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 Vaccinations Record from your Veterinarian or email them to us at info@animalcampboarding.com

Vaccinations include: Rabies, Distemper combo or copy of titers, Bordetella. Canine Influenza Virus is Reccomended. We suggest a negative heartworm check

Fleas & Tick Control - Please have your pet on some kind of program. We do take dogs outside to the grass yard. Please check with your Veterinarian for the best program for your pet

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