New Client Registration/Application
Knowledge is key and kindness is power.
Owner Information
Owner's Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
E-mail
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Will there be a second owner on this account?
*
Yes
No, Just Me!
Secondary Owner Information
Owner's Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
E-mail
*
example@example.com
Address (if different than above)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What type of animal are you needing care for?
*
Dog
Cat
Other
How many dogs do you need care for? (More than 4 dogs will need a second form filled out)
*
1
2
3
4
5+ (I will fill out another form)
Dog's Information
Dog's Name
*
Breed
*
Weight
*
Age
*
Sex
*
Please Select
Male
Neutered Male
Female
Spayed Female
Is your dog up to date on their rabies vaccination? This will need to be done prior to their stay.
*
Yes
No
Upload your proof of rabies vaccination here:
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Is your dog up to date on their distemper/parvo (aka DHPP or DAPP) vaccination? This will need to be done prior to their stay.
*
Yes
No
Upload your proof of distemper/parvo vaccination here:
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Will you be providing food for your dog's stay?
*
How much do you feed your dog? How many times a day?
*
Will your dog be taking any medications or supplements during this stay? If yes, please explain.
*
Does your dog have any chronic illnesses?
*
Does your dog have any food or environmental allergies?
*
Is your dog good with other dogs? If no, please explain.
*
Is your dog good with cats? If no, please explain.
*
Is your dog good with children? If no, please explain.
*
Does your dog display any of the following behavioral concerns we should be aware of?
*
Food Possessive
Toy Possessive
Urinating in the Home
Defecating in the Home
Scared of Men
Scared of Women
Leash Aggressive
Digging
Chewing on things they aren't supposed
Destructive Separation Anxiety
None
Other
If "other", please explain:
*
Does your dog have any unique behavioral quirks, or things they particular enjoy or dislike?
*
Second Dog's Information
Dog's Name
*
Breed
*
Weight
*
Age
*
Sex
*
Please Select
Male
Neutered Male
Female
Spayed Female
Is your dog up to date on their rabies vaccination? This will need to be done prior to their stay.
*
Yes
No
Upload your proof of rabies vaccination here:
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Is your dog up to date on their distemper/parvo (aka DHPP or DAPP) vaccination? This will need to be done prior to their stay.
*
Yes
No
Upload your proof of distemper/parvo vaccination here:
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Will you be providing food for your dog's stay?
*
How much do you feed your dog? How many times a day?
*
Will your dog be taking any medications or supplements during this stay? If yes, please explain.
*
Does your dog have any chronic illnesses?
*
Does your dog have any food or environmental allergies?
*
Is your dog good with other dogs? If no, please explain.
*
Is your dog good with cats? If no, please explain.
*
Is your dog good with children? If no, please explain.
*
Does your dog display any of the following behavioral concerns we should be aware of?
*
Food Possessive
Toy Possessive
Urinating in the Home
Defecating in the Home
Scared of Men
Scared of Women
Leash Aggressive
Digging
Chewing on things they aren't supposed
Destructive Separation Anxiety
None
Other
If "other", please explain:
*
Does your dog have any unique behavioral quirks, or things they particular enjoy or dislike?
*
Third Dog's Information
Dog's Name
*
Breed
*
Weight
*
Age
*
Sex
*
Please Select
Male
Neutered Male
Female
Spayed Female
Is your dog up to date on their rabies vaccination? This will need to be done prior to their stay.
*
Yes
No
Upload your proof of rabies vaccination here:
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Is your dog up to date on their distemper/parvo (aka DHPP or DAPP) vaccination? This will need to be done prior to their stay.
*
Yes
No
Upload your proof of distemper/parvo vaccination here:
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Will you be providing food for your dog's stay?
*
How much do you feed your dog? How many times a day?
*
Will your dog be taking any medications or supplements during this stay? If yes, please explain.
*
Does your dog have any chronic illnesses?
*
Does your dog have any food or environmental allergies?
*
Is your dog good with other dogs? If no, please explain.
