2026 - Client Intake Form

Do you Require a Crate?

If No - Provide Measurements (LxWxH)

Check if crate is wooden

Apx Weight of Crate

2026 - Client Intake Form
ESTIMATE or FILE #:
If Email Estimate was given, please enter date of Email
Full Name:*

First NameLast Name
Tel #:*
Format: (000) 000-0000.
Alternate Tel #:
Format: (000) 000-0000.
Email:*

Confirmation Emailexample@example.com
Preferred Shipping Date:*

DayMonthYear
Will you or someone be flying within 5 days of pet(s)
If you have a preferred Airline and/or Flight #, please enter details here:
Origin Contact Name:

First NameLast Name
ORIGIN Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Do you require Pick-up from Residence?:
Pick-up Contact Name:

First NameLast Name
Pick-up Contact Tel #:
Please enter a valid phone number.Format: (000) 000-0000.
Pick-up Contact Email :
example@example.com
Pick-up Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Destination Name:

First NameLast Name
Destination Tel #:
Please enter a valid phone number.Format: (000) 000-0000.
Destination Email :
example@example.com
DESTINATION Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Vet Services (Meet & Greet at Vet Clinic)Vet Services (Pick-up required)Government Endorsement of Documents (International Shipments only)Boarding prior to DepartureImport Permit Application and FeesPEQ (Quarantine) Booking and Fees
Boarding From:

DayMonthYear
Boarding To:

DayMonthYear
NO - I will Clear Customs (where applicable) and Pick-up at Destination AirportNO - I will be using (and paying) the following Agent for Clearance and/or DeliveryYES - Please recommend an Agent for Clearance OnlyYES - Please recommend an Agent for Clearance and DeliveryCheck this box if you wish Destination Services to be added to emBARK Final Invoice
Note: Mark-up for Banking and Exchange fees to 3rd party overseas agent will be between 10% - 20% depending on currency conversion
Agent Details:

Name of Company and Representative

Address

CityState / Province

Postal / Zip CodeCountry
Agent Email:
example@example.com
Agent Tel #:
Please enter a valid phone number.Format: (000) 000-0000.

Pet Details:

Rows	Name	Microchip #	Species	Breed(s)	Colour	Sex
Pet 1
Pet 2
Pet 3
Pet 4
Pet 5
Pet 6

Pet Details (continued):

Rows	Weight	LB / KG	Length	Spynx Pose (lay down length)	Width	Height	CM / IN
Pet 1
Pet 2
Pet 3
Pet 4
Pet 5
Pet 6

Pet Details (Important Dates) - enter as DD/MM/YYYY:

Rows	Date of Birth	Microchip Implant Date	Most Recent Rabies Date (Given)	Prior Rabies (if most recent is greater than 1 year)	Titre Test Date (if applicable)
Pet 1
Pet 2
Pet 3
Pet 4
Pet 5
Pet 6

Crate Details:*

Please verify that you are human*
Should be Empty: