Customer General Information
Emergency Contact Information Please include names, addresses, phone #'s etc. of emergency contacts whom are authorised to deal with emergency situations on your behalf.
Canine Guest General Information
Is your dog prone to:
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Canine Behavioral Information
Does your dog:
Please describe your dog's general temperament. (ie: aggressive with people or other dogs, constant barking, behaviour problems etc.) How does he/she react around other dogs or strangers? How does he/she react to strangers coming into your home? Does his/her behaviour depend on gender, size or breed of other dogs? Does he/she growl when someone removes or approaches food bowl or toys? Has your dog ever bitten someone or another dog? (If so, please provide details.)
Training Information
Is your dog: House Trained Crate Trained Has he/she had any formal obedience training? (If so, by whom?) What commands does your dog obey/or is familiar with? What type of whistles does your dog respond to? (ie: single sharp, double quick, clickers etc.) What type of collar does your dog wear? *For your pet's protection, NO choke chains, shock collars, or prong collars are allowed on premises. Your dog must be wearing a buckle type collar with proper identification tags, in case of any emergency situation.
Meals & Leisure Time Information
Please list the brand(s) of dog food your dog prefers. # of daily feedings: Meal portions: Has your dog ever had any type of reaction to a certain brand of food? (If so, please provide details.) How often do you walk your dog? Is he/she allowed off leash? Do you bring him/her to doggie parks? Does he/she enjoy car rides? How are his/her car manners?
Does your dog enjoy: swimming taking hikes fetching balls/sticks catching frisbees playing with other canine friends just finding a quiet corner Please list any other activities your dog enjoys. What does your dog sleep on and where?
Grooming Information
Do you take your dog to the groomers? How often? Does he/she require frequent brushing? How often? How does he/she react to brushings? Enjoys Not Fussy Does Not Enjoy Hates Brushings How does he/she react to nail trimmings? Not Fussy Does Not Enjoy Hates Nail Trimmings How does he/she react to bathing? Enjoys Not Fussy Does Not Enjoy Hates Bathing What type of shampoo(s) do you generally use? Has he/she ever had a skin reaction to certain types of shampoo? (If so, please provide details.)
Medical Information Veterinarian [Select a veterinarian from our list or provide your veterinarian information] [Veterinarian Information Not Available]Ajax Animal Hospital Dr. Laura KirkladyAnimal Hospital of High ParkAshbridges Bay Animal HospitalBeardall Animal HospitalBernie CaplanBloor Street Animal HospitalBloorcourt Veterinary ClinicBlue Cross Animal HospitalBrimley-Lawrence Animal Clinic / Dr. Paul KahlanCampbellford Veterinary ServicesCataraqui Pet HospitalCedarbrae Animal ClinicDanforth Veterinary Clinic / Dr Judy AuDavenport Road Animal HospitalDownsview Veterinary Hospital Dr S WazirDufferin Queen Animal ClinicEdwards Lakeside Veterinary ClinicEglinton Veterinary Facilities English Line Veterinary ServicesFerguson Veterinary ServicesForest Hill Animal ClinicFoster Park Pet HospitalGANARASKA ANIMAL CLINICHastings Veterinary Hospital Dr HeagleHealing Hands Animal HospitalHeritage Animal HospitalHofmann Veterinary ClinicJane Animal HospitalKingston Veterinary ClinicKingWest Vets / Dr Kent AckermanLeaside Animal ClinicLennox Animal HospitalLoyalist Veterinary HospitalMarina Animal Hospital / Dr Farzad GhaziMidtown Animal HospitalMount Pleasant Davisville Veterinary HospitalNorthumberland Veterinary Corp (Lex)Norwood Veterinary Services Dr Yarko MulkewytchPet Vet Credit Valley HospitalPeterborough Pet HospitalPickering Animal HospitalPine Ridge Veterinary ClinicPort Perry Animal HospitalQuinte Animal HospitalRenforth Veterinary ClinicRichview Animal HospitalRideau Animal HospitalRoyal York Animal HospitalSecord Animal HospitalSkyway Animal HospitalSt. Francis Animal ClinicThe Mutual Street Animal Clinic - John Rhys Town and Country Animal HospitalTrenton Pet Hospital Dr. Jinni DemineUsher Animal HospitalWeston Veterinary Clinic Dr PaulWestway Animal Clinic
Clinic/Doctor: Address: City: Province: Postal Code: Phone/Fax: Email/Web:
Vaccinations *We do require proof of all up to date vaccinations. Please list the most recent dates of the following vaccinations:
Please list any other physical or medical conditions and any medication instructions.
*If, in our judgement, your dog requires medical care, you agree to be solely responsible for the payment of all medical bills incurred for your dog, and that you release Regal Dogs Resort, its officers, directors, agents, and employees from any and all responsibility for, or claims, damages, debts, arising out of or related to such medical care, including but not limited to, transportation to and from the veterinarian clinic and choice of animal hospital.
Please list any additional information that you feel may be useful to ensure a pleasant stay for your dog.
Release Information
Regal Dogs Resort is authorized to release your dog to the following person(s) with the proper I.D. (Any contacts listed in the Emergency Contact section shall be considered to be authorized agents.)
*You may verbally (by telephone) or in written form (fax or otherwise) request that Regal Dogs Resort release your dog to someone other than the person(s) listed above, and that you release Regal Dogs Resort from any and all responsibility for releasing your dog to any person(s) Regal Dogs Resort believes to be authorized by yourself. *Please check to agree to above notice:
Final Reservation Information
If you require our limousine service, please provide the pickup and/or drop off locations. *Transportation services are subject to an additional charge.
Pickup from: Pickup from Customer address. Customer will drop off at our location. Drop off to: Drop off to Customer address. Customer will pickup at our location.
Dated this ______________________. Signature ______________________