*
Is your dog good with cats? If no, please explain.
*
Is your dog good with children? If no, please explain.
*
Does your dog display any of the following behavioral concerns we should be aware of?
*
Food Possessive
Toy Possessive
Urinating in the Home
Defecating in the Home
Scared of Men
Scared of Women
Leash Aggressive
Digging
Chewing on things they aren't supposed
Destructive Separation Anxiety
None
Other
If "other", please explain:
*
Does your dog have any unique behavioral quirks, or things they particular enjoy or dislike?
*
Fourth Dog's Information
Dog's Name
*
Breed
*
Weight
*
Age
*
Sex
*
Please Select
Male
Neutered Male
Female
Spayed Female
Is your dog up to date on their rabies vaccination? This will need to be done prior to their stay.
*
Yes
No
Upload your proof of rabies vaccination here:
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Is your dog up to date on their distemper/parvo (aka DHPP or DAPP) vaccination? This will need to be done prior to their stay.
*
Yes
No
Upload your proof of distemper/parvo vaccination here:
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Will you be providing food for your dog's stay?
*
How much do you feed your dog? How many times a day?
*
Will your dog be taking any medications or supplements during this stay? If yes, please explain.
*
Does your dog have any chronic illnesses?
*
Does your dog have any food or environmental allergies?
*
Is your dog good with other dogs? If no, please explain.
*
Is your dog good with cats? If no, please explain.
*
Is your dog good with children? If no, please explain.
*
Does your dog display any of the following behavioral concerns we should be aware of?
*
Food Possessive
Toy Possessive
Urinating in the Home
Defecating in the Home
Scared of Men
Scared of Women
Leash Aggressive
Digging
Chewing on things they aren't supposed
Destructive Separation Anxiety
Other
If "other", please explain:
*
Does your dog have any unique behavioral quirks, or things they particular enjoy or dislike?
*
How many cats do you need care for? (More than 4 cats will need a second form filled out)
*
1
2
3
4
5+ (I will fill out another form)
Cat's Information
Cat's Name
*
Breed
*
Age
*
Sex
*
Please Select
Male
Neutered Male
Female
Spayed Female
Is your cat up to date on their rabies vaccination? This will need to be done prior to their stay.
*
Yes
No
Upload your proof of rabies vaccination here:
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Is your cat up to date on their FVRCP (aka upper respiratory) vaccination? Not required for drop-ins/house sitting. This will need to be done prior to boarding, though.
*
Yes
No
Upload your proof of FVRCP vaccination here:
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Is your cat up to date on their FeLV (aka feline leukemia) vaccination? Not required for drop-ins/house sitting. This will need to be done prior to boarding, though.
*
Yes
No
Upload your proof of FeLV vaccination here:
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Has your cat had a negative viral test (FeLV/FIV) in the last 6 months? Not required for drop-ins/house sitting. This will need to be done prior to boarding, though.
*
Yes
No
Will you be providing food for your cat's stay?
*
How much do you feed your cat? How many times a day?
*
Will your cat be taking any medications or supplements during this stay? If yes, please explain.
*
Does your cat have any chronic illnesses?
*
Does your cat have any food or environmental allergies?
*
Is your cat good with other cats? If no, please explain.
*
Is your cat good with children? If no, please explain.
*
Does your dog display any of the following behavioral concerns we should be aware of?
*
Food Possessive
Toy Possessive
Urinating Outside of Litterbox
Defecating Outside of Litterbox
Scared of Men
Scared of Women
Very Vocal
Chewing on things they aren't supposed
Destructive Separation Anxiety
Other
If "other", please explain:
*
Does your cat have any unique behavioral quirks, or things they particular enjoy or dislike?
*
Second Cat's Information
Cat's Name
*
Breed
*
Age
*
Sex
*
Please Select
Male
Neutered Male
Female
Spayed Female
Is your cat up to date on their rabies vaccination? This will need to be done prior to their stay.
