Boarding Intake Form

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Haven Paws Boarding Intake Form

Please complete this form only after your boarding request has been approved by our team.

*Your Name

*Pet Name(s)

Pet's Date of Birth

Month

Day

Year

*Address

*Phone Number

*Drop Off Schedule

Month

Day

Year

Time

:HoursMinutes

*Pick Up Schedule

Month

Day

Year

Time

:HoursMinutes

*AM Feeding Schedule

Time

:HoursMinutes

*PM Feeding Schedule

Time

:HoursMinutes

Additional Feeding Information

Pet Information (Check all that are true)

Your pet gets along with other dogs.

Your pet gets along with big dogs.

Your pet gets along with small dogs.

Your pet gets along with large groups of dogs.

Your pet is house trained.

Your pet jumps fences.

Your pet digs.

Your pet chews on beds/rugs/toys.

Your pet is crate trained.

Your pet has physical limitations

Your pet has known behavioral problems (e.g, food aggression, excessive barking, separation anxiety)

Your pet uses preventative flea/tick treatment regularly?

Other

Does your pet have any known dislikes (e.g., noises, objects, petting spots)?

*Emergency Contact Name

*Emergency Contact's Phone Number

Veterinarian

Veterinarian's Phone Number

Is there anything else we should know before your stay?

Upload a photo of your Pet(s)

I acknowledge that Haven Paws LLC is not liable for any accidents, illnesses, or injuries that may occur during your pet's stay.

I acknowledge that pick-ups past 3:00 PM will incur an additional fee of $30, and pick-ups past 6:00 PM will incur an additional fee of $45.

*Your Signature

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