Check In Form
THE PAMPERED POOCH
Vacation retreat and grooming studio
Date: __________________
PET:
NAME ____________________________ AGE ____ BREED ____________________________
COLOR____________________________ M Fr
OWNER:
NAME_________________________________________________________________________
ADDRESS______________________________________________________________________
PHONE ___________________ CELL __________________ E-MAIL _______________________
VETERINARIAN ________________________________________ PHONE ___________________
EMERGENCY CONTACT # ____________________ NAME ________________________________
PLAYS WELL WITH OTHERS YES NO
TOY POSSESSIVE YES NO
SEPARATION ANXIETY YES NO
TEMPERAMENT: i.e. Destructive behavior, scared of thunder...
______________________________________________________________________________
______________________________________________________________________________
ACTIVITY LEVEL: _______________________________________________________________
SPECIAL NEEDS: _______________________________________________________________
CAN WE GIVE YOUR POOCH A TREAT AT NAP TIMES: YES NO
FEEDING/amount: ________________________
AM _________________________________ PM _____________________________________
MEDICATION: _________________________________________________________________
ALLERGY: ____________________________________________________________________
UP TO DATE VACATION COPY: ________________ NEUTERED: SPAYED:
ADDITIONAL INFORMATION:
CANCELLATION POLICY 48 hours
We understand that people need to cancel appointments and emergencies happen and plans change. We ask that you please give us 48 hours notice prior to your appointment.
Please be advised that failure to provide 48 hours notice before a cancelled reservation for your pooch will result in a 50% charge.
Thank you for your understanding.