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Pet Registration Form
Proof of vaccinations; DHPP, Rabies, Bordetella, and a Negative Fecal Test must be provided before any reservations can be made.
"
*
" indicates required fields
Owner Name
*
First
Last
Pet Name
*
Pet Age (or best guess)
*
Species
*
Dog
Cat
Breed (best guess if mixed)
Color
*
Gender
*
Male
Female
Neutered
*
Yes
No
Spayed
*
Yes
No
Weight (or best guess)
*
Current Veterinary Clinic / Hospital; Please have them send a copy of your pet's medical history
*
Behavior Information
Behavior with people?
*
Fearful
Aggressive
Shy
Friendly/Playful
Other
If “other” please explain
Behavior with other pets?
*
Fearful
Aggressive
Shy
Friendly/Playful
Other
If “other” please explain
Has your pet ever bitten a human or another pet?
*
Yes
No
If “yes” please explain
Has your pet ever boarded at any facility before?
*
Yes
No
Does you pet have a history of diarrhea when change or stress occurs?
*
Yes
No
Do you give RCPH permission to withhold your pet’s food for a day should he/she have diarrhea?
*
Yes
No
Has your pet ever tried to escape by (check all that apply)
*
Climbing fences
Digging under fences
Chewing walls or door frames
Does not try to escape
Does your pet have a fear of any of the following? (check all that apply)?
*
Thunderstorms
Fireworks / Gunfire
Men
Women
Children
None
Does your pet have any allergies or medical conditions? If yes, please explain.
SMS Consent
I agree to receive SMS communications.
I agree to receive recurring automated messages about pet care, appointment reminders, marketing communications, and offers to the mobile number provided. Your consent is not required, and you may opt out at any time by replying STOP. Msg & data rates may apply. Message frequency may vary.
Email Consent
I agree to receive email communications.
I agree to receive marketing offers and updates via your preferred/primary email. You'll still receive services and account related emails if you do not check the box.
CAPTCHA
(If your pet has never boarded at any facility, please call out staff to set up a meet and greet prior to making reservations)
Name
This field is for validation purposes and should be left unchanged.
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