Boarding Check-In Form

*Dog Name(s) *Age *Your Name *Your Address Your Address 2 *City *State *Zip *Phone Number *Email Other Number How did you hear about us? Please check if you are signing up for a play day or a Dream A Dream vacation package: $30.00 Fun Day (Stay for the day and play)$60.00 Daily (Includes access to all home amenities, back 1/2 acre lot to run)$70 Geriatrics / Special Care $15 Intact Males

I understand payment in full is required before drop off.

There are no refunds for early pick-ups as this leaves Dream-A-Dream Dachshunds unable to fill the spot. The owner understands and agrees that pet(s) picked up after noon(12:00 p.m.) shall be charged for the full day. Special arrangements must be made for pick up or drop off before 7:00 a.m or after 6:00 p.m and an additional charge of $100 will be applied. A minimum of 72 hours is required for the cancellation of your reservation. If the reservation is canceled or if changes need to be made with less than a 72-hour notice, then the reservation that was made must be paid in full for having held the spot. SCHEDULE: Drop Off: Date: Time: ---123456789101112 ---ampm Pick Up: Date: Time: ---123456789101112 ---ampm FOOD: Please select which food you would like your dog to receive Purina Pro Plan (provided by Dream A Dream)Special Diet (provided by owner) SALON: Bath before going home ($17)Clip Nails ($13)Ear Treatment ($6)Nightly dental brushing ($6 per session), How Often? ACTIVITIES: Select any special activities you would like your pet to receive while at Dream A Dream Walk 20 minutes ($25 per session), How often? Hike 20 minutes ($25 per session), How often? Swim 20 minutes ($25 per session), How often? Daily Photos ($10 each), How many photos? * based on staffing availability. Credit will be applied for any daily pictures not captured. Geriatrics/Special Needs ($70), Please list Photo Session 20 minutes ($75) Training (Call for prices) Notes Treats: C.E.T. Hextra Chews/Bully Sticks - based on supply availability ($4 Each), How often? Beef Neck Bones ($4 Each), How often? In Case of Emergency Notify Name Phone Number Please fill out the following information Vet Name Vet Phone Number MEDICAL INFORMATION: Please add vet records if you have them available. Current medications dog is taking and for what ailment: What flea/tick preventive is your pet on Check any that apply AllergiesArthritisBack DisordersBlindnessDeafnessEar InfectionsHeart DiseasePast SurgeriesSeizuresOther Does your dog have any allergies? (medication, insects, etc.) BEHAVIORAL INFORMATIONAL: Does your dog respond to his/her name when called? YesNo Is your dog house trained? YesNo Does your dog urinate when approached? YesNo Does your dog respond to owner's direction? YesNo Does your dog engage in self-mutilation?(chewing on leg/licking raw spots, etc.) NoYes Has he/she been formally trained? YesNo Has your dog ever bitten anyone? NoYes Is your dog Kenneled at homeAllowed to run free Have you ever boarded your dog before? YesNo In a stressful/new situation, check any of the following that describes how your dog reacts: Wildly ActiveActivePoised AssuredReservedWithdrawn/Lethargic Does your dog climb/jump/chew through fencing of any type? NoYes When your pet is around strangers does he/she GrowlHideJumpBiteWet/CowerOther Does your pet become unreasonably anxious when he/she is left alone? YesNo Does your dog have any other behavioral characteristics we have not asked about? Please write down a few things (good or bad) that you would like us to know about your best friend that will give us a better understanding for his/her care: All dogs boarding at Dream A Dream must be current on all vaccinations including Rabies and Bordetella. Please bring current shot records to drop off. All dogs must be on a current flea/tick preventive. Dream-A-Dream office will be closed on Thanksgiving Day, Christmas Day, and New Years Day. Please feel free to call or e-mail with any further questions you may have. I have read and agree to the boarding contract.