Reesor Farm Kennels | New Client Registration Form

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

Reesor Farm Kennels New Client Registration Form

To prove you're a real person (and not a SPAM bot), please check the I'm not a robot box below.

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Please complete the forms below to your fullest extent. We will contact you if additional information is required.

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

Owner Information

First Name *Required*

Last Name *Required*

Phone Number *Required*

Email *Required*

Address *Required*

City *Required*

State | Province *Required*

Zip Code | Postal Code *Required*

Family Vet Clinic

How did you find us?

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

Owner Question #1: How will you submit vax records? (please call my vet, uploaded w/form, e-ma

Pet #1 Information

Pet Name *Required*

Breed (Best Guess) *Required*

Sex *Required*

Color Description

Date of Birth

Reesor Farm Kennels requires proof of vaccination.

Rabies Expiration

DPP (dogs) / FVRCP (cats) Expiration

Bordetella (dogs) 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: Does your pet have any allergies? (food, medicine, environmental, etc.) *Required*

Pet Question #2: If your pet isn't eating, what can we add to encourage eating? (ie. wet foo

Pet Question #3: How does your pet behave on a leash?

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 reesorfarms@gmail.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

Reesor Farm Kennels requires proof of vaccination.

Rabies Expiration

DPP (dogs) / FVRCP (cats) Expiration

Bordetella (dogs) 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: Does your pet have any allergies? (food, medicine, environmental, etc.) *Required*

Pet Question #2: If your pet isn't eating, what can we add to encourage eating? (ie. wet foo

Pet Question #3: How does your pet behave on a leash?

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

Select Service(s) for this Appointment Request *

Cat Boarding Dog Boarding- Standard Kennel Dog Boarding- Suite Dog Walking Hygienic Grooming In Home Visits Other Small Animal Boarding

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 reesorfarms@gmail.com

Reesor Farm Kennels New Client Registration Form

Owner Information

Pet #1 Information

Pet #2 Information

Pet #3 Information