*
Yes
No
Upload your proof of rabies vaccination here:
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Is your cat up to date on their FVRCP (aka upper respiratory) vaccination? Not required for drop-ins/house sitting. This will need to be done prior to boarding, though.
*
Yes
No
Upload your proof of FVRCP vaccination here:
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Is your cat up to date on their FeLV (aka feline leukemia) vaccination? Not required for drop-ins/house sitting. This will need to be done prior to boarding, though.
*
Yes
No
Upload your proof of FeLV vaccination here:
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Has your cat had a negative viral test (FeLV/FIV) in the last 6 months? Not required for drop-ins/house sitting. This will need to be done prior to boarding, though.
*
Yes
No
Will you be providing food for your cat's stay?
*
How much do you feed your cat? How many times a day?
*
Will your cat be taking any medications or supplements during this stay? If yes, please explain.
*
Does your cat have any chronic illnesses?
*
Does your cat have any food or environmental allergies?
*
Is your cat good with other cats? If no, please explain.
*
Is your cat good with children? If no, please explain.
*
Does your dog display any of the following behavioral concerns we should be aware of?
*
Food Possessive
Toy Possessive
Urinating Outside of Litterbox
Defecating Outside of Litterbox
Scared of Men
Scared of Women
Very Vocal
Chewing on things they aren't supposed
Destructive Separation Anxiety
Other
If "other", please explain:
*
Does your cat have any unique behavioral quirks, or things they particular enjoy or dislike?
*
Third Cat's Information
Cat's Name
*
Breed
*
Age
*
Sex
*
Please Select
Male
Neutered Male
Female
Spayed Female
Is your cat up to date on their rabies vaccination? This will need to be done prior to their stay.
*
Yes
No
Upload your proof of rabies vaccination here:
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Is your cat up to date on their FVRCP (aka upper respiratory) vaccination? Not required for drop-ins/house sitting. This will need to be done prior to boarding, though.
*
Yes
No
Upload your proof of FVRCP vaccination here:
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Is your cat up to date on their FeLV (aka feline leukemia) vaccination? Not required for drop-ins/house sitting. This will need to be done prior to boarding, though.
*
Yes
No
Upload your proof of FeLV vaccination here:
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Has your cat had a negative viral test (FeLV/FIV) in the last 6 months? Not required for drop-ins/house sitting. This will need to be done prior to boarding, though.
*
Yes
No
Will you be providing food for your cat's stay?
*
How much do you feed your cat? How many times a day?
*
Will your cat be taking any medications or supplements during this stay? If yes, please explain.
*
Does your cat have any chronic illnesses?
*
Does your cat have any food or environmental allergies?
*
Is your cat good with other cats? If no, please explain.
*
Is your cat good with children? If no, please explain.
*
Does your dog display any of the following behavioral concerns we should be aware of?
*
Food Possessive
Toy Possessive
Urinating Outside of Litterbox
Defecating Outside of Litterbox
Scared of Men
Scared of Women
Very Vocal
Chewing on things they aren't supposed
Destructive Separation Anxiety
Other
If "other", please explain:
*
Does your cat have any unique behavioral quirks, or things they particular enjoy or dislike?
*
Fourth Cat's Information
Cat's Name
*
Breed
*
Age
*
Sex
*
Please Select
Male
Neutered Male
Female
Spayed Female
Is your cat up to date on their rabies vaccination? This will need to be done prior to their stay.
*
Yes
No
Upload your proof of rabies vaccination here:
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Is your cat up to date on their FVRCP (aka upper respiratory) vaccination? Not required for drop-ins/house sitting. This will need to be done prior to boarding, though.
*
Yes
No
Upload your proof of FVRCP vaccination here:
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Is your cat up to date on their FeLV (aka feline leukemia) vaccination? Not required for drop-ins/house sitting. This will need to be done prior to boarding, though.
*
Yes
No
Upload your proof of FeLV vaccination here:
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Has your cat had a negative viral test (FeLV/FIV) in the last 6 months? Not required for drop-ins/house sitting. This will need to be done prior to boarding, though.
*
Yes
No
Will you be providing food for your cat's stay?
*
How much do you feed your cat? How many times a day?
*
Will your cat be taking any medications or supplements during this stay? If yes, please explain.
*
Does your cat have any chronic illnesses?
*
Does your cat have any food or environmental allergies?
*
Is your cat good with other cats? If no, please explain.
*
Is your cat good with children? If no, please explain.
*
Does your dog display any of the following behavioral concerns we should be aware of?
*
Food Possessive
Toy Possessive
Urinating Outside of Litterbox
Defecating Outside of Litterbox
Scared of Men
Scared of Women
Very Vocal
Chewing on things they aren't supposed
Destructive Separation Anxiety
Other
If "other", please explain:
*
Does your cat have any unique behavioral quirks, or things they particular enjoy or dislike?
*
Other types of pets...
If you need care for an animal that is not a cat or dog, please provide their information and the type of care you are looking for:
*
Veterinary Information
Primary Veterinarian Clinic Name
*
Primary Veterinarian Phone Number
*
Service Details
What services are you interested in?
*
Boarding
Daycare
Drop-In
Walks
Advanture/Hikes
House Sitting
Provide details on the first day(s) of care you are interested in. Please also include any other information you think we should know.
*
Will you need pickup or drop off for your pet? Online offered within Bakersfield. If you live further, please reach out directly to discuss cost.
*
Yes Please! - Pickup only ($15)
Yes Please! - Drop off only ($15)
Yes Please! - Both pick up and drop off ($25)
No Thanks - I will be picking up and dropping off my pet
Any add-on's during your pet's stay?
*
None
Nail Trim ($15)
Bath ($20-$40)
Extra Walk ($10 per extra walk per day)
Hike ($50 per trip)
Training (please reach out to give information and get pricing, depending on your dog's needs)
Care Contract
All pets are boarded, bathed or otherwise cared for without liability for loss or damage from illness, injury, death, escape, theft, fire or other unavoidable causes. You, the pet owner, are responsible for all costs for any property damage or injury to persons or other animals by your pet.
We post pictures and videos of all animals in our care to public online platforms.
We at The Animal Law take pride in caring for your pet. All precautions are taken to limit the
possibility of illness or injury to pets in our care. However, if your pet is ill or injured we will:
1) attempt to contact you as soon as possible;
2) consult your designated veterinarian whenever possible;
3) seek care at Affiliated Emergency Veterinary Services, if needed, at times outside normal veterinary hours.
Any incurred vet charges are to be paid by you, the pet owner.
As a condition of this contract, you authorize the release of your pet’s vaccination and medical information to The Animal Law, at any time prior to, during, or after the performance of
services.
When using The Animal Law for boarding or any other services you agree to pay for all services rendered upon completion of service. Any stays longer than 10 days are required to have a 50% deposit. Please do not abandon unwanted pets at our facility.
You will be expected to cover all charges incurred from leaving a pet indefinitely. California statutes provide us the right to rehome any pet that has stayed ten or more days beyond the designated date of pick up if there is no contact from the owner and no payment for the pet's stay.
This contract shall be considered in effect each time the pet owner requires the services of The Animal Law for this pet or any other future pet(s).
Emergency Veterinary Care Directive
*
Pursue any diagnostic tests and extraordinary measures offered by the treating veterinarian
Pursue any diagnostic tests and extraordinary measures offered by the treating veterinarian as long as my pet is likely to recover its previous quality of life.
I do not want extensive diagnostic tests or any extraordinary measures taken.
I understand The Animal Law will insist my pet be kept comfortable with pain control and hydration until I can be reached. I am solely responsible for providing emergency contact information on each visit. Only I can decide to euthanize my pet. If I know I cannot be reached, it is my
responsibility to provide further written instructions for veterinary care.
If possible, keep veterinary expenses under $
300 minimum
*
until I can be reached.
Signature
*
Today's Date
*
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Month
-
Day
Year
Date
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