Dog Boarding Forms – The Excellent Canine

The Excellent Canine LLC Client Registration

Fields marked with an * are required

Name (First and Last) *

Address *

State *

Zip *

Primary Phone *

Other Phone

Email *

How many dogs will you be boarding with us? *

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Emergency Contact (Please list someone not normally travelling with you) *

Emergency Contact Phone *

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Anyone else with permission to pick up your dog?

Phone

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Dog Information Sheet

Dog's Name *

Breed *

Color *

Gender *

Is your dog spayed or neutered? *

Dog's Birthday or Age *

Is your dog microchipped? *

If so, please provide the microchip company and microchip #.

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Feeding Instructions 1

What brand of food does your dog eat? *

How much food do they eat per meal? *

How many times per day do they eat? *

Special feeding instructions:

Please answer the following brief questionnaire about your dog. It will help us to better care for him/her:

Behavior and Personality 1

Is your dog crate trained or was your dog crate trained as a puppy? *

Is your dog friendly with other dogs? *

Does your dog like new adults? *

Does your dog like children? *

Is your dog allowed to have treats? *

Is your dog allowed on furniture? *

Will your dog try to escape (jump fences, try to dig out etc.)? *

Is your dog prone to chewing? *

Is your dog fearful of noises or other things? *

Does your dog obey basic commands? *

Has your dog bitten people or other dogs? *

Has your dog shown other aggression? *

Other Info

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If any of the pets named above becomes ill or is injured, I request that The Excellent Canine LLC take the pets to:

Proof of Vaccinations and Veterinary Release Form 1

Do you have pet insurance for your dog? *

Is your pet on any medication or allergic to anything? *

Medical Condition:

Medication

Instructions

Veterinary Office Name: *

Vet's Name *

Vet's Address *

Vet's Phone Number *

If possible, leave a credit card with your vet. *

If the veterinary office named above is not available, I authorize The Excellent Canine LLC to take my pets to another veterinary office for treatment. I understand that The Excellent Canine LLC cannot be held responsible for the results of the veterinary treatment or the loss of my pet.

I will assume full responsibility upon my return for payment and/or reimbursement for veterinary services rendered.

If ever your pet needs emergency care and we cannot reach your or your emergency contact, did you want to put a spending limit in place?

If so, how much?

Electronic Signature *

Date *

How did you hear about us? *

The Excellent Canine LLC Liability Release *

The signing of this release is a one-time requirement and is activated at each training or boarding of owners’ dog or dogs.

I hereby waive and release The Excellent Canine LLC, its owners, its employees, instructors, students, guests and owners of the premises from any and all liability of any nature, for injury or damage which my dog(s) may suffer or cause including specifically, but not limited to, any injury or damage resulting from its (their) actions while in or upon the premises or grounds or near any entrance thereto. I/we personally assume all responsibility and liability for any such claim. I/we further agree to hold the aforementioned parties harmless from any claim for loss of or damage to this dog by disappearance, theft, disease, fire, death or otherwise, and from any claim for damage or injury to the dog, caused or alleged to be caused by other dogs, by wild animals, or by the negligence of the parties aforementioned or any other person or any other cause or causes. I/we hereby assume the sole responsibility for and agree to indemnify and save the aforementioned parties harmless from any and all loss and expense (including legal fees) by reason of the liability imposed by law upon any of the aforementioned parties for damage because of bodily injuries including death.

I understand that by typing my name into the field below, I am signing this document I am accepting responsibility for my dog(s) and myself and realize that this document may be used in a court of law.

Dog's Name *

Date *