Tail Waggin’ Dog Ranch Registration

20676 Muncey Road, Muncey, Ontario, N0L 1Y0

Tim - 519-317-2037

Wendy - 519-281-1951

Kennel - 226-270-8088

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Dogs Name: ______

Boarding from: ______Time of drop off: ______

To: ______Time of pick up: ______

Parents Information:

Name: ______

Address: ______

______

______

Contact Numbers:

Home: ______

Cell: ______

Emergency contact number/name: (In case we can’t get a hold of you): ______

Your E-mail: ______

Veterinarian Used: ______

Address: ______

How did you hear about us (ask us about our referral program)? ______

About Your Dog/s: (let us know if your dog is a rescue)

Breed: ______

Male / Female: ______Date of Birth: ______

Does your dog have a microchip? Yes/No (circle one please)

What is the number: ______

Spayed / Neutered: ______

Does your dog have any allergies: ______?

Any Medical conditions we should know about: ______

Vaccinations (copy of up to date): ______(We recommend Kennel cough, Distemper, Parvo influenza, Parvo virus, Lyme disease and Rabies. Rabies is the only one that is mandatory)

Food

What is the name of the food you feed your dog (in case it runs out): ______?

What time of day does your dog eat? Morning - ______

Noon - ______

Evening - ______

How much do you feed your dog each feeding? ______

While staying with us can your dog have treats? ______

Please bring your dogs food in the original bag or a solid plastic container.

We ask you to bring your dog’s favourite meal. If you do not remember to bring it, we will supply our own which is raw. We charge $4.00 a meal.

Does your dog like walks on leash or off? ______

What do you do with your dog for fun? ______

Does your dog understand commands like, sit, stay, and come?

Is there anything your dog does not like (for example: we have a dog who does not like to be hugged): ______

We charge $10.00 plus HST to clip your dog’s nails. Would you like us to clip your dog’s nails during this stay? ______

Are grooming prices are as follows, please circle the one that fits your dog if you would like him groomed. Please see waiver and pet form on our Webpage to be filled out if you want grooming. (Full Groom – includes Bath, blow dry, Fluff, nails, ears and cut if needed)

Small 0-30 lbs Starting at $60

Medium 30-59 lbs Starting at $70

Large 60 – 80 lbs Starting at $85

X Large 80 + Starting at $100

At Tail Waggin’ Dog Ranch we go above and beyond to keep your pet safe and healthy. However, if your dog should require emergency Vet care; we will make every effort to contact you on our way to the Vets or try and contact the emergency number you have given us. If we do not connect with you, what authorization would you give us, example $100.00 -$1000.00.

Behavioural Issues

Please give details of any of the problems listed below we should know about. The more we know the easier it is to have a great stay.

Barks excessively Yes / No

Destructive Yes / No

Biting Yes / No

Nervous of strangers Yes / No

Nervous of other dogs Yes / No

Good around small children Yes / No

Good with small dogs (chihuahua) Yes/No

Do you believe your dog is social with other dogs? Yes/ No

We would like to know about your dog’s sleeping habits.

Does he sleep on a bed/floor beside your bed: ______?

Does he/she like to sleep in their crate: ______

Are you on Facebook______

Please let us know if you authorize us to take pictures of your dog for our Facebook page and if we may use them on our web page. Signature for picture taking______