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Creekside Pet Boarding
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info@creeksidepetboarding.com
ALL PETS WELCOME!
(805) 481-7711
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Home
About Our Kennels
Dog Boarding
Cat Boarding
Doggy Daycare
Dog Grooming
Dog Training
Reservations
Dog Grooming Registration Form
YOUR INFORMATION
Name of Dog Owner
Address
City
- None -
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Postal Code
Phone
Alternate Phone
Email
Confirm Email
Emergency Contact Name
Emergency Contact Phone
DOG #1 INFORMATION
First Dog's Name
Species
Ex. Cat, Dog, Bird, Rabbit etc.
Breed(s) if Known
Gender
Gender
Male
Female
Gender
Neutered / Spayed?
Neutered / Spayed?
Yes
No
Neutered / Spayed?
Color(s), Markings, General Description
D.O.B. / Approx. Age
Approx. Weight
Vet / Clinic Name
Vet / Clinic Phone
Other Issues we should know about:
Any special bathing instructions?
Behavioral Issues & Advisories
Behavioral Issues & Advisories
People Aggressive
Dog Aggressive
Not Comfortable with Nail Trimming
Skittish/Extra Shy
Medical & Health Advisories
Medical & Health Advisories
Chronic Ear Infections
Skin or other Allergies
Hypo-Allergenic Products
Treats allowed?
Do you want to add another dog?
Yes
No
DOG #2 INFORMATION
DOG #2 INFORMATION
Second Dog's Name
Breed(s) if Known (second dog)
Gender (second dog)
Male
Female
Gender
Neutered / Spayed? (second dog)
Yes
No
Neutered / Spayed?
Color(s), Markings, General Description (second dog)
D.O.B. / Approx. Age (second dog)
Approx. Weight (second dog)
Vet / Clinic Name (second dog)
Vet / Clinic Phone (second dog)
Behavioral Issues & Advisories (second dog)
Behavioral Issues & Advisories (second dog)
People Aggressive
Dog Aggressive
Not Comfortable with Nail Trimming
Skittish/Extra Shy
Medical & Health Advisories (second dog)
Medical & Health Advisories (second dog)
Chronic Ear Infections
Skin or other Allergies
Hypo-Allergenic Products
Treats allowed?
Other Issues we should know about: (second dog)
Any special bathing instructions? (second dog)
Do you want to add a third dog?
Yes
No
DOG #3 INFORMATION
DOG #3 INFORMATION
Third Dog's Name
Breed(s) if Known (third dog)
Gender (third dog)
Male
Female
Gender
Neutered / Spayed? (third dog)
Yes
No
Neutered / Spayed?
Color(s), Markings, General Description (third dog)
D.O.B. / Approx. Age (third dog)
Approx. Weight (third dog)
Vet / Clinic Name (third dog)
Vet / Clinic Phone (third dog)
Behavioral Issues & Advisories (third dog)
Behavioral Issues & Advisories (third dog)
People Aggressive
Dog Aggressive
Not Comfortable with Nail Trimming
Skittish/Extra Shy
Medical & Health Advisories (third dog)
Medical & Health Advisories (third dog)
Chronic Ear Infections
Skin or other Allergies
Hypo-Allergenic Products
Treats allowed?
Other Issues we should know about: (third dog)
Any special bathing instructions? (third dog)
VACCINATION DOCUMENTS
file type
Please be sure that we have proof of current vaccinations for each pet that you are bringing. File types accepted: (pdf, doc, docx, png, jpg, jpeg).
Upload your current proof of vaccinations here
vax
UPLOAD VACCINATIONS
You can upload up to 10 files.
limit 20mb
Please try not to exceed 20mb total file size.
Check-In Date
Check-Out Date
I hereby authorize group play/socialization for the following pets:
Name of each pet authorized to socialize
The following pets shall have no social interaction:
If no yard availability, these pets may be in a kennel run
PLEASE REVIEW OUR HOURS
BOARDING
Office Hours:
8 am – 5 pm
Check-in or check-out by 4 pm daily
DAYCARE
7am – 6pm
Monday – Friday
8am – 5pm
Saturday & Sunday
Date of Agreement:
Your pet is very important to us and every effort will be made to make your animal’s grooming experience as safe and pleasant as possible.
terms
Please read and acknowledge acceptance of each section by checking every box.
Prices Vary: I acknowledge that all prices listed or quoted are only estimates and the final price will depend on the condition of the coat and/or extra time needed for extreme behaviors or health problems. Any discovery of parasites, ear mites, or matting shall be treated as an add-on service and owner agrees to the extra charge. I understand and agree to pay in full for any missed grooming if not cancelled within 24 hours of the appointment.
Owner Responsibility for Pet Medical Care: Safety comes first and although we are cautious, problems may occur because of age, health, or behavior. If any serious injuries or serious health problems occur, Creekside will notify owner for instructions and if unavailable, Creekside will seek immediate veterinary care for your pet at owner’s expense.
Hold Harmless: Grooming can expose a hidden medical problem or aggravate a current one. Owner agrees not to hold Creekside Pet Boarding responsible for any injuries or irritations which might result from the grooming process.
Aggressive or Overly Reactive Dogs: Creekside reserves the right to refuse service or stop a groom in progress if your dog may pose a threat to themselves, other pets, or staff, whether it be an aggression or health problem. Extra charges may apply if two groomers are necessary. Remember, regular monthly grooming helps ease the fear or aggression issues.
Owner Responsibility: Owner agrees to be solely responsible and liable for all acts of their pet(s). This may include but is not limited to injury or death to their dog, another dog, staff members, or other clients. Owner responsibility extends to damaged property.
Hold Harmless; Aged or Special Needs dogs: Owner is aware that the process of grooming for older or special needs dogs may become mentally and physically stressful. This may cause latent, unknown, active or inactive conditions such as arthritis, bone, joint or surgical sites to become active or inflamed, and unknown active or inactive heart, kidney, or liver disorders to become active, and can result in illness, seizures, or the death of the dog. Although Creekside Pet Boarding will take special care in the grooming of the dog, owner acknowledges that the stress of grooming may initiate immediate or latent medical problems. Owner agrees not to hold Creekside Pet Boarding responsible for reactions to grooming
Dogs should be dropped off by 10 am and picked-up no later than 3 pm. Special requests to be bathed earlier or ready at a specified, earlier time will incur a “priority client” fee of $20 extra.
Final acknowledgement
Checking this box acknowledges that I have read the terms and conditions, understand the foregoing, and agree.
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