Muddy Creek K9z Boarding & Grooming | New Client Registration Form

The form below is for new clients only. If you're already a client of Muddy Creek K9z Boarding & Grooming, please click here to request an appointment.

Muddy Creek K9z Boarding & Grooming 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.

The Google SPAM test above works with Chrome, Safari, Firefox and Microsoft Edge browsers, not Internet Explorer.

please fill out all fields

Owner Information

First Name *Required*

Last Name *Required*

Phone Number *Required*

Email *Required*

Address *Required*

City *Required*

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: Are you interested in a bath for your dog(s) before pick-up. This is an extra fee.

Owner Question #2: Who if your veterinarian *Required*

Owner Question #3: Are your dog's vaccines all up to date including bordetella *Required*

Pet #1 Information

Pet Name *Required*

Breed (Best Guess) *Required*

Sex *Required*

Color Description

Date of Birth

Important: Vaccines required to be up to date including Bordetella (kennel cough)

Rabies Expiration *Req*

DPP Expiration *Req*

Bordetella Expiration *Req*

Vaccine #4 Expiration

Vaccine #5 Expiration

Microchip Code

Weight

Insurance Info

Feeding Notes *Required*

Medication Notes *Required*

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

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

Pet Question #1: Is your dog friendly? *Required*

Pet Question #2: what is your dog's personality? *Required*

Pet Question #3: Can we give your dog(s) treats?

Pet Question #4: Can we use photo(s) of your pets on social media?

Pet Question #5: Does your pet have any medical issues or allergies we need to know of *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 toni@muddycreekk9z.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

Important: Vaccines required to be up to date including Bordetella (kennel cough)

Rabies Expiration *Req*

DPP Expiration *Req*

Bordetella Expiration *Req*

Vaccine #4 Expiration

Vaccine #5 Expiration

Microchip Code

Weight

Insurance Info

Feeding Notes *Required*

Medication Notes *Required*

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

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

Pet Question #1: Is your dog friendly? *Required*

Pet Question #2: what is your dog's personality? *Required*

Pet Question #3: Can we give your dog(s) treats?

Pet Question #4: Can we use photo(s) of your pets on social media?

Pet Question #5: Does your pet have any medical issues or allergies we need to know of *Required*

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 *

Bath and Brush Daycare Full Groom (typical pet groom for breed) Nail trim only - $10 Overnight 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 toni@muddycreekk9z.com

Muddy Creek K9z Boarding & Grooming New Client Registration Form

Owner Information

Pet #1 Information

Pet #2 Information

Pet #3 Information