Dog Daycare Reservation Form

BARKING LODGE PET RESORTS RESERVATION

Fields marked with an * are required
Owner's full name: *

First Name Last Name
Phone Number: *
E-mail Address: *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Dog's Name: *
Dog Breed: *
Daycare Date

Month Day Year
Date
Gender(s)
Weight(s)
Age(s)
Color(s)
Is your dog neutered/sprayed?

Yes No
Is your dog house broken?

Yes No
Has your dog been ill/ injured in the last 30 days?

Yes No
Explain
Does your dog get along with dogs of all sizes/ages, both male and female? If no, please specify: *

Yes No
Explain
What service(s) is your dog participating in? (please mark which apply): :

Grooming Daycare Boarding Training
What day are you dropping off your dog(s)?

Month Day Year
Date
What day and time are you planning on picking up your dog(s)?
If you have multiple dogs would you like them to sleep in the same kennel at night or separately?

Yes No
Is Barking Lodge Pet Resorts providing the food?

Yes No
Amount per feeding:
Frequency:
MEDICATION
Is your dog currently on any medication? *

Yes No
Name of Medication(s)
DOSAGE
Frequency
Please describe any medical problems or special needs, including allergies and/or food allergies:
DAYCARE
If you are here for daycare what is today’s date and what approximate time will you be picking up?
Will your dog be participating in grooming while at Barking Lodge?

Yes No
What grooming services would you like to have done?
Will we be feeding your dog while here for daycare?

Yes No
What time would you like your dog(s) fed?

Hour Minutes

AM/PM Option
Is Barking Lodge Pet Resorts providing the food?

Yes No
Amount per feeding:
Frequency:
Notes or anything else you would like us to know?
GROOMING
Mark each service you would like your dog to receive while in our care:

Bath Nail Trim Ear Cleaning Spa Deluxe Full
- Bath: bath, blowdry, brushing, cologne
- Nail trim: trimming/filing of nails only.
- Ear cleaning: Ear cleaning only.
- Spa: Bath services, ear cleaning, anal gland expression, nail trim/file.
- Deluxe: Spa services and face, feet and sanitary trim.
- Full: Deluxe services and body trim.
Anything else you would like us to know about your pet so we can provide top quality care?
Medical Emergency Information
At Barking Lodge Pet Resorts, our guests’ safety is our #1 priority. We strive to create a secure, fun,and stress-free environment for both staff and canine friends alike. If your dog is negatively reactivetowards dogs of other sizes, breeds, ages, or genders, it is important that you let us know to ensurethe safety of both your dog and our other guests.
Veterinarian’s Name:
Phone Number
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Emergency Contact (OTHER THAN OWNER(S)
Name

First Name Last Name
Phone Number
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Relationship
Emergency Medical Care

If, in our judgment, your dog requires immediate medical care and we are unable to reach you,we will take your dog to a veterinarian/animal hospital as needed.

By signing below, you confirm that the above is correct to the best of your knowledge and that you agree to our terms and conditions.

If, for any reason, you do not pick up your dog at the appointed time and you do not respond to our attempts to contact you or your emergency contacts we will consider your dog(s) surrendered or abandoned to Barking Lodge Pet Resorts. After 1 (one) week of contact attempts past your contracted agreement, your dog(s) will come under our guardianship and we will place them as we deem fit.
Signature (please sign at Barking Lodge Pet Resorts location when you bring your dog in for the first time)
Signature (please sign at Barking Lodge Pet Resorts location when you bring your dog in for the first time)

First Name Last Name
Todays Date

Month Day Year
Date
Should be Empty:

Now create your own Jotform - It's free! Create your own Jotform

BARKING LODGE PET RESORTS RESERVATION

MEDICATION

DAYCARE

GROOMING

Medical Emergency Information

Emergency Contact (OTHER THAN OWNER(S)

Emergency Medical Care