Heaventree's Doggie Daycations, LTD & Emerald Eyes Cattery, LTD | New Client Registration Form

The form below is for new clients only. If you're already a client of Heaventree's Doggie Daycations, LTD & Emerald Eyes Cattery, LTD, please click here to request an appointment.

Heaventree's Doggie Daycations, LTD & Emerald Eyes Cattery, LTD New Client Registration Form

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We look forward to having your locable pet for Daycation!

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: Did you verify all your pet information is as complete and accurate as possible. *Required*

Owner Question #2: Are you interested in earning FREE Daycation stays? *Required*

Owner Question #3: May we use a photo from your pets Daycation on our media/advertising? *Required*

Pet #1 Information

Pet Name *Required*

Breed (Best Guess) *Required*

Sex *Required*

Color Description *Required*

DOB *Req*

Vaccine Expiration Dates

Important: Please complete all pet vaccination records and upload a copy of your vets vaccination record.

Rabies *Req*

DPP *Req*

Bordetella

Vaccine #4

Vaccine #5

Microchip Code *Required*

Weight *Required*

Insurance Info

Feeding Notes (What food, how much, when, any special diet needs, etc.) *Required*

Medication Notes (Name, dosage, frequency, special instructions, etc.)

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 pet been in inrecent contact with ANY sick animals? *Required*

Pet Question #2: Does your pet have any current/recent injuries/illness? *Required*

Pet Question #3: Will your pet have their special toy/blanket, food, etc for Daycation? *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 DoggieDaycations@hclabs.us. 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

Pet #2 Information