First Time Boarding/Daycare Application | The Pet Set

Pet Daycare/Boarding Application

The Pet Set - Atlanta, GA
Your Information

(*) Asterisk indicates a required field in order to submit.
Name*

First NameLast Name
Email*
example@example.com
Cell Phone Number*
Please enter a valid cell phone number.
Home Phone Number*
Please enter a valid phone number.
Preferred Method of Phone Contact

Home PhoneCell Phone
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Secondary Owner's Name

First NameLast Name
Additional Names
Please list the First & Last names of people your pets may be released to. We will only release pets to you or your assigned agents.
In-Town Emergency Contact
We require an "In-Town Emergency Contact" who would be available if needed: 1 - to pick up your pet should the stay not be agreeable with your pet, 2 - be able to take your pet to your veterinarian, and 3 - be able to speak on your behalf should an emergency situation for your pet arise and you are not able to be contacted. We also strongly suggest giving this information to your primary veterinarian's office.
Emergency Contact Name*

First NameLast Name
Emergency Contact Telephone*
Please enter a valid phone number.
Pet Information

Please complete all fields for your pet's Personal Information
Pet Name
Pet Type

DogCat
Color
Size

MiniSmallMediumMedium LargeLargeGiant
Sex

MaleFemale
If Female, when was your Pet's last cycle
Breed
Weight
Pet's DOB
Is Your Pet Spayed/Neutered?

YesNo
Does Your Pet have any of the following Identifications?

MicrochipTattooNone
Markings
Disabilities
If any
Upload Pictures of Your Pet

Please drag & drop pictures of your dog (face, paws, body, etc) for our reference.
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Describe your Pet's Interaction with people

AggressiveFriendlyShyBitesOther
If "Other" type of Interaction with people - Please describe
Describe your Pet's Temperament

AggressiveFriendlyShyBitesOther
If "Other" type of Temperament - Please describe
Does your Pet have any Behavorial Issues?

YesNo
If your Pet has Behavorial Issues - Please explain
Has your Pet ever Bitten or been Bitten?

YesNo
If "Yes" - Please explain
Has your Pet attended a Daycare before?

YesNo
If "Yes" - When & where
If "No" - Type "N/A"
Has your Pet attended a Boarding Facility before?

YesNo
If "Yes" - When & where
If "No" - Type "N/A"
Has your Pet attended Obedience Training?

YesNo
If "Yes" - When & where. Please describe the outcomes of the Training.
If "No" - Type "N/A"
Does your Pet know Basic Commands?
Add all that apply: Sit, Stay, Come, Down, Fetch...
Is your Pet House Trained?

YesNo
Is your Pet Crate Trained?

YesNo
Health/Medical Information
Veterinarian Name

First NameLast Name
Clinic Name
Clinic Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Clinic Telephone Number
Please enter a valid phone number.
Clinic Fax Number
Please enter a valid FAX number.
Any Allergies (including food)
Please list any known Allergies
I approve food/treat enhancement activities using food/treat sources my pet is not allergic to.

YesNoOther
Medications
Please list all Current Medications - Including the Frequency/Time Medication is administered
Date of of last complete Physical Exam
Date of last Fecal Exam
Rabies Vaccination Date Administered
Rabies Vaccination Due Date
DHLP Vaccination Date Administered
DHLP Vaccination Due Date
Parvo Vaccination Date Administered
Parvo Vaccination Due Date
Bordatella Vaccination Date Administered
Bordatella Vaccination Due Date
Heartworm Medication Date Administered
Heartworm Medication Due Date
What type of Flea & Tick Control methods are used?

TopicalOralSprayPowderShampooDipCollar
Upload Vet Records

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Pet Daily Information

General information about your Pet's daily habits and lifestyle
Regular Brand & Variety of Food
Food Type

WetDry (Hard)Dry (Moist)Frozen RawFreeze-Dried RawOther
Quantity of Food per Feeding
In cups, ounces, bowl, etc
List all Feeding Times
Regular Walking Times
AM? PM? AM/PM?
Exercise Instructions
Sleep Times
Typical Waste Elimination Times
Instructions, Concerns, or Special Needs
Client Signature
Owner's Electronic Signature (Please type your full name)*

Clear
Today's Date*
MM/DD/YYYY
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Pet Daycare/Boarding Application

Your Information

Pet Information

Health/Medical Information

Pet Daily Information

Client Signature