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

Summer Creek Pet Retreat New Client Registration Form

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Please complete the form as best you can. We will contact you if additional information is required. Please Note: We would prefer any vaccines, especially Parvo/Bordatella, be done at least one month PRIOR to your stay so it does not 'shed' to the environment. ONLY Rabies Vax or Rabies Titer Certificate is required to stay here.

Owner Information

First Name *Required*

Last Name *Required*

Phone Number *Required*

Email *Required*

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

Owner Question #1: What training have you done with your dog? Is your dog Crate Trained?

Owner Question #2: Has your dog been kenneled before?

Owner Question #3: Cell phone: (for text updates, photos etc.)

Pet #1 Information

Pet Name *Required*

Breed (Best Guess) *Required*

Sex *Required*

Color Description

Date of Birth

Summer Creek Pet Retreat requires proof of vaccination.

Rabies (Required) Expiration

DPP Expiration

Bordetella Expiration

Flea/Tick Meds? 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 dog bark excessively? Are they destructive with toys/bed?

Pet Question #2: Is your pet fearful of sounds/noises/thunder? Do they get along with other dogs?

Pet Question #3: What time(s) does your pet normally eat? Do they finish it all? How many times a day do they poop?

Pet Question #4: What time do they go to sleep/last out for the night & up in morning?

Pet Question #5: Is your pet on flea/tick spot treatment or collar?

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 summercreekpetretreat@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