SPR - New Client - Dog Daycare Form and Admission

About Your Dog:
Dog Name: *
Dog Breed: *
If mixed breed, which breed does he/she most resemble?
Dog Colour: *
Sex (at this time): *
If you are going to have your dog Spayed or Neutered,
please select INTACT Female or Male at this time.
We can update this information after the surgery is preformed.
Birth Date *

Month Day Year
If you are boarding TWO or more dogs - Would you like them together in the same suite?
What is the approximate weight of your dog in pounds? *
Pet Insurance? *
Company & Policy#
Does your dog have any allergies? Please list if applicable *
Current Veterinary Clinic: *
Current Vet Clinic's Phone Number:

Area Code Phone Number

In the event of an emergency, what is the best method to reach you? *

Cell Email Cell or Email
In the event of an emergency,

if we CANNOT get a hold of you, please add another person we could call.
First Emergency Contact *

First Name Last Name
First Emergency Contact Phone Number *

Area Code Phone Number
Second Emergency Contact

First Name Last Name
Second Emergency Contact Phone Number

Area Code Phone Number
If you are planning on having someone other than yourself drop off or pick up your pet for this reservation, please give us the name(s) and phone number(s) to put on file.

PLEASE NOTE: If we do not have this information on file, we will not release the pet to anyone other than the owner.
First Alternate Pick-Up Name

First Name Last Name
First Alternate Pick-Up Phone Number

Area Code Phone Number
Second Alternate Pick-Up Name

First Name Last Name
Second Alternate Pick-Up Phone Number

Area Code Phone Number

Admission and Waiver Form
Please "EMAIL" your notice of cancellation or change.

All vaccinations: must be up to date for this visit.

Puppies require 3 sets of DA2PP

Canine:

1. Distemper
2. Adenovirus
3. Parvovirus
4. Parainfluenza
5. Rabies
6. BORDETELLA (canine cough)

Feline: FVRCP
Avian: Simple Health Certificate
Other Pets ( critters ): No vet records are required

I understand that my dog will not be able to come into the facility without providing "UP TO DATE" vaccine records PRIOR to coming to Springbank Pet Resort.
In the event of an emergency and you are unable to be contacted, we will contact your Secondary Contacts on file. (We will verify these contacts at check in).

New Dog Daycare Form