Registration Form

PRIOR TO MAKING A RESERVATION FOR ANY SERVICE, WE MUST BE IN RECEIPT OF THE REGISTRATION FORM BELOW AND UPDATED VACCINATION RECORDS.

COMPLETION OF THIS REGISTRATION FORM IS NOT CONFIRMATION OF YOUR RESERVATION. A STAFF MEMBER WILL CONTACT YOU TO CONFIRM YOUR RESERVATION.

A REQUEST FOR A RESERVATION MUST BE MADE BY PHONE OR EMAIL.

PLEASE HELP US HELP YOU……

* IT IS THE CUSTOMER’S RESPONSIBILITY TO ASSURE THEIR DOG’S VACCINATIONS ARE CURRENT.  IT IS NOT THE RESPONSIBILITY OF THE GREEN K9 TO OBTAIN VACCINATION RECORDS.

* YOU MAY BRING IN, EMAIL OR FAX YOUR DOG’S VACCINATION RECORDS TO US PRIOR TO YOUR CHECK IN DATE.  YOU CAN CALL YOUR VETERINARIAN AND REQUEST THEY FAX THEM TO US. PLEASE BE SURE THE BORDATELLA VACCINATION IS INCLUDED AND UPDATED. SOME VETERINARIANS DO NOT ADMINISTER THIS VACCINATION WITHOUT THE CUSTOMER’S REQUEST.

* ALLOW AT LEAST 10 MINUTES TO CHECK IN YOUR DOG.

* A FREE 4 HOUR TRIAL IS STRONGLY RECOMMENDED PRIOR TO BOARDING. A TRIAL IS REQUIRED FOR NON-NEUTERED MALES.

IF YOU CHOOSE NOT TO PARTICIPATE IN A DAY CARE TRIAL PRIOR TO BOARDING, AND YOUR DOG IS NOT SUITABLE FOR OUR FACILITY (DESTRUCTIVE, DISRUPTIVE, PEOPLE AGGRESSIVE) YOU OR AN EMERGENCY CONTACT PERSON WILL BE REQUIRED TO PICK THEM UP. 

* ASSURE YOUR PET IS CURRENT ON A MONTHLY FLEA & HEARTWORM/HOOKWORM PREVENTATIVE.

Dogs found to have fleas or flea dirt at check in will require a Capstar and a bath immediately or may not be admitted depending on the case and our ability to bathe your dog at the time of check in. We do not accept dogs with ticks.

Click Here for printable Registration Form

* Items Required

REFERRAL:

How did you hear about us? *

HUMAN INFORMATION:

Your First Name *

Last Name *

Second Owners Name

Home Address *

City *

Zip Code *

Cell Phone #1 *

Home Phone #1

Cell Phone #2

Home Phone #2

Your Email *

WE REQUIRE AT LEAST ONE LOCAL EMERGENCY CONTACT PERSON WHO MUST BE ABLE TO
PICK UP YOUR PET IN CASE OF AN EMERGENCY.

Emergency Name *

Emergency Phone *

Emergency Email

 


Emergency Name 2

Emergency Phone 2

Emergency Email 2

VET INFORMATION:

Hospital Name

Veterinarian's Name

Veterinarian's Address

Veterinarian's Phone

PET INFORMATION:

Pet Name *

Breed *

Color *

Weight *

Sex *
 Male Female

DOB/Age *

Neutered or Spayed *
 Yes No

Please note: we do not allow females in heat for any service. Non-neutered males over a year old are required to schedule a day care trial prior to being admitted into the day care program or for boarding services. We do not allow dogs into the day care group who exhibit the following behaviors: marking inside the playroom, dominance over females or aggression.

My dog was *

How long have you had your dog? *

Has your dog ever boarded before? *
 Yes No

If so, where and when?

Is your dog compatible with other dogs? *
 Yes No

Has your dog ever bitten another dog? *
 Yes No

Has you dog ever bitten a person? *
 Yes No

If yes please explain

Do you take your dog to a dog park? *
 Yes No

Do we have permission to place your dog in the day care group? *
 Yes No

Where does your dog sleep at night? *
 Seperate Room Crate In your bed Other

If Other please explain

Monthly Preventatives

Flea and Tick Brand *

Date Last Given*

Heartworm/ Hookworm Brand *

Date Last Given *

PET'S HEALTH:

List any chronic health problems?

List any allergies?

Describe any current medical conditions, surgeries, or physical impairments

Please describe any mobility or arthritis issues

If your dog has seizures, when was the last seizure?

How often do seizures occur?

Has your pet ever been diagnosed with Canine Cough? *
 Yes No

If yes, when

Has your pet ever been diagnosed with Canine Influenza? *
 Yes No

If yes, when

Has your pet ever been diagnosed with Heartworms, Hookworms, Tapeworms or any other intestinal parasite? *
 Yes No

If so, when and which parasite

Is your dog currently being treated for parasites? Please explain

PET'S BEHAVIOR - Check all that apply *
 History of destructive chewing Storm Anxiety Protective over food Digs under fences Aggressive toward dogs Possessive over toys Climbs over fences Fear biter Excessive barker or whiner Eats rocks Fear of men Picky eater Separation Anxiety Chews Blankets NONE APPLY

What else would you like us to know about your dog's personality?

List any special needs or instructions

Click for Second Dog

PLEASE GO TO THE PET SERVICES AGREEMENT AND POLICIES TAB ON OUR HOME PAGE. YOU WILL BE ASKED TO SIGN AND INITIAL THIS AGREEMENT AT CHECK IN. WE ARE ATTEMPTING TO REDUCE OUR PRINTED PAPER. IF YOU WOULD LIKE A COPY OF THIS AGREEMENT OR OUR POLICIES, THEY CAN BE DOWNLOADED FROM HERE.
Click here to download Our Policies
Click here to download Our Pet Care Service Agreement