*Dog Name(s)

*Age

*Your Name

*Your Address

*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)$50.00 Daily (Includes access to all home amenities, back 1/2 acre lot to run)

Owner agrees to pay kennel $50.00 per day per pet for boarding service. 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 ($12)Ear Treatment ($6)Nightly dental brushing ($5 per session), How Often?

ACTIVITIES:

Select any special activities you would like your pet to receive while at Dream A Dream
Walk 20 minutes ($20 per session), How often?
Hike 20 minutes ($20 per session), How often?
Swim 20 minutes ($20 per session), How often?
Photo Session 20 minutes ($75)
Training (Call for prices)
Notes

Treats:
C.E.T. Hextra Chews ($2 Each), How often?
Beef Neck Bones ($3.50 Each), How often?
Bully Sticks ($3.50 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.