New Client Registration Form | MuddyDugz Boarding Kennels & Day Care

The form below is for new clients only. If you're already a client of MuddyDugz Boarding Kennels & Day Care, please click here to request an appointment.

MuddyDugz Boarding Kennels & Day Care New Client Registration Form

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PLEASE READ THE INFORMATION BELOW. While filling out the required information we are asking you to give us in the boxes below, there is nothing to prevent you from not answering any of the questions and not supplying the dog's picture and the necessary proof of vaccines. NOTE the information we are requesting is so we can process your booking and comply with our licensing requirements of the local authority, and without it may result in us not being unable to process and confirm with you if we have the dates and times you require. Any delay in us receiving this information may result in your request for your dates and times being released to someone else or resulting in us not being able to confirm if we can accept your dog. We will not contact you to collect any additional information required to secure your request. This will be your responsibility to get the necessary information to us within 3 days of the link being sent to you. Please call 01236 843688 if you require any help in completing this.

MuddyDugz Boarding Kennels & Day Care Client Registration Form

Owner Information

First Name *Required*

Last Name *Required*

Phone Number *Required*

Email *Required*

Address *Required*

City

State | Province

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: If dog is not eating it’s food what will you bring to encourage it to eat ? *Required*

Owner Question #2: Does your dog have or previously had any allergies? *Required*

Owner Question #3: Detailed information on feeding the dog? *Required*

Pet #1 Information

Pet Name *Required*

Breed (Best Guess) *Required*

Sex *Required*

Color Description

Date of Birth *Required*

MuddyDugz Boarding Kennels & Day Care requires proof of vaccination.

Booster Expiration *Req*

Kennel Cough Expiration

Flea Expiration

Worming Expiration

Microchip Code

Weight

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.) *Req*

Pet Question #1: On Medication or finished a course in the last 30 days? Illness' or Injuries in the last 3 months? *Required*

Pet Question #2: Enter the dates required. If nothing is entered, you will only be added to the system. *Required*

Pet Question #3: Has the dog lunged, barked, in a way that could be described as aggressive? *Required*

Pet Question #4: Dogs Temperament towards People, Other dogs, Traffic, Cycles, Joggers? *Required*

Pet Question #5: ENTER the REFERENCE Code we gave HERE no code no booking *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

Click Here to Add a Second Pet

Pet #2 Information