Camper’s Information for Animal Camp Visits

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Home Phone*

Cell Phone*

Dog's Name*

Dog's Breed*

Dog's Color*

Dog's Sex*

Is your dog spayed or neutered?

Yes
No

Dog's Birthdate*

Please bring a copy of updated Vaccination Records from your Veterinarian or have them fax it to us at (734) 433-1444

Vaccinations include: Rabies, distemper combination, Bordetella (kennel cough), Leptospirosis & Canine Influenza Virus (CIV)H3N2 & H3N8(Canine Flu). We suggest a negative heartworm check and some kind of flea protection when coming to Animal Camp.

Veterinarian*

Vet's Phone*

Feeding Instructions

Can your dog have treats?*

Are there any treats your pet can not have?

Is your pet on any medication?*

If Yes, what kind of medication?

This medication is for treating what kind of health problem?

How is this medication given & how often?

(If you use bread, peanut butter, cheese, or need gauze or other for this med., please bring this along to Animal Camp with your pets medicine.)

Exercise Information:

Does your dog have any exercise restrictions?*

Can your dog(s) go to the play yard with other dogs?*

Can your dog(s) get dirty?*

Special Instructions