Alfie's Retreat | New Client Registration Form

The form below is for new clients only. If you're already a client of Alfie's Retreat, please click here to request an appointment.

Alfie's Retreat New Client Registration Form

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Please fill out the form below to register with Alfie's Retreat. You will be unable to book a stay with us if registration is not completed. *PLEASE BE ADVISED THAT THE SERVICE AGREEMENT IS ATTACHED AS A PDF DOCUMENT FOR YOU TO VIEW. WE WILL SEND A SIGNATURE REQUEST TO YOU FOLLOWING REGISTRATION TO CONFIRM YOU ARE HAPPY WITH OUR SERVICE AGREEMENT*

Owner Information

First Name *Required*

Last Name *Required*

Phone Number *Required*

Email *Required*

Address *Required*

City

State | Province

Zip Code | Postal Code *Required*

Family Vet Clinic

How did you find us? *Required*

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

Owner Question #1: Are you happy for your dog to stay with us alongside other dogs? *Required*

Pet #1 Information

Pet Name *Required*

Breed (Best Guess) *Required*

Sex *Required*

Color Description

Date of Birth *Required*

Important: Vaccines Required Prior to Stay

LEPTO Expiration

DHP Expiration

KC Expiration

Flea/Worm Expiration

Vaccine #5 Expiration

Microchip Code

Weight

Insurance Info

Feeding Notes

Medication Notes

Temperament Notes (Aggression, anxiety, etc? If extensive, tell us in person).

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

Pet Question #1: Please provide details of sleep routine (e.g crate, upstairs/downstairs) *Required*

Pet Question #2: Would you like your dog to be walked on or off the lead during their stay? *Required*

Mobile Phone Alert: Some phones have difficulty uploading the files below (the form gets reset after uploading). If this happens on your phone, please submit this form using a computer. You can also submit this form on your phone without uploading anything and then email your pet picture and vaccine verification document to us at alfiesretreat@outlook.com. Thanks!

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

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 Name *Required*

Breed (Best Guess) *Required*

Sex *Required*

Color Description

Date of Birth *Required*

Important: Vaccines Required Prior to Stay

LEPTO Expiration

DHP Expiration

KC Expiration

Flea/Worm Expiration

Vaccine #5 Expiration

Microchip Code

Weight

Insurance Info

Feeding Notes

Medication Notes

Temperament Notes (Aggression, anxiety, etc? If extensive, tell us in person).

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

Pet Question #1: Please provide details of sleep routine (e.g crate, upstairs/downstairs) *Required*

Pet Question #2: Would you like your dog to be walked on or off the lead during their stay? *Required*

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.

To request an appointment/booking, please fill out the fields in red below and then click the blue Submit This Form button below.

Drop-Off Date * ⓘ

Drop-Off Time *

Select Date to Show Available Times

Pick-Up Date * ⓘ

Pick-Up Time *

Select Date to Show Available Times

Pet Name *

Appointment Information *

REQUIRED: To prove you're not a SPAM robot, what does 2+2 equal?

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 alfiesretreat@outlook.com

Alfie's Retreat New Client Registration Form

Owner Information

Pet #1 Information

Pet #2 Information

Pet #3 Information