Boarding Registration Form:
We do not have a working fax machine currently. For those that want to print up this page & bring it in when you drop off your pet for vacationing with us you are welcome, or if you want to copy/paste this into a word doc & email it back to us you can do that as well. For those who want to go tech savvy way you can go to the next link over called "ONLINE BOARDING REGISTRATION FORM" fill it out click send & it will be emailed directly to us. PLEASE KEEP IN MIND IF YOU ARE A REGULAR WE JUST NEED AN UPDATED SIGNATURE FOR THE CURRENT YEAR, HOWEVER SINCE WE ARE REQUIRED BY LAW TO HAVE A SIGNATURE & DATE FOR EVERY YEAR THAT YOUR PET IS WITH US, IF YOUR PET HAS NOT VACATIONED WITH US IN OVER A YEAR WE WILL NEED A NEW FORM FILLED OUT SIGNED & DATED. Thanks!
REGISTRATION INFORMATION
Pets name: ____________________________________________________Age/DOB:___________Sex: _________
Breed: ___________________________________________________ID Tag: _______________Neutered:_______
Pets name: ____________________________________________________Age/DOB:___________Sex: _________
Breed: ___________________________________________________ID Tag: _______________Neutered:_______
Owners Name: _______________________________________________Email:_____________________________
Address:_____________________________________________________City:_____________________Zip:______
Cell Phone: ______________________________ Alternate Cell Phone: ______________________________
Home:___________________________________Work:__________________________________
Local Emergency Contact Name/Phone: ____________________________________________________________
Number you can be reached at while you are away ___________________________________________________
HEALTH HISTORY:
Vets name and number: _______________________________________________________________________
When were last immunizations given: DA2PP ______________Rabies______________Bordetella____________
Date of last vet visit and reason: __________________________________________________________________
Is your pet on any medication* __________If yes, state RX and reason: __________________________________
*NOTE* All medications must be in original prescription bottles and be dispensed per vet instructions
List any dietary needs: _________________________________________________________________________
List all conditions this pet has been treated for, dates of treatment and remaining effects: ___________________
____________________________________________________________________________________________
Does you pet have any physical limitation ie: jumping, running, etc: ______________________________
List any other special needs this dog has: ___________________________________________________________
GROOMING
Does your dog have allergies and/or need any special shampoo? _______________________________________
Is it OK to use perfume on your pet? _____________Has your dog ever bitten a groomer?__________________
If so, give details: ____________________________________________________________________________
Do you prefer: Bows ___________Bandana_____________Either____________Neither_______________
TEMPERMENT AND BEHAVIOR
Does your pet get along with other dogs? _________Children?____________Strangers?____________
Is there anything your pet is NOT suppose to do/have? Ie: food allergies _____________________________
DISCLOSURE: I am requesting accommodations for my pet while I am away. I realize this is an open environment with co-mingling of dogs including rescues. I also realize there are human visitors both adult and children coming & going. I will not hold the Bichon Frise Get Away, its agents representatives or guests responsible for any loss, theft, sickness or accident that may occur while my pet is boarded. I acknowledge that I was advised not to leave any personal items, toys/blankets, as they may get damaged or lost. I understand that sometimes dogs get dirty, may have diarrhea and/or may throw up. If this happens I realize the “ranch” will bathe my pet at my expense. I am aware that a tether may be used if my dog is bathed or groomed, and that my dog may be kenneled. I give permission to provide care and agree to pay vet bills incurred should my dog become injured or causes injury to another dog. THE FOLLOWING AGREEMENT IS REQUIRED BY COLORADO REGULATIONS: “In the unlikely event that my pet dies while in care, we will transport him to your veterinarian to await further instructions.”
Signed: _______________________________________________________________Date:_________________
Boarding Dates: ____________________________________________________
Pets name: ____________________________________________________Age/DOB:___________Sex: _________
Breed: ___________________________________________________ID Tag: _______________Neutered:_______
Pets name: ____________________________________________________Age/DOB:___________Sex: _________
Breed: ___________________________________________________ID Tag: _______________Neutered:_______
Owners Name: _______________________________________________Email:_____________________________
Address:_____________________________________________________City:_____________________Zip:______
Cell Phone: ______________________________ Alternate Cell Phone: ______________________________
Home:___________________________________Work:__________________________________
Local Emergency Contact Name/Phone: ____________________________________________________________
Number you can be reached at while you are away ___________________________________________________
HEALTH HISTORY:
Vets name and number: _______________________________________________________________________
When were last immunizations given: DA2PP ______________Rabies______________Bordetella____________
Date of last vet visit and reason: __________________________________________________________________
Is your pet on any medication* __________If yes, state RX and reason: __________________________________
*NOTE* All medications must be in original prescription bottles and be dispensed per vet instructions
List any dietary needs: _________________________________________________________________________
List all conditions this pet has been treated for, dates of treatment and remaining effects: ___________________
____________________________________________________________________________________________
Does you pet have any physical limitation ie: jumping, running, etc: ______________________________
List any other special needs this dog has: ___________________________________________________________
GROOMING
Does your dog have allergies and/or need any special shampoo? _______________________________________
Is it OK to use perfume on your pet? _____________Has your dog ever bitten a groomer?__________________
If so, give details: ____________________________________________________________________________
Do you prefer: Bows ___________Bandana_____________Either____________Neither_______________
TEMPERMENT AND BEHAVIOR
Does your pet get along with other dogs? _________Children?____________Strangers?____________
Is there anything your pet is NOT suppose to do/have? Ie: food allergies _____________________________
DISCLOSURE: I am requesting accommodations for my pet while I am away. I realize this is an open environment with co-mingling of dogs including rescues. I also realize there are human visitors both adult and children coming & going. I will not hold the Bichon Frise Get Away, its agents representatives or guests responsible for any loss, theft, sickness or accident that may occur while my pet is boarded. I acknowledge that I was advised not to leave any personal items, toys/blankets, as they may get damaged or lost. I understand that sometimes dogs get dirty, may have diarrhea and/or may throw up. If this happens I realize the “ranch” will bathe my pet at my expense. I am aware that a tether may be used if my dog is bathed or groomed, and that my dog may be kenneled. I give permission to provide care and agree to pay vet bills incurred should my dog become injured or causes injury to another dog. THE FOLLOWING AGREEMENT IS REQUIRED BY COLORADO REGULATIONS: “In the unlikely event that my pet dies while in care, we will transport him to your veterinarian to await further instructions.”
Signed: _______________________________________________________________Date:_________________
Boarding Dates: ____________________________________________________