Boarding Intake Form

Boarding Intake Form

ABOUT YOU

Name: ______

Address: ______

City/State/Zip: ______

Phone Number: Home______

Cell______

Email Address: ______

EMERGENCY CONTACT (if we can’t reach you)

Name: ______

Phone: ______

ABOUT YOUR DOG

Name: ______

Male / Female (circle one)

Neutered / Spayed : Y / N [must be fixed to board here]

DOB: ______

Breed: ______

Weight: ______

Microchip #:______

Special needs / Health conditions/ Allergies: ______

YOUR DOG’S PERSONALITY

How long have you had your dog? ______

Does your dog regularly socialize with other dogs in any of the following settings?

¨ At the dog park

¨ During leashed walks

¨ With dogs of family/friends

¨ Dog daycare

Please describe your dog’s experience socializing with other dogs in an off leash setting: ______

______

How does your dog react to another dog approaching while on leash? ______

How does your dog react to an unfamiliar person approaching? ______

______

What commands does your dog know? ______

Has your dog been boarded before? Y / N

Please describe______

Is your dog crate trained? Y / N

How does your dog react to being confined? ______

How does your dog walk on leash? Do you require a gentle leader or choke chain in order to walk your dog? ______

______

My dog… (check all that apply)

¨ Tends to jump over fences or escape cages

¨ Has separation anxiety

My dog dislikes… (check all that apply)

¨ Thunder/Lightning

¨ Rain/Water

¨ Loud Noises

¨ New people

¨ Males

¨ Females

¨ Children

¨ People near food dish

¨ Animals near food dish

¨ Other: ______

Has your dog ever gotten into a fight with another dog? : Y / N If yes, please describe: ______

Has your dog ever bitten another person: Y / N

If yes, please describe: ______

VETERINARIAN

Name: ______

Phone: ______

VACCINATIONS*

*All vaccinations are required and must be administered at least 10 (ten) days prior to boarding.

PLEASE INCLUDE A COPY OF YOUR VET RECORDS WITH YOUR APPLICATION

Rabies: Y / N Exp Date: ______

Bordetella: Y / N Exp Date: ______

DA2PP (Distemper/ Adenovirus/ Parainfluenza/ Parvovirus): Y / N Exp Date: ______

Date of last flea preventative: ______

Date of last heartworm preventative: ______

Is there any additional information about your dog that you feel would be helpful for us to know? ______

How did you hear about Sadie’s Stay n’ Play?______

______

Boarding Intake Form

SADIE’S STAY N’ PLAY POLICIES AND PROCEDURES

Please make sure your dog’s vaccines (Rabies, Distemper, and Bordetella) are current or administered at least 10 days prior to boarding. We will not be able to board any dog who does not meet our vaccination requirements.

Because arrivals and departures are very exciting times for our guests, we require appointments for all pick-ups and drop offs. For each appointment, we put all of our guests safely inside their runs and open the gate to our property. As a courtesy to us and our guests, we ask that you notify us if you are going to be more than 15 minutes outside of your scheduled appointment. We are happy to be flexible, as long as you let us know!

Our regular drop off windows are 2PM to 6PM, and our regular pick-up windows are 9AM to 12PM. Our office is closed between 12PM to 2PM. We can accommodate drop offs between 9AM to 12PM, pending availability, with a full night charge to reserve the run from the night before in order to guarantee an available run in the morning. We can accommodate pick-ups until 6PM, with a half day charge for pick-ups after 2PM.

We require a trial stay for all new clients. This trial stay will give us time to evaluate your dog and determine if our facility is a good fit. Our regular policies and rates are applicable for the trial stay.

I have read and understand Sadie’s Stay n’ Play’s policies and procedures

Print Name: ______Signature: ______Date: ______