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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.

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