PERFECT PLACE BOARDING KENNEL
REGISTRATION FORM
Client Name
Mailing Address
Postal code
Phone
Cell
Emergency contact
Phone
Vet
Phone
Dog's Name
D.O.B
Breed
Sex
Colour
Vaccinations UP TO DATE
DHLPP, Distemper, Hepatitis, Parvo, Para influenza, Bordetella, Rabies
(Witnessed by staff member)
(print name)
How did you hear about us?
Terms of Agreement
Perfect Place Boarding Kennel will provide a clean, safe, and comfortable environment for your pet.
If you're pet should develop a medical problem or become injured while in our care, all reasonable efforts will be
made to contact the pet owner and/or the emergency contact provided. Failing to reach either we will contact a
veterinarian. If it is an emergency situation we will provide immediate medical care. Round trips to the vet and
associated vet costs are the responsibility of the pet owner and will be included in the boarding invoice. If the guest
is picked up prior to the date specified and you have not provided 24 hours notice, a full day will be charged.
Check out time is 2 pm. A full day will be charged for pick ups after 2pm. Customers are asked to provide their
own pet food to avoid an up-set. If required, we will provide food at a charge of $3.00 per day. (We do not
accept cheques).
We DO NOT accept responsibility for any injury, death, and property damage or loss sustained by you or your pet,
which may occur because you used our services, unless we have been unreasonably negligent.
Note--- Please not that there is a service charge for after Hrs service and must be pr-approved 48hrs in
advance.
Owner Signature
Name of Guest
Breed
D.O.B
MEDICATIONS
PET NOTES
FEEDING INSTRUCTIONS
Please circle answers
IMPORTANT INFO
F
M Spayed/Neutered
No
Yes
Has your dog ever shown aggressive behaviour to a person?
Yes
No
Has your dog ever shown aggressive behaviour to a dog?
Yes
No
Is there something that will trigger your dog like seeing a
Cat, car, bicycle, horse, Cow, thunder or Dog?
Yes
No
If yes explain
Has your dog ever bitten a person or dog?
If yes explain
DOGGY CAMP REGISTRATION
DOG NAME
F
BREED
SPAYED? Yes
No
M
Neutered?
DATE
Yes
(1) How old was your dog when you got him?
D.O.B
(2) Where did you buy your dog?
Pet Store
Breeder
No
Colour
S.P.C.A.
Other
(3) Is your dog friendly towards other people?
Yes
No
(4) Is your dog friendly towards other dogs?
Yes
No
(5) Ever bit or attempted to bite another dog or person
No
Yes
(6) Is your dog ever afraid, skittish or Shy?
Yes
No
(7) Is your dog aggressive when frightened?
Yes
No
(8) Has your dog nipped you or others?
Yes
No
(9) Does your dog have any illness or physical handicap?
Yes
No
If yes explain
(10) AGE REMOVED FROM LITTER -------------------------------------
LENGTH OF STAY
TWO WEEKS recommended for ground work then a maintenance program
NOTES
?
Muzzle
Doggie Camp Training Assessment / Placement
To all customers of Perfect Place Kennels:
It is important for your dog to have positive social skills before participating in our general doggy
camp; for the safety of other dogs, your dog and our staff. Some dogs that come to stay are
not suitable for the general program. An example would be a dog showing aggressive or timid
behaviour. That requires using our K9 counsellors and professional trainers. There is an additional
fee of $3.00 per day for this program, and only if it is necessary will your dog be upgraded to this
behaviour modification program. Once your dog is ready he will be placed back into the general
program at the lower price.
Note—if your dog has severe aggression issues, a private consultation is mandatory before
entering any camp program.
By signing below you agree we may take the necessary steps if needed to help your dog achieve
stronger social skills.
If you do not agree he will be removed from the general program.
Please sign and date below:
Name of dog ________________________
Print name of owner___________________________ Date_______
Signature of owner_______________________
APPROVED PICK UP LIST
PLEASE PRINT
OWNERS FULL NAME
NAME OF DOG
This will authorize the person to pick your dog up in your absence.
MUST HAVE MATCHING PHOTO ID
NAME
1st
2nd
3rd
4th
5th
OWNERS SIGNATURE
PHONE