lodging application form

 
 

Has your pet stayed at Pine Ridge Pet Centre in the past?

If yes, only fill out the information with the **, otherwise new clients and new dogs are required to complete everything.

Has your pet stayed at Pine Ridge Centre in the past?
**
Yes
No
Owner's Name
**
Address
City
Province/State
Postal/Zip Code
Phone
**
Business Phone
Cell Phone Emergency Phone
Email Address
**
 
 

Pet Profile

 
Name of Dog
**
Breed
**
Approx Weight
Colour
Birth Date
Sex
Male
Female
Spayed or Neutered?
Yes
No
 
Method of Flea Control
All dogs must be treated for flea control from June - November
   
 
Has your dog been fully vaccinated with DHPP, Rabies and Bordatella?
We require proof of these vaccines.
Yes
No
If no, please explain...
 
Name of Vet
Vet's Phone Number
Arrival Date
**
 - -
Arrival Time
**
Departure Date
**
 - -
Departure Time
**
Important note to new clients
Bookings within Dec 15-Jan 15 or March 1-31 require to call with credit card information to guarantee the entire booking.
 

General Pet Info
Yes
No
Are you aware about kennel cough?
   
Yes
No
  Has your dog ever had kennel cough?
   
Yes
No
  Does your dog cough, sneeze, wheeze, or exhibit any asthmatic symptoms?
   
Yes
No
  Has your dog ever been boarded or attended doggie daycare?
   
Yes
No
  Is your dog afraid of thunder and lighting storms?
   
Yes
No
  Is your dog afraid of other dogs?
   
Yes
No
  Has your dog ever bitten a person or another dog?
     
Yes
No
 

Would you like your dog(s) cared for adequately?
     
Yes
No
  Are you shopping for boarding rates for the lowest cost?
     
Yes
No
  Has your dog ever exhibited aggressive behavior towards other people or other dogs? If yes, please explain:
   
     
Yes
No
  Is your dog an escape artist? If yes, please explain:
   
     

Pet Health

 
Yes
No
 

Has your dog had any infections in the last six months?
(Ear, eye, bladder or urinary)

     
Yes
No
 

Has your dog been diagnosed with any health conditions?
Please state:
   
     
Yes
No
  Has your dog ever had seizures?
     
Yes
No
  Has your dog ever had a stroke?
     
Yes
No
  Has your dog ever bloated or had gastric torsion?
     
Yes
No
  Has your dog had any form of worms in the last six months?
     
   
     
Yes
No
  I acknowledge and accept Pine Ridge Pet Centre’s Rates, General Information, Public Office Hours and Policies.
     
   
     
    * You will be able to add additional pets after submission.*