New Client Registration Form | Silverdale Doggy Vacation Lodge

The form below is for new clients only. If you're already a client of Silverdale Doggy Vacation Lodge, please click here to request an appointment.

Silverdale Doggy Vacation Lodge New Client Registration Form

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. ALL DATES FADED OUT ON THE "SCHEDULE APPOINTMENT" PAGE MEANS WE ARE FULLY BOOKED https://doggiedashboard.com/users/480f9016803804a2075e THE FORM BELOW MUST ACCOMPANY A VISIT REQUEST. AND YOUR LODGING DATES.....**** VISITS ARE MON THROUGH THURS, AT EITHER 3:30, 4:30 OR 5:30 . CHOOSE A COUPLE OF DATES AND TIMES,IN CASE YOUR 1ST REQUEST IS TAKEN. *****, When scheduling LODGING, Drop off times are between 8 am to 12 pm Pick up times are between 8-10 am or 4-6 pm..

Important: In addition to the online form below, please print the following PDF document and bring it to your first appointment: Click to Print

Silverdale Doggy Vacation Lodge Client Registration Form

Owner Information

First Name *Required* Required

Last Name *Required* Required

Phone Number *Required* Required

Email *Required* Invalid Email Format

Address

City

State | Province

Zip Code | Postal Code

Family Vet Clinic

How did you find us?

Emergency Contact (Include Phone Number)/Others Allowed to Pick Up Pet(s)

.PLEASE DO NOT DO ANY VACCINES SPEAK WITH US FIRST AT YOUR VISIT OR PHONE CALL.

A VISIT IS REQUIRED Mon to Thurs 3:30, 4:30, 5:30 Please pick a date & time

LODGING DATES format drop off Mar 17 (8-12PM) pick up Mar 21 (4-6PM )

Pet #1 Information

Pet's Name *Required* Required

Breed *Required* (Best Guess) Required

Sex *Required* Required

Color Description

Date of Birth

Silverdale Doggy Vacation Lodge requires proof of vaccination.

Rabies vaccine is good for 6 years Titers accepted Date of last Rabies vaccine Expiration

DPP is good for 9 to 15 years. Titers accepted Date of last core vaccines Expiration

Bordetella ( not required ) No Bordetella vaccine permitted here 7 weeks prior to stay Expiration

Titers preferred here. Date of last Titer Expiration

Date of last Rabies Titer Expiration

Microchip Code

Weight

Insurance Info

Feeding Notes

Medication Notes

Aggressive behavior or temperament issues? (If extensive, tell us in person).

Anything else we should know? (If extensive, please tell us in person).

BEEN AT BOARDING or DAYCARE FACILITY BEFORE? SPECIFICS

HOW LONG DOES YOUR PUP SPEND AWAY FROM YOU PER DAY ?

HAS YOUR DOG EVER INSTIGATED A FIGHT?

HOW IS YOUR DOG TOWARDS PEOPLE, AND DOGS?

HAS YOUR DOG GONE TO A TRAINER FOR BEHAVIOUR ISSUES : FEARS, NOISES, SEPARATION ANXIETIES ETC

Pet Photo (Not Required. 5MB Max. Image Files Only) Click to Upload Pet Picture

Proof of Vaccinations (5MB Max. Only Images, No PDFs. Take a Picture of Document with Your Phone and Upload It.) Click to Upload a Picture of Proof of Vaccinations

Click Here to Add a Second Pet

Pet #2 Information

Pet #2 Name *Req*

Breed *Required* (Best Guess)

Sex *Required*

Color Description

Date of Birth

Silverdale Doggy Vacation Lodge requires proof of vaccination.

Rabies vaccine is good for 6 years Titers accepted Date of last Rabies vaccine Expiration

DPP is good for 9 to 15 years. Titers accepted Date of last core vaccines Expiration

Bordetella ( not required ) No Bordetella vaccine permitted here 7 weeks prior to stay Expiration

Titers preferred here. Date of last Titer Expiration

Date of last Rabies Titer Expiration

Microchip Code

Weight

Insurance Info

Feeding Notes

Medication Notes

Aggression/temperament issues? (If extensive, please tell us in person.).

Anything else you'd like us to know?

BEEN AT BOARDING or DAYCARE FACILITY BEFORE? SPECIFICS

HOW LONG DOES YOUR PUP SPEND AWAY FROM YOU PER DAY ?

HAS YOUR DOG EVER INSTIGATED A FIGHT?

HOW IS YOUR DOG TOWARDS PEOPLE, AND DOGS?

HAS YOUR DOG GONE TO A TRAINER FOR BEHAVIOUR ISSUES : FEARS, NOISES, SEPARATION ANXIETIES ETC

Pet Photo (Not Required. 5MB Max. Image Files Only.) Click to Upload Pet Picture

Proof of Vaccinations (5MB Max. Only Images, No PDFs. Take a Picture of Document with Your Phone and Upload It.) Click to Upload a Picture of Proof of Vaccinations

Click Here to Add a Third Pet

ALERT: If you have more than three pets, submit this form once with your first three pets. After submitting the first time, click the link to come back to the form (shown after you submit the form) and fill out this form again with the information for your other pets. The second time you fill it out, you only need to include your name, phone and email in the OWNER section because the business will already have the other info (address, emergency contact, etc) from the first time you submitted the form.

Pet #3 Information

Pet #3 Name *Req*

Breed *Required* (Best Guess)

Sex *Required*

Color Description

Date of Birth

Silverdale Doggy Vacation Lodge requires proof of vaccination.

Rabies vaccine is good for 6 years Titers accepted Date of last Rabies vaccine Expiration

DPP is good for 9 to 15 years. Titers accepted Date of last core vaccines Expiration

Bordetella ( not required ) No Bordetella vaccine permitted here 7 weeks prior to stay Expiration

Titers preferred here. Date of last Titer Expiration

Date of last Rabies Titer Expiration

Microchip Code

Weight

Insurance Info

Feeding Notes

Medication Notes

Aggression/temperament issues? (If extensive, please tell us in person.).

Anything else you'd like us to know?

BEEN AT BOARDING or DAYCARE FACILITY BEFORE? SPECIFICS

HOW LONG DOES YOUR PUP SPEND AWAY FROM YOU PER DAY ?

HAS YOUR DOG EVER INSTIGATED A FIGHT?

HOW IS YOUR DOG TOWARDS PEOPLE, AND DOGS?

HAS YOUR DOG GONE TO A TRAINER FOR BEHAVIOUR ISSUES : FEARS, NOISES, SEPARATION ANXIETIES ETC

Pet Photo (Not Required. 5MB Max. Image Files Only.) Click to Upload Pet Picture

Proof of Vaccinations (5MB Max. Only Images, No PDFs. Take a Picture of Document with Your Phone and Upload It.) Click to Upload a Picture of Proof of Vaccinations

Appointments & Bookings: If you want to request an appointment or booking with this business, click here to add those details.

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If the form does not submit, please scroll up and make sure all required pet and owner fields are filled in. If the issue persists, send an email to dogvacationlodge.silverdale@gmail.com