury or other medical problem, I allow Canine Harmony to administer any treatment necessary to protect the health and safety of my dog while on the premesis. * By checking this box, I agree to the previous statement regarding the care of my dog at Canine Harmony.
In case of accident, injury or other medical problem to my dog(s) that Canine Harmony is unable to treat on the premises, I authorize Canine Harmony to take my dog to my own vet or any other available vet including an Emergency Veterinarian (if it is after hours) to obtain the necessary treatment required for the health and safety of my dog. Canine Harmony will attempt to contact me, but if I am unable to be contacted, necessary vet care will be provided without my permission. * By checking this box, I agree to pay all vet bills that my dog incurrs while under the care of Canine Harmony and any other costs associated with said vet visit including travel time to a vet over 30km away (at a rate of 40 cents per km) if no vet nearby is available or I choose to use my own vet which is located out of the area.
If, at the completion of the agreed boarding time, the dog is not picked up by the owner and payment of all charges made in full, including applicable medical, veterinarian or boarding charges as provided herein, Canine Harmony Dog Training Academy shall notify owner by certified mail at the address shown above that the dog will be held for an additional five (5) business days following the date of mailing the notice. At the end of the five (5) day period, if there is no response from the owner, the dog may be sold at public or private sale. The proceeds from such sale shall first be applied to the charges of Canine Harmony Dog Training Academy and the balance, if any, shall be returned to the owner at the address shown above. Owner shall be charged for any additional days following notice at Canine Harmony Dog Training Academy at the current daily boarding rate.
* By checking this box I agree that I will pick up my dog on the date stated on this document or will notify Canine Harmony if I am unexpectedly delayed.
I agree to pay in full all invoices and charges related to my dog's vacation at Canine Harmony including but not limited to boarding charges, grooming charges and vet visits at the time I pick up my dog. Payment accepted by Credit Card, Cheque or Cash. * By checking this box I agree to the previous statement regarding payment of invoices.
Owner represents that he or she is the legal owner of the dog(s); that the dog(s) is/are free and clear of any mortgage or encumbrance; that the dog(s) has/have been vaccinated as shown above and that the owner has read this agreement in its entirety. * I have read and understood this document in its entirety and agree to all the previous statements regarding my dog's vacation at Canine Harmony.

New Client Boarding Sign Up Form

New Client Boarding Sign Up Form

Boarding Dates

Dog Information

Vet Information

Vaccination Information: - Rabies Needed at least once Within Your Dog's Lifetime - Parvo/Distemper Combo Needed Within 3 Years Prior to Boarding - Bordetella/Kennel Cough Must Be Updated Every 12 Months

Behavioural Information

Dog #2 (Optional)

Vaccination Information: - Rabies Needed at least once Within Your Dog's Lifetime - Parvo/Distemper Combo Needed Within 3 Years Prior to Boarding - Bordetella/Kennel Cough Must Be Updated Every 12 Months

Emergency Contact Information

Vaccination Information:
- Rabies Needed at least once Within Your Dog's Lifetime
- Parvo/Distemper Combo Needed Within 3 Years Prior to Boarding
- Bordetella/Kennel Cough Must Be Updated Every 12 Months

Vaccination Information:
- Rabies Needed at least once Within Your Dog's Lifetime
- Parvo/Distemper Combo Needed Within 3 Years Prior to Boarding
- Bordetella/Kennel Cough Must Be Updated Every 12 Months