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Name
*
First
Last
Email Address:
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Address:
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How did you hear about us?
Google Search
Word of Mouth
Social Media
Drive By
Other
Emergency Contact (non-owner)
*
First
Last
Emergency Contact Phone Number
*
Emergency Contact Authorized to make Medical/Financial Decisions?
*
Yes
No
Dogs Name
*
Breed/Breed Mix
*
Age/Birthday of Dog
*
Weight (Lbs.)
Selected Value:
15
Sex (Female/Male)
*
Female
Male
Spayed/Neutered
*
Spayed
Neutered
Intact
Microchipped or Tattooed
*
Yes
No
License Number with Alberta or Other Province
Is Your Dog Good with Bedding? Choose All That Apply
*
Good with all bedding
Good with only blankets
Good with padded bedding
Not good. Tendency to chew destroy bedding
Tendency to be destructive when unsupervised
Needs a raised kuranda bed
Other
Feeding Instructions - How Much per Meal in Cups?
*
Feeding Instructions - How Many Times Per Day?
*
Per Please Contact
Feeding Instructions - Brand of Food?
Feeding Instructions - Does Their Medication Get Added?
*
Yes
No
Does Your Dog Have Any Health Conditions?
Medications or Special Care Instructions We Should Be Aware Of?
What is Your Preferred Administration Method For Medications?
*
In Food
In a Treat
Pill Pocket
Liquid Syringe
Topical
Other
Behavior & Security
*
Is your dog allowed in supervised group play?
Does your dog have any history of aggression with people or dogs?
Has your dog ever attempted to escape? (eg. climbing fences, digging holes, bolting through doors, chewing through crates, etc.?
Does your dog have bad recall?
My dog is a CHAMP and has no issues as far as behavior or security.
Check box if answer is YES
Behavior & Security: Please explain any further detail about the above incident
Please be honest as it will help us to better care for your pet
Behavior & Security: Does your dog have any triggers?
*
Food Aggression
Personal Space
Toys
Towards People / Emotions
Not Good with Other Dogs
No Triggers
What is your dogs play style?
Running, chase, fetch, sniffing, wrestling, other...
Anything else we should know about your dog?
If you only have one dog, please scroll down and submit. If checking in a second animal, please continue below.
Second Dogs Name
Breed/Breed Mix
Age/Birthday of Dog
Weight (Lbs.)
Selected Value:
15
Sex (Female/Male)
Female
Male
Spayed/Neutered
Spayed
Neutered
Intact
Microchipped/Tattooed
Yes
No
License Number with Alberta or Other Province
Is Your Dog Good with Bedding? Choose All That Apply (copy)
Good with all bedding
Good with only blankets
Good with padded bedding
Not good. Tendency to chew destroy bedding
Tendency to be destructive when unsupervised
Needs a raised kuranda ben
Other
Feeding Instructions - How Much per Meal in Cups? (copy)
Feeding Instructions - How Many Times Per Day? (copy)
Feeding Instructions - Brand of Food? (copy)
Feeding Instructions - Does Their Medication Get Added? (copy)
Yes
No
Does Your Dog Have Any Health Conditions?
Medications or Special Care Instructions We Should Be Aware Of?
What is Your Preferred Administration Method For Medications? (copy)
In Food
In a Treat
Pill Pocket
Liquid Syringe
Topical
Other
Behavior & Security
Is your dog allowed in supervised group play?
Does your dog have any history of aggression with people or dogs?
Has your dog ever attempted to escape? (eg. climbing fences, digging holes, bolting through doors, chewing through crates, etc.?
Does your dog have bad recall?
My dog is a CHAMP and has no issues as far as behavior or security.
Check box if answer is YES
Behavior & Security: Please explain any further detail about the above incident
Please be honest as it will help us to better care for your pet
Behavior & Security: Does your dog have any triggers?
Food Aggression
Personal Space
Toys
Towards People / Emotions
Not Good with Other Dogs
No Triggers
What is your dogs play style?
Running, chase, fetch, sniffing, wrestling, other...
Anything else we should know about your dog?
Submit