Boarding Check-In Form

*Dog Name(s) *Age *Breed *Microchip *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: $35.00 Fun Day (Stay for the day and play)$65.00 Daily (Includes access to all home amenities, back 1/2 acre lot to run)$75 Geriatrics / Special Care $15 Intact Males

I understand payment in full is required before drop off.

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)Nail Dremmel ($20)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 ($75), 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:

 

---

 

Dream-A-Dream Dachshund’s policy is to have on file a Rainbow Protocol for all dogs
This is a precautionary measure to assist us in following your wishes in the unlikely event your pet passes away while in our care. You can provide us with an emergency contact who will assume the responsibility to pick up your loved one and follow thru on your arrangements. Or you can give Dream-A-Dream Dachshund’s the responsibility of making arrangements for your pet and, we will arrange transportation there and pick up ashes for you. Please check of your wishes below:

 

I want my emergency contact to be called first and for them to pick up my pet if they pass. (However, if your emergency contact is unreachable, I understand that Dream-A-Dream Dachshund will transport my pet to Dream-A-Dream Dachshund’s veterinarian of choice on my behalf and the expenses will be added to my bill) YesNo I authorize Dream-A-Dream Dachshund’s to transport my pet to Dream-A-Dream Dachshund’s veterinarian of choice for cremation and wish to have my ashes returned. YesNo I authorize Dream-A-Dream Dachshund’s to transport my pet to Dream-A-Dream Dachshund’s veterinarian of choice for cremation and do NOT wish to have my ashes returned. YesNo
Do you want us to contact you instead of your emergency contact in the unlikely event your dog passes away while in our care? YesNo

 

By checking this box and agreeing to the boarding contract below, I understand and authorize Dream-A-Dream Dachshund’s to transport my pet to Dream-A-Dream Dachshund’s veterinarian of choice for cremation per our Rainbow Protocol and that there are fees associated with this and Dream-A-Dream Dachshund’s will follow my directions as stated above. I understand the Rainbow Protocol above Yes

 

---

 

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.