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
¨ Enjoys digging
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
Rabies: Y / N Date: ______
Bordetella: Y / N Date: ______
DA2PP (Distemper/ Adenovirus/ Parainfluenza/ Parvovirus): Y / N 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 making a reservation of 3 nights or more. 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. If your initial reservation is for less than 3 nights, that stay will be considered the trial stay.
I have read and understand Sadie’s Stay n’ Play’s policies and procedures
Print Name: ______Signature: ______Date: ______