K9 Barks N Brews New Client Registration Form

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Thank you for your interest in our services. Completing this form does NOT mean that your dog has a boarding reservation or been accepted into the daycare program. We will reach out to you to schedule an assessment or send you a confirmation email with in 48 hours.

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 *Required*

How did you find us?

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

Owner Question #1: Are you interested in dog daycare, dog boarding or both? *Required*

Owner Question #2: Does you dog have any restrictions or health issues we need to be aware of? *Required*

Owner Question #3: Has your dog ever bitten or injured a person or other animal? *Required*

Pet #1 Information

Pet Name *Required*

Breed (Best Guess) *Required*

Sex *Required*

Color Description *Required*

Date of Birth

K9 Barks N Brews requires proof of vaccination.

Rabies Expiration *Req*

DPP Expiration *Req*

Bordetella Expiration *Req*

Microchip Code

Weight *Required*

Insurance Info

Feeding Notes *Required*

Medication Notes *Required*

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

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

Pet Question #1: Has your dog ever attended daycare? If so, were they ever kicked out of daycare and why? *Required*

Pet Question #2: What dates are you interested in starting daycare or boarding? *Required*

Pet Question #3: Has your dog ever eaten/ingested anything like toys, clothing, rocks, etc? *Required*

Pet Question #4: Has your dog ever had any formal obedience training? *Required*

Pet Question #5: Has your dog ever jumped over a fence/gate? If "yes" how high was the fence/gate? *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 info@k9barksnbrews.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