New Client Registration Form | The Crate Escape LA

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

The Crate Escape LA New Client Registration Form

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The Crate Escape LA Policies | Boardings: All you need to bring is their food and leash. We supply beds, toys, bowls, treats, ect. Rate is charged per 26-hour period (i.e. 8am-10am the next day or 3pm-5pm the next day). Time needed after the courtesy 2 hours is charged as another day. We also offer pick up/drop off services, please see boarding page to confirm pricing and add to below request. | Sittings: Please, include how you prefer to transfer keys (person to person, lock box, give a key to keep). Rate is charged per 24-hour period (i.e. 8am-8am the next day or 3pm-3pm the next day). Time needed after the 24 hours is charged as another day. | Daycare: Rate is charged per 8 hour period. If you require more than 8 hours, you will be charged as a boarding. All you need to bring is your pup with their leash.

The Crate Escape LA Client Registration Form

Owner Information

First Name *Required* Required

Last Name *Required* Required

Phone Number *Required* Required

Email *Required* Invalid Email Format

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 Pet(s)

Pet #1 Information

Pet's Name *Required* Required

Breed *Required* (Best Guess) Required

Sex *Required* Required

Color Description

Date of Birth

The Crate Escape LA requires proof of vaccination.

Rabies Expiration

DPP Expiration

Bordetella Expiration

Leptospirosis Expiration

Vaccine #5 Expiration

Microchip Code

Weight

Insurance Info

Feeding Notes

Medication Notes

Aggressive behavior or temperament issues? (If extensive, tell us in person).

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

Is your dog allergic to Cedar? (some of our play areas are equiped with it)

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

Pet #2 Name *Req*

Breed *Required* (Best Guess)

Sex *Required*

Color Description

Date of Birth

The Crate Escape LA requires proof of vaccination.

Rabies Expiration

DPP Expiration

Bordetella Expiration

Leptospirosis Expiration

Vaccine #5 Expiration

Microchip Code

Weight

Insurance Info

Feeding Notes

Medication Notes

Aggression/temperament issues? (If extensive, please tell us in person.).

Anything else you'd like us to know?

Is your dog allergic to Cedar? (some of our play areas are equiped with it)

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 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 #3 Name *Req*

Breed *Required* (Best Guess)

Sex *Required*

Color Description

Date of Birth

The Crate Escape LA requires proof of vaccination.

Rabies Expiration

DPP Expiration

Bordetella Expiration

Leptospirosis Expiration

Vaccine #5 Expiration

Microchip Code

Weight

Insurance Info

Feeding Notes

Medication Notes

Aggression/temperament issues? (If extensive, please tell us in person.).

Anything else you'd like us to know?

Is your dog allergic to Cedar? (some of our play areas are equiped with it)

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

IMPORTANT: Do you want to request an appointment as well? Click here.

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If the form doesn't submit, please scroll up and make sure all required pet and owner fields are filled in. If the issue persists, send an email to info@thecrateescapela.com