Reservation Form
Parker's Dog Training
Contact Information
Owner Name
*
First Name
Last Name
Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Emergency Contact
*
Person who can make decisions or take dog if you're not available
Emergency Contact Number
*
Format: (000) 000-0000.
Reservation Information
Please remember to factor in your own needs for dates when scheduling. For example if you are leaving early morning on one day make sure to schedule check in for the preceding day.
I Am Reserving
*
Boarding
Board and Train
Refresher Board and Train
Other
Number of Dogs
*
Please Select
1 Dog
2 Dogs
3 Dogs
Check In Date
*
/
Month
/
Day
Year
Date
Check Out Date
*
/
Month
/
Day
Year
Date
Number of Boarding Nights
Estimated Cost for Stay (Due no later than check-in)
Your Dog's Details
Your Dog(s)
*
I have filled out a "Profile Form" for each of the above dog(s) and my information is accurate and up to date.
*
Initial above to confirm
My dog(s) has/have not attended, nor will they attend any public dog social (dog park, daycare, etc.) within 14 days of stay.
*
Initial above to confirm
Please select if your dog has experienced the following within the past 14 days:
*
Coughing
Sneezing
Diarrhea
Nasal or Eye Discharge
None of the above
If my dog experiences any of the above symptoms while in Esther's care for two consecutive days veterinary care will be sought out at owners expense. (fecal test, nasal/throat culture, etc.) Owner will be notified of cost before it is incurred.
*
Initial above to confirm
I have administered my dog's flea and tick preventative recently enough to cover their stay. If their renewal falls within their stay I will provide the needed preventive for Esther to administer.
*
Initial above to confirm
Main training goals during stay, if any.
Medical conditions, allergies, food sensitivities, recent injuries or illnesses?
Up to date with all vaccinations?
*
Yes
No
Vet Details
Name of Vet Office
*
Vet's Name
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Agree From This Date Forward
*
-
Month
-
Day
Year
Date
Your Signature
*
Click to pay through Venmo
Continue
Continue